Risk Assessment Record Sheet |
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ACTIVITY
/ SITUATION BEING
ASSESSED |
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DATE OF
LAST ASSESSMENT |
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DATE OF
THIS ASSESSMENT |
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PERSON
CARRYING OUT ASSESSMENT |
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HAZARDS |
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HAZARD
IDENTIFIED |
PERSONS AT
RISK |
WORST CASE
OUTCOME |
LIKELIHOOD
/
PROBABILITY |
ACTION |
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Everyone |
Young |
Contractor |
Operative |
Public/visitor |
Fatal |
Major
to Many |
Major
to One |
Minor |
Environmental
/ Plant |
Likely/
Frequent |
Probable |
Possible |
Remote |
Improbable |
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Checked By: |
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Signed: |
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Date: |
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