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Risk Assessment TemplateUse this template to document a risk assessment to manage health and safety hazards and risks.

For more details on the risk management process refer to,Managing Health and Safety Risks.

Note: For risk assessments with curriculum activities refer to: Managing Risks in School Curriculum Activities.

Activity Description:

onducted !y: Date:

Step 1: Identify the Hazards

Biological "e.g. hygiene, disease, infection#

$lood % $odil fluid &irus % Disease Food handlin

'ther%Details:

Chemicals Note: (efer to the la!el and )afety Data )heet ")D)# for the classification and management of all chemicals.

Non*hazardous chemical s +azardous- chemical"(efer to a completed hazardous chemical risk assessment#

Name of chemical"s# % Details:

Critical Incident reslting in:

ockdown /vacuation Disru tion

'ther%Details:

!nergy Systems incident " isses in#ol#ing:

/lectricit incl. 0ains and )olar 12 2as 2as % 1ressurised containers

'ther%Details:

!n#ironment

)un e3 osure 4ater creek, river, !each, dam )ound % Noise

Animals % 5nsects )torms % 4eather 6em erature heat, cold

'ther%Details:

$acilities " Bilt !n#ironment

$uildin s and fi3tures Drivewa % 1aths 4orksho s % 4ork rooms

1la round e ui ment Furniture )wimmin ool

'ther%Details:

%achinery& 'lant and !(ipment

0achiner fi3ed lant 0achiner orta!le and tools

&ehicles % trailers

'ther%Details:

%anal Tasks " !rgonomics

0anual tasks re etitive, heav 4orkin at hei hts (estricted s ace

'ther%Details:

'eople

)tudents )taff 1arents % 'thers

1h sical 1s cholo ical % )tress

'ther%Details:

)ther Hazards " *etails

'rganisational ealth 5ssued: August 898Department of /ducation, 6raining and /mployment Uncontrolled when printed 1age of ;

http://education.qld.gov.au/health/docs/healthsafety/managing-health-safety-fact-sheet.pdfhttp://education.qld.gov.au/health/docs/healthsafety/managing-health-safety-fact-sheet.pdfhttp://education.qld.gov.au/health/docs/healthsafety/managing-health-safety-fact-sheet.pdfhttp://ppr.det.qld.gov.au/education/management/Pages/Managing-Risks-in-School-Curriculum-Activities.aspxhttp://ppr.det.qld.gov.au/education/management/Pages/Managing-Risks-in-School-Curriculum-Activities.aspxhttp://education.qld.gov.au/health/docs/healthsafety/managing-health-safety-fact-sheet.pdf

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Step +: Assess the ,e#el of Risk

onsider the hazards identified in )tep 'ne and use the risk assessment matri3 !elow as a guide to assess therisk level.

Conse(ence *escription of Conse(ence ,ikelihood *escription of ,ikelihood

. 5nsignificant No treatment re7uired . (are 4ill only occur in e3ceptional circumstances

8. 0inor0inor in

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Hazards"Risks and Control %easres

1 *escription ofHazards " Risks

+ Risk,e#el

2 Control %easres"Note: if only Administration or 11/ controls are used, please e3plain why.#

'ther details:

'rganisational ealth 5ssued: August 898Department of /ducation, 6raining and /mployment Uncontrolled when printed 1age = of ;

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S.mission

6his activity will !e conducted in accordance with this risk assessment, implementing the control measures outlined in)tep 6hree. hanges will !e made to the activity, if re7uired, to manage any emerging risks to ensure safety.

Contact person: Date:

5ndicate those others involved in the preparation of this risk assessment.

Step 2: %onitor and Re#ie3 Controls

omplete during and%or after the activity. 4es 5o

. Are the planned control measures sufficient and effective in minimising the level of risk?

8. ave there !een any changes to the planned control measures?

=. Are further control measures re7uired in future?

Details:

(eview completed !y: Designation:

)ignature: Date:

'rganisational ealth 5ssued: August 898Department of /ducation, 6raining and /mployment Uncontrolled when printed 1age ; of ;