RISK ASSESSMENT FORM - HIGH RISK ACTIVITY OR EVENT

Activity/Event *

Employee Name *

Participant's Name *

Date of the Event *

Reviewed by

Approved by

Date

1. Task/issue or hazard

1. Person affected/ location

1. Risk rating

1. Possible consequences

1. Risk control measure

1. Risk manageable

YesNo

1. Further action required

1. Person responsible

1. Notes

2. Task/issue or hazard

2. Person affected/ location

2. Risk rating

2. Possible consequences

2. Risk control measure

2. Risk manageable

YesNo

2. Further action required

2. Person responsible

2. Notes

3. Task/issue or hazard

3. Person affected/ location

3. Risk rating

3. Possible consequences

3. Risk control measures

3. Risk manageable

YesNo

3. Further action required

3. Person responsible

3. Notes

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