Wastewater Treatment Plant Risk Assessment Form

Facility Name Location Assessment Date Assessor Assessment Team Members

Risk Assessment Details

Step / Task	Hazard Identified	Existing Controls	Risk Likelihood	Risk Consequence	Risk Rating	Additional Controls Needed	Person Responsible	Date to Complete
			Rare Unlikely Possible Likely Almost Certain	Insignificant Minor Moderate Major Catastrophic
			Rare Unlikely Possible Likely Almost Certain	Insignificant Minor Moderate Major Catastrophic

Additional Notes / Summary