Risk assessment

Description of activity / area being assessed	Location
Manager responsible	Signature & date
Assessed by (name & role)	Signature & assessment date

Hazard (H) hazardous event (HE) consequence (C)	Who might be harmed	Current controls	Current risk LxC=R	Additional controls needed to reduce risk	Residual risk LxC=R	Target Date	Date achieved

Add more rows if needed

Periodic Review

Review date:
Review by:
Signed:

If there are changes, please save assessment as a new version and archive previous version.