Hazard Identification and Risk Assessment Form
Project / Activity Name
Location
Assessment Date
Assessor(s)
Hazard Identification & Risk Assessment
No.
Activity / Task
Hazard(s) Identified
Potential Consequence(s)
Existing Control Measures
Risk Level (L/M/H)
Recommended Actions
Person Responsible
Target Date
Status
Additional Remarks
Reviewed By
Date of Review