Risk Assessment Template

Use this template to document a risk assessment to manage health and safety hazards and risks.
For more details on the risk management process refer to, Managing Health and Safety Risks.
Note: For risk assessments with curriculum activities refer to: Managing Risks in School Curriculum Activities.

Organisational Health Issued: August 2012

Department of Education, Training and Employment
Uncontrolled when printed
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Activity Description:      

Conducted by:       Date:      

Step 1: Identify the Hazards

Biological (e.g. hygiene, disease, infection)
Blood / Bodily fluid Virus / Disease Food handling
Other/Details:      
Chemicals Note: Refer to the label and Safety Data Sheet (SDS) for the classification and management of all chemicals.
Non-hazardous chemical(s) ‘Hazardous’ chemical (Refer to a completed hazardous chemical risk assessment)
Name of chemical(s) / Details:      
Critical Incident – resulting in:
Lockdown Evacuation Disruption
Other/Details:      
Energy Systems – incident / issues involving:
Electricity (incl. Mains and Solar) LPG Gas Gas / Pressurised containers
Other/Details:      
Environment
Sun exposure Water (creek, river, beach, dam) Sound / Noise
Animals / Insects Storms / Weather Temperature (heat, cold)
Other/Details:      
Facilities / Built Environment
Buildings and fixtures Driveway / Paths Workshops / Work rooms
Playground equipment Furniture Swimming pool
Other/Details:      
Machinery, Plant and Equipment
Machinery (fixed plant) Machinery (portable) Hand tools
Vehicles / trailers
Other/Details:      
Manual Tasks / Ergonomics
Manual tasks (repetitive, heavy) Working at heights Restricted space
Other/Details:      
People
Students Staff Parents / Others
Physical Psychological / Stress
Other/Details:      
Other Hazards / Details
     

Organisational Health Issued: August 2012

Department of Education, Training and Employment
Uncontrolled when printed
Page 2 of 7
Step 2: Assess the Level of Risk
Consider the hazards identified in Step One and use the risk assessment matrix below as a guide to assess the
risk level.
Consequence
Likelihood
Insignificant Minor Moderate Major Critical
Almost Certain Medium Medium High Extreme Extreme

Likely Low Medium High High Extreme

Possible Low Medium High High High

Unlikely Low Low Medium Medium High

Rare Low Low Low Low Medium

Consequence Description of Consequence Likelihood Description of Likelihood

1. Insignificant No treatment required 1. Rare Will only occur in exceptional circumstances
Minor injury requiring First Aid treatment Not likely to occur within the foreseeable
2. Minor 2. Unlikely
(e.g. minor cuts, bruises, bumps) future, or within the project lifecycle
Injury requiring medical treatment or lost May occur within the foreseeable future, or
3. Moderate 3. Possible
time within the project lifecycle
Serious injury (injuries) requiring specialist Likely to occur within the foreseeable future,
4. Major 4. Likely
medical treatment or hospitalisation or within the project lifecycle
Loss of life, permanent disability or multiple 5. Almost Almost certain to occur within the foreseeable
5. Critical
serious injuries Certain future or within the project lifecycle

Assessed Risk Level Description of Risk Level Actions

If an incident were to occur, there would be little Undertake the activity with the existing
Low
likelihood that an injury would result. controls in place.
If an incident were to occur, there would be some chance
Medium Additional controls may be needed.
that an injury requiring First Aid would result.
If an incident were to occur, it would be likely that an Controls will need to be in place before the
High
injury requiring medical treatment would result. activity is undertaken.
Consider alternatives to doing the activity.
If an incident were to occur, it would be likely that a
Extreme Significant control measures will need to be
permanent, debilitating injury or death would result.
implemented to ensure safety.

Step 3: Control the Risk

In the table below:
1. List below the hazards/risks you identified in Step One.
2. Rate their risk level (refer to information contained in Step Two to assist with this).
3. Detail the control measures you will implement to eliminate or minimise the risk.
Note: Control measures should be implemented in accordance with the preferred hierarchy of control. If lower
level controls (such as Administration or PPE) are to be implemented without higher level controls, it is
important that the reasons are explained.
Hierarchy of Control
Most effective Elimination: remove the hazard completely from the workplace or activity
(High level)
Substitution: replace a hazard with a less dangerous one (e.g. a less hazardous chemical)
Redesign: making a machine or work process safer (e.g. raise a bench to reduce bending)
Isolation: separate people from the hazard (e.g. safety barrier)
Administration: putting rules, signage or training in place to make a workplace safer
(e.g. induction training, highlighting trip hazards)

Organisational Health Issued: August 2012

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Least effective
Personal Protective Equipment (PPE): Protective clothing and equipment (e.g. gloves, hats)
(Low level)

Organisational Health Issued: August 2012

Department of Education, Training and Employment
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Hazards/Risks and Control Measures
1. Description of 2. Risk 4. Control Measures
Hazards / Risks Level (Note: if only Administration or PPE controls are used, please explain why.)
           

           

           

           

Organisational Health Issued: August 2012

Department of Education, Training and Employment
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 1. Description of 2. Risk 4. Control Measures
Hazards / Risks Level (Note: if only Administration or PPE controls are used, please explain why.)
Other details:
     

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Department of Education, Training and Employment
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Submission
This activity will be conducted in accordance with this risk assessment, implementing the control measures outlined in
Step Three. Changes will be made to the activity, if required, to manage any emerging risks to ensure safety.
Contact person:       Date:     

Indicate those others involved in the preparation of this risk assessment.

     

Step 4: Monitor and Review Controls

Complete during and/or after the activity. Yes No

1. Are the planned control measures sufficient and effective in minimising the level of risk?
2. Have there been any changes to the planned control measures?
3. Are further control measures required in future?

Details:     

Review completed by:       Designation:      

Signature: Date:      

Organisational Health Issued: August 2012

Department of Education, Training and Employment
Uncontrolled when printed
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