Template

    Risk Assessment Template

    In short

    A risk assessment template is the form a team fills in to record each hazard in a task or area, who could be harmed and how, the likelihood and consequence, the resulting risk rating, the controls chosen from the hierarchy of control, the residual risk and who owns the review. This template follows the Safe Work Australia four-step method and prints to one page.

    Key facts

    • Method: identify hazards, assess the risk, control the risk, review (Safe Work Australia Code of Practice).
    • Rating: 5 × 5 matrix of likelihood against consequence giving low, medium, high or extreme.
    • Controls: highest reasonably practicable level of the hierarchy, recorded with the residual risk.
    • Review: when the task, equipment, people or incident history change, and at least annually.

    By Matt Mafrici, CEO and founder, TeamAssurance · Published

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    The template

    Task or area: · Location: · Assessed by: · Workers consulted: · Date: · Review date:

    #HazardWho is exposed and howLikelihoodConsequenceRisk ratingExisting controlsAdditional controls (hierarchy level)Residual riskOwner
    1
    2
    3
    4
    5

    The risk matrix used with it

    Insignificant (first aid)Minor (medical treatment)Moderate (lost time)Major (permanent injury)Catastrophic (fatality)
    Almost certain (expected most shifts)MediumHighExtremeExtremeExtreme
    Likely (monthly)MediumHighHighExtremeExtreme
    Possible (yearly)LowMediumHighHighExtreme
    Unlikely (once in 10 years)LowLowMediumHighHigh
    Rare (once in a career)LowLowMediumMediumHigh

    Extreme: stop the task until controls reduce it. High: senior approval and additional controls before proceeding. Medium: controls in place, monitored. Low: manage by routine procedures.

    How do you complete it?

    1. Walk the task with the people who do it; list every hazard you see or they name, including the ones "that never cause a problem".
    2. For each hazard, write who is exposed and the mechanism of harm (crushed by, struck by, exposed to).
    3. Rate likelihood and consequence with the matrix, assuming existing controls are in place.
    4. For every medium or higher rating, add controls from the top of the hierarchy down and record the level reached.
    5. Re-rate with the new controls to give the residual risk.
    6. Name an owner for each control, set a review date, and get the controls into standard work and checklists.

    A filled example row

    #HazardExposureLCRatingExistingAdditionalResidualOwner
    1Forklift and pedestrians share the despatch aisleOperators, drivers, visitors; struck byPossibleMajorHighHi-vis; speed limit signPhysical barrier separating the walkway (isolate); pedestrian exclusion at the dock during loading (admin)MediumWarehouse manager

    Common mistakes

    • Rating with the proposed controls already assumed.
    • Controls that are all signs and training.
    • A review date that passes without a review.
    • The form in a folder while the hazard is still on the floor.

    Risk assessment inside daily management

    Each additional control is an action on the tier board until it exists, with an owner and a date. Once it exists it becomes a checklist step or a layered-audit question, so its presence is checked rather than assumed, and a hazard raised at the huddle that is not on the assessment triggers an update the same week.

    Step by step

    1. Identify hazards. Walk the task with the workers; list everything that could cause harm.
    2. Assess. Rate likelihood and consequence on the matrix with existing controls in place.
    3. Control. Add controls from the top of the hierarchy; record the level and the residual risk.
    4. Assign and schedule. Owner for each control; actions on the board; review date set.
    5. Review. On change, after incidents and at the review date; update the standard work.

    A worked example

    A food plant assessed its despatch dock after two near misses between forklifts and drivers. The team of a supervisor, a forklift operator and a driver listed nine hazards; the shared aisle rated High. The additional controls were a bolted pedestrian barrier, a marked driver waiting zone and a rule that loading stops when a pedestrian enters the dock. The barrier was an action on the Tier 2 board for three weeks; the waiting-zone check went onto the daily dock checklist. No further near misses were raised in the following six months.

    In TeamAssurance

    In TeamAssurance the controls from a risk assessment become checklist steps and layered-audit questions assigned to the people responsible, additional controls are tracked as actions on the tier board until they exist, and hazards and near misses raised from the floor are linked to the assessment so the review has evidence.

    FAQ

    Frequently asked questions

    Is a written risk assessment required by law in Australia?

    For specific activities (hazardous chemicals, confined spaces, high-risk construction work) a documented assessment or SWMS is required. For everything else the duty is to manage risk; a written assessment is the usual evidence.

    Who should be involved?

    The people who do the task, a supervisor and, where the hazard is technical, someone with the relevant expertise. Consulting workers is a legal duty under the WHS Act.

    How is this different from a JSA?

    A JSA is organised by job step for one task; this template is organised by hazard for a task or area. Many sites use both.

    What rating means we must stop work?

    Extreme on most matrices, and High until additional controls and senior approval are in place. Write your site's rule on the template.

    About the author

    Matt Mafrici

    CEO and founder, TeamAssurance

    Operations and continuous improvement practitioner; builds daily management systems with manufacturers, miners, food and pharmaceutical producers in Australia and abroad.

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