HAZARD IDENTIFICATION AND RISK ANALYSIS

SPECIFIC RISK:…………………………………………………………………………………….
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Risk Ranking:
Probability:
1 = Common or Frequent Occurrence.
2 = is known to occur or “it has happened”.
Severity People Related: 3 = could occur or “I’ve heard of it happening”.
1 = Fatality or permanent disability. 4 = not likely to occur.
2 = serious loss time injury/illness. 5 = practically impossible.
3 = moderate loss time injury/illness.
4 = minor loss time injury/illness.
5 = no loss time. Probability
1 2 3 4 5

Severity
Severity Equipment Related: 1 1 2 4 7 11
1 = Equipment Write-Off. 2 3 5 8 12 16
2 = Major damage/repair off site.
3 = Major damage repair on site. 3 6 9 13 17 20
4 = Minimal damage easily rectified. 4 10 14 18 21 23
5 = Minimal aesthetic damage.
5 15 19 22 24 25

Severity Production Related:

1 = more than 1 day delay.
2 = 1 shift to 1 day delay.
3 = 4 hours to 1 shift delay.
1 – 10 HIGH RISK
4 = 1 hour to 4 hours delay. 11 – 18 MEDIUM RISK
5 = less than 1 hour delay. 19 – 25 LOW RISK

Action to be Taken:…………………………………………………………………………………..
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Attendees: …………………………………. Signed: ……………………………………

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Date: ………………………………..