"Risk Assessment Worksheet - Monash University"

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AS/NZS 4801 
OHSAS 18001 
OHS20309 
RISK ASSESSMENT WORKSHEET 
SAI Global 
Risk Assessment Title: 
Details of Process: 
Risk Register: 
Risk Assessment Number: 
Campus 
 
Faculty/Division 
 
School/Department/Centre 
 
Building 
 
Room No. 
 
Assessment Date 
 
 
Risk Assessment Team 
Name 
Signature 
Date 
 
Name 
Signature 
Date 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hazard Categories applicable to this Risk Assessment 
 
Animal/Insect/Vegetation 
Equipment/Machinery/Vehicles 
Manual Handling/Ergonomics 
 
Biological 
Outdoor Hazards
Psychological/Social
 
Chemical 
Water/Gases/Liquids 
Physical Hazards 
 
Hazardous Areas 
Radiation 
Other 
 
 
 
Approval 
Supervisor 
 
Name: 
 
INSERT PHOTO or DIAGRAM
Signed: 
 
Date: 
 
 
AS APPROPRIATE
 
Risk Control Program, v3.1
Responsible Officer: Manager, OH&S
Page 1 of 2
Date of first issue: October 2002
Date of last review: February 2015
20/02/15
 
For the latest version of this document please go to: http://www.monash.edu.au/ohs/
 
AS/NZS 4801 
OHSAS 18001 
OHS20309 
RISK ASSESSMENT WORKSHEET 
SAI Global 
Risk Assessment Title: 
Details of Process: 
Risk Register: 
Risk Assessment Number: 
Campus 
 
Faculty/Division 
 
School/Department/Centre 
 
Building 
 
Room No. 
 
Assessment Date 
 
 
Risk Assessment Team 
Name 
Signature 
Date 
 
Name 
Signature 
Date 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hazard Categories applicable to this Risk Assessment 
 
Animal/Insect/Vegetation 
Equipment/Machinery/Vehicles 
Manual Handling/Ergonomics 
 
Biological 
Outdoor Hazards
Psychological/Social
 
Chemical 
Water/Gases/Liquids 
Physical Hazards 
 
Hazardous Areas 
Radiation 
Other 
 
 
 
Approval 
Supervisor 
 
Name: 
 
INSERT PHOTO or DIAGRAM
Signed: 
 
Date: 
 
 
AS APPROPRIATE
 
Risk Control Program, v3.1
Responsible Officer: Manager, OH&S
Page 1 of 2
Date of first issue: October 2002
Date of last review: February 2015
20/02/15
 
For the latest version of this document please go to: http://www.monash.edu.au/ohs/
Hazard 
Current Controls 
Likelihood 
Consequences  
Current Risk 
Proposed Controls 
Responsible Person 
Likelihood  
Consequences 
Residual Risk 
4
5
6
7
8
9
10
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risk Control Program, v3.1
Responsible Officer: Manager, OH&S
Page 2 of 2
Date of first issue: October 2002
Date of last review: February 2015
20/02/15
 
For the latest version of this document please go to: http://www.monash.edu.au/ohs/
Page of 2