Free Workplace Risk Assessment Form

Please complete all selections of this form.
General Information: | |
Assessment Date: | [Date] |
Assessment Conducted by: | |
Department Assessed: | |
Hazard Identification
Hazard Description | Location | Potential Harm |
[Loose floor tiles] | Near Conveyor Belt | Tripping and falling injuries |
Risk Evaluation
Hazard | Likelihood of Occurrence | Severity of Harm |
Loose floor tiles | Likely | Moderate |
Control Measures
Hazard | Required Controls | Completion Date |
Loose floor tiles | Immediate repair | [Date] |
Assessor's Signature:

[Your Name]
[Job Title]
[Date]
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Elevate workplace safety with Template.net's Workplace Risk Assessment Form Template. Effortlessly editable and fully customizable using our intuitive Ai Editor Tool, this template streamlines risk assessment processes. Enhance workplace security, mitigate hazards, and ensure compliance with ease. Take charge of safety protocols with Template.net's comprehensive solutions.