| Project Name | |
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| Assessment By |
| No. | Activity/Process | Hazard Identified | Risk (Likelihood x Severity) | Existing Control Measures | Risk Level (Low/Med/High) | Additional Controls Required | Responsible Person |
|---|---|---|---|---|---|---|---|
| Reviewed By | |
|---|---|
| Date of Review | |
| Comments | |
| Approved By | |
| Date of Approval |