Geotechnical Drilling Risk Assessment Form

Project Information

Project Name Location Date Assessment Prepared by

Drilling Details

Drill Rig Type Number of Boreholes Depth (m)

Identified Hazards & Risk Evaluation

Hazard	Potential Risk	Likelihood	Severity	Risk Level	Control Measures

Emergency Procedures

Nearest Medical Facility Emergency Contact(s) Site Evacuation Plan

Comments / Additional Notes

Assessment Reviewed by Date Reviewed