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Risk Assessment Template - Excel

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Risk Assessment Template - Excel Powered By Docstoc
					Risk Assessment Form                            Date Undertaken:

                                                Review Date:                                12/30/1900

Risk Assessment Name:

Scheme/Office/Dept Name:

Full Name of Assessor:

                                                                                                                      Further Action Necessary To




                                                                                                        Risk Rating




                                                                                                                                                                            Risk Rating
                                                                               Likelihood




                                                                                                                                                    Likelihood
                                                                                             Severity




                                                                                                                                                                 Severity
                                    Who Might   Control Measure Currently In                                               Control The Risk
   Hazard Type           Location
                                    Be Harmed              Place                                                         (estimated costs and
                                                                                                                           completion date)
                                                                                                                         Further Action Necessary To




                                                                                                           Risk Rating




                                                                                                                                                                               Risk Rating
                                                                                   Likelihood




                                                                                                                                                       Likelihood
                                                                                                Severity




                                                                                                                                                                    Severity
                                       Who Might    Control Measure Currently In                                              Control The Risk
   Hazard Type          Location
                                       Be Harmed               Place                                                        (estimated costs and
                                                                                                                              completion date)




Summary/Guidance (based on your final risk rating, the last column)
Status:                                            Review Date:                    12/30/1900
                                                                                                                           Further Action Necessary To




                                                                                                             Risk Rating




                                                                                                                                                                                 Risk Rating
                                                                                     Likelihood




                                                                                                                                                         Likelihood
                                                                                                  Severity




                                                                                                                                                                      Severity
                                          Who Might   Control Measure Currently In                                              Control The Risk
  Hazard Type                  Location
                                          Be Harmed              Place                                                        (estimated costs and
                                                                                                                                completion date)

You   have   identified   a total   of    0           hazards on your risk assessment
You   have   identified   a total   of    0           hazard/s which have been controlled to a satisfactory level
You   have   identified   a total   of    0           hazard/s which will require monitoring and/or require further control measures
You   have   identified   a total   of    0           hazard/s which is unacceptable. Stop this activity until suitable control measures are implemented
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DOCUMENT INFO
Description: This template will allow you to undertake your risk assessments as required under varying Health and Safety legislation. The likelihood and severity work on a scale of 1 - 5 and the risk rating will be auto populated for you. Towards the bottom of the form you will be able to see a summary of your findings. The assessments will also tell you whether it is up to date (so long as the undertaken date is no less than one year). I can create a host of Health and Safety forms, if you need support or have additional requirements please contact me.