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RISK ASSESSMENT FORM
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Company Name: Client / Site:
Task/Activity:
Ref No: Date of Assessment: Review Date:
RISK / HAZZARDPersons at RiskSignificant Hazards and
The Risks From Them
Risk Factor (RF)
With no control measures in place
Initial Risk Rating
SPECIFIED CONTROL MEASURESRisk Factor (RF)
With control measures in place
Controlled Risk Rating
LSL x SLSL x S
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IMPORTANT, HOW THIS RISK ASSESSMENT WAS CALCULATEDRisk Table
Establish the Severity (S), Likelihood (L) and Risk Factor (RF) by reference to the Matrix below: RF = S x L
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RiskAction
Refrigerants (Freon, Ammonia) Exposure
Battery Acids (Lead-acid Batteries) Exposure
Fuel (Diesel and Petrol) Exposure
Mould Exposure
Polychlorinated Biphenyls (PCBs) Exposure
Mercury Exposure
Isocyanates Exposure
Solvent Exposure
Cement Dust Exposure
Lead-Based Paint Exposure
Silica Dust Exposure
Legal and Regulatory Changes
Talent Acquisition and Retention
Economic and Market Volatility
Health Crises and Pandemics
Supply Chain Disruptions
Sustainability and Environmental Impact (Fleet & Logistics)
Miscommunication and Coordination Failures in Management
Insurance and Liability Issues with Subcontracted Drivers
Lack of Training and Familiarisation for Subcontracted Drivers
Driver Fatigue Among Subcontracted Drivers
Subcontractor Compliance and Safety Standards
HGV Overloading
Non-Compliance with LGV Regulations
Inadequate Vehicle Servicing and Maintenance
Vehicle Defects Leading to Accidents
Driver Licensing and Certification Risks
Fuel Price Fluctuation and Management
Cross-border Transportation Challenges
Health and Safety Risks in Warehousing and Material Handling
Cybersecurity Threats in Fleet Management Systems
Environmental Conditions and Natural Disasters
Compliance with Transportation Regulations
Mechanical Failures Leading to Road Incidents
Incorrect Cargo Loading
Cargo Theft
Vehicle Accidents Due to Driver Fatigue
Electrical Hazards (Traffic Management)
Adverse Weather Conditions (Traffic Management)
Manual Handling (Traffic Management)
Slips, Trips, and Falls (Traffic Management)
Struck by Moving Equipment
Vehicle Collisions (Traffic Management)
Emergency Vehicle Access (Traffic Management)
Traffic Delays and Public Frustration
Psychological Stress from High-Risk Environment
Night Work and Reduced Visibility
Equipment Failure
Miscommunication Among Team Members
Vehicle Incursions into Work Zones
Lack of Training (Traffic Management)
Inadequate Traffic Control Measures
Accessibility and Accommodation for Disabilities (Healthcare)
Patient Allergies and Specific Needs
Lack of Emergency Preparedness (Healthcare)
Laser Hazards (Healthcare)
Improper Waste Disposal (Healthcare)
Confidentiality Breaches
Patient Elopement
Inadequate Infection Control
Anesthetic Gases
Pharmaceutical Errors
Medical Equipment Malfunction
Electrical Safety (Healthcare)
Ergonomic Injuries
Mental Health and Stress
Slips, Trips, and Falls (Healthcare)
Workplace Violence (Healthcare)
Radiation Exposure (Healthcare)
Chemical Exposure
Needlestick Injuries
Exposure to Infectious Diseases
Patient Handling
Worker Fatigue
Water and Flooding
Public Interference
Plant and Machinery Operation
Night Work (Roadworks)
Traffic Management (Roadworks)
Electrical Safety
Noise Exposure (Roadworks)
Vehicle Collisions (Roadworks)
Inadequate Worker Training and Supervision
Psychosocial Risks
Noise Pollution
Insufficient Site Security
Lack of Emergency Preparedness
Extreme Weather Conditions
Poor Lighting
Tool Misuse and Malfunction
Structural Collapse
Water Hazards
Scaffolding Collapse
Personal Protective Equipment (PPE) Non-Compliance
Traffic Accidents
Stress and Mental Health Issues
Radiation Exposure
Biological Hazards
Chemical Exposure
Cold Stress
Heat Stress
Electrical Hazards
Confined Spaces
Asbestos Exposure
Falling Objects
Digging near underground pipes, cables and equipment
Working on National Highways under adverse weather conditions
Working on National Highways
Fire
Dust/Fume Inhalation
Use of Sthil Saw/Abrasive Wheels
Use of Hand Tools
Excavation Work/Collapse of Excavation
HAVS
Environment Spillages/Use of Hazardous Substances, Use of Concrete
Noise Exposure
Slips, Trips and Falls, Poor Housekeeping
Manual Handling
Working at Height
Mobile Phone Use on Site
Moving/Use of Plant and Machinery, Re-fuelling of Plant
Use of Electric Leads/Power Tools
General Site Working, Access to the Work
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Calculating Risk Assessments

Establish the Severity (S), Likelihood (L) and Risk Factor (RF) by reference to the Matrix below: RF = S x L

REMEMBER: The risk rating must be calculated both before and after ERCPD and its resulting controls have been applied. This risk rating helps to identify and prioritise areas that require more to be done to reduce the risk.

Risk Table

Low risk factor (1-5) normal safe working methods should suffice. Fine tune controls to further reduce the risk, if possible.

Medium risk factor (6-12) further improvement to control measures need to be considered to reduce the risk.

High risk factor (15-25) improve controls now, consider stopping the activity. Seek advice as appropriate.

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Calculating Risk Assessments

Establish the Severity (S), Likelihood (L) and Risk Factor (RF) by reference to the Matrix below: RF = S x L 

REMEMBER: The risk rating must be calculated both before and after ERCPD and its resulting controls have been applied. This risk rating helps to identify and prioritise areas that require more to be done to reduce the risk. 

Low risk factor (1-5)  normal safe working methods should suffice. Fine tune controls to further reduce the risk, if possible. 

Medium risk factor (6-12) further improvement to control measures need to be considered to reduce the risk. 

High risk factor (15-25) improve controls now, consider stopping the activity. Seek advice as appropriate.Â