risk-management-plan-single (1)

| Risk management plan – single risk | | | | | | ----- | :---- | :---- | :---- | :---- | | Company name: | | | Completed by: | | | Work area: | | | Date completed: | | | Hazard identification | | | | | | Hazard: | | | | | | | | | | | | Risk assessment | | | | | | What harm could the hazard cause? | | | | | | | | | | | | What is the likelihood of this happening | | | | | | | | | | | | Persons at risk | | | | | | Existing control measure | | | | | | | | | | | | Consequence | | | | | | Likelihood | | | | | | Outcome | | | | | | Control measures | | | | | | Elimination | | | | | | | | | | | | Substitution | | | | | | | | | | | | Isolation | | | | | | | | | | | | Engineering | | | | | | | | | | | | Administrative or PPE | | | | | | | | | | | | Preferred control option | | | | | | | | | | | | Implementation | | | | | | Associated activities | | Resources required | Person(s) responsible | Sign off and date | | | | | | | | | | | | | | | | | | | | | | | | | | REVIEW Scheduled review date: / / | | | | | | Are the control measures in place? | | | | | | | | | | | | Are the controls eliminating/minimising the risk? | | | | | | | | | | | | Are there any new problems with the risk? | | | | | | | | | | | | | | | | | Adapted from: Workplace Health and Safety Queensland – How to manage work health and safety risks code of practice. 2011