Please read the guidelines prior to completing your Risk Assessment.
Building/Area/Activity being assessed:
Risk Assessment complete by:
Job Title:
Date of assessment:
Date of review:
| Task or Activity | Hazard | Who Might Be Harmed |
Risk Level (Low/Med/High) |
Control Measures Currently in Place or Required |
New Risk Level (Low/Med/High) |
|---|---|---|---|---|---|

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