Job Risk Assessment Template

Use the Job Risk Assessment Template to identify hazards, assess risks, and implement safety measures by inspecting work environments, energy sources, etc.

Download as free PDF

Library
Health & Safety
Job Risk Assessment Template

PPE

Fatal Risk Hazards

Critical Controls

General Inspection

Fatal Risk Management

Work Environment

Energy Sources

Line Of Fire

Personal/ Behavior

Controls

Permits / Forms

Behavior

Is this sample what you are looking for?
Sign up to use & customise this template, or create your own custom checklist:

Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

Easy inspection app for your digital checklists

Conduct inspections anytime, anywhere - even offline
Capture photos as proof of compliance or areas needing attention
Instantly generate and share detailed reports after the inspections
Assign & track follow-up tasks, view historical trends on a centralized dashboard

Job Risk Assessment Template

Use the Job Risk Assessment Template to identify hazards, assess risks, and implement safety measures by inspecting work environments, energy sources, etc.

1. What PPE beyond the minimum is required?

1. What are the fatal risk hazards?

1. What are the main controls for the hazard?

1. What is the equipment number?

2. What is the work area?

3. What is the job description?

4. What is the WO number?

5. Is there an SOP for the job?

6. Was the SOP reviewed?

1. Which of the following risks apply to your organization?

1. Is illumination or visibility in the work environment a potential hazard that could injure you or others?

2. Could engulfment in the work environment pose a risk of injury to you or others?

3. Is noise in the work environment a potential hazard that could cause injury?

4. Is wildlife or are insects in the work environment a potential risk for injury?

5. Are high walls or slopes in the work environment a potential hazard that could injure you or others?

6. Could weather conditions in the work environment pose a risk of injury?

7. Is water in the work environment a potential hazard that could injure you or others?

8. Is dust in the work environment a potential risk for injury?

9. Could the atmosphere (e.g., H2S, CO2, air, mist, etc.) in the work environment pose a risk of injury to you or others?

1. Have all potential energy sources that may injure you or others been identified?

1. Could proximity to overhead work cause injury to you or others?

2. Could the movement or release of fly metal cause injury to you or others?

3. Could proximity to power lines or cables cause injury to you or others?

4. Could the release of an arc flash or blast cause injury to you or others?

5. Could proximity to material handling operations cause injury to you or others?

6. Could the movement of objects in motion cause injury to you or others?

7. Could proximity to trenching or excavating activities cause injury to you or others?

8. Could the handling of pipes cause injury to you or others?

9. Could tooling failure cause injury to you or others?

10. Could proximity to mobile equipment cause injury to you or others?

11. Could a constricted work area cause injury to you or others?

12. Could congestion or traffic in the work area cause injury to you or others?

1. What personal conditions, actions, or thoughts like complacency, could result in injury to you or others?

1. Stop work if the following controls are insufficient or missing:

1. Is proper execution of a permit the control, not the paper?

1. Is individual willingness & focus on safety?