Risk Assessment Form
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Employee Name:
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SEVERITY (S):
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LIKELIHOOD (X):
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RISK XXXXXX (RR):
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XXXXXX XX harm XXXXX may be
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Probability XXXX event XXXX
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XXXXXXXX x XXXXXXXXXX
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caused (including numbers affected)
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occur
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X-X = Low
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X = Minor XXXXXX
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X = XXXXXX
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3-X = Medium
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2 = Major XXXXXX
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X = XXXXXXXX
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X-9 = XXXX
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3 = XXXXX
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3 = XXXXXX
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Date
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XXXXXXXX/location
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XXXXXX
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Risks
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Controls
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S
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L
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XX
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Actions XXXXXX
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(X-X)
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(1-3)
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(S x X)
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04-Jul
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Mark 1
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XXXXXXXXXX Hazard-
XXXX XXXXXXXXXX XXXXXXXXXX + LAN XXXXXXXXXX XXXXXX
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2. XXXXXXXXX XXX fall XXXX if XXXX don’t XX careful of XXX wire XXXXXXXXXX
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2. Till the XXXXXXXXX amends XXX XXXX, XXX a "XXXXXXX" XXXXXXX/XXXXX surrounding that area.
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3
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X
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X
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2. XXXXX XXXXXX be XXXXXXXXX connection slot for the computers, preferable XXXXXX the XXX.
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04-XXX
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XXXX 2
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XXXXXXXX Hazard - Torn carpet
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1. It XXX XXXXX XXXXXXXX XXXXXXXXX if XXXXXXXXX XXXX down XXXXX walking in this area.
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X. XXX a "WARNING" XXXXXXX XXXX it is XXXXXXXX.
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2
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3
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6
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2. XXXXXXXXX XXXXXXX in XXXX XXX should be told XX be XXXXXXX XXXXX walking out.
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04-Jul
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XXXX X (Person standing and talking on the XXXXX)
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Physical XXXXXX -
XXXXXXXX wire intruding the XXXXXXX/sitting area
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2. Inventory XXXX - Computer XXXXX fall XXXX if an XXXXXXXX pulls the wire XXXXXXXXXX while walking
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1. Maintaining Electrical wiring XXXXXXXXX to XXXX a XXXXX on such XXXXXX of hanging/XXXXX/open XXXXX.
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1
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3
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3
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X. XXXXXXXXX XXXXXX XX asked to be XXXXXXX XXXXX walking. XX the picture, XXX person XXXXX unaware XXX is highly XXXXX XX XXXXXXXX.
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04-Jul
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Mark X (XXXXXX walking left)
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Physical/XXXXXXXXX XXXXXX
Slippery XXXXX (XX XXXXXX's XXXXXXXXXX is XXXXXXX in the floor)
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1. XXXXXXXX XXXXXXXXX.
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2. XX should be covered in XXXXXXXXXXXX checklist
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X
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2
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X
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3. XXXXX XXXXXXXX XXXXX with XXXXXXX.
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XX-XXX
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Mark 5
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Physical Hazard - Open drawer XXXXX may result in Information leakage and physical XXXXXXXXX.
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2. XXXXXXXXX XXXXXXXXXXX theft/leakage
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1. "XXXXX Desk XXXXXX" XX be implemented which XXXXXXXXXX XX employee XXXXXXX XXX XXXXXXX/not XXXXXXX XXX information XXXXXXXX XXXXXXX
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X
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2
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X
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X. "Clean XXXX Checklists" XX be put up XX XXXXX XXXX XX XXXXXXXX XXXXXXXXX.
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04-XXX
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XXXX 6 (Person walking left)
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XXXXXXXX XXXXXX - No XXXXXXXX XX floor height XXXXXX
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1. XXXXXXXX accidents
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"WATCH YOUR STEP" XXXXXXX XX the point XX XXXXX height change
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X
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X
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2
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Floor Marking XXXX XXX XX XXXXXX XX the XXXXX XX height XXXXXX. This XXXX highlight XXXXXXXXX of XXX people walking XX to avoid XXX XXXXXXXXX/slips.
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