Risk Assessment Form Completed Form Examples and Samples
Explore practical Risk Assessment Form examples and samples. Our filled-out forms cover common hazards in construction, offices, and more, helping you understand how to identify risks and implement effective control measures.
Risk Assessment Form Example – Construction Site
How this form was filled:
This is a practical example of a risk assessment for a high-risk task: bricklaying on a multi-story building. The form identifies key hazards like falls from height and falling objects, evaluates their initial risk level, and outlines the specific control measures (e.g., scaffolding, PPE) implemented to reduce the risk to an acceptable level.
Information used to fill out the document:
- Company Name: SolidBuild Construction Inc.
- Project: Downtown Tower Project
- Assessor's Name: Jane Smith, Health & Safety Officer
- Assessment Date: January 15, 2026
- Review Date: January 15, 2027
- Activity Assessed: Bricklaying at height (Floors 3-5)
- Identified Hazard 1: Falls from height
- Initial Risk Rating 1: High
- Control Measure 1: Full scaffolding with double guardrails and toe boards. Mandatory use of safety harnesses when working outside guardrails.
- Residual Risk Rating 1: Low
- Identified Hazard 2: Falling objects (bricks, tools, mortar)
- Initial Risk Rating 2: High
- Control Measure 2: Debris netting on scaffolding, tool lanyards, and ground-level 'hard hat only' exclusion zones.
- Residual Risk Rating 2: Low
- Identified Hazard 3: Manual handling injuries from lifting bricks
- Initial Risk Rating 3: Medium
- Control Measure 3: Mechanical lifting of brick pallets to the work level. Training on correct kinetic lifting techniques for individuals.
- Residual Risk Rating 3: Low
- Person Responsible for Action: Mark Johnson (Site Supervisor)
What this filled form sample shows:
- Clear identification of task-specific hazards in a high-risk environment.
- Demonstrates the process of risk evaluation by assigning an initial and residual risk rating.
- Lists practical and effective control measures to mitigate identified risks.
- Assigns clear responsibility and sets a future review date to ensure the assessment remains current.
Form specifications and details:
| Use Case: | Workplace Health and Safety (WHS) |
| Industry: | Construction |
| Focus: | Task-Specific Hazard Analysis |
| Compliance Standard: | General Occupational Safety & Health Guidelines |
Created: February 03, 2026 04:34 AM
