This form contains 60 fields organized into 8 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Assessment header
Assessor name	Text	Enter the full name of the person completing this risk assessment.
Assessment date	Date	Enter the date when this risk assessment was carried out.
Assessment time	Time	Enter the time when this risk assessment was recorded or started.
Work area/location	Text	Enter the specific work area, department, or location where the task is being performed.
Task being assessed	Text	Provide a concise description or title of the task or activity that is the subject of this assessment.
First risk item (row 1)
First – Hazard	Text	Describe the hazard or hazardous situation associated with this first risk item.
First – Who might be harmed	Text	List the people or groups who could be harmed by this hazard for the first risk item.
First – How people might be harmed	Text	Explain how the identified people might be harmed by the hazard in this first risk item.
First – Existing control measures	Text	Describe the current controls or precautions already in place to reduce the risk for this first item.
First – Initial risk rating (Likelihood)	Text	Enter the initial Likelihood rating assigned to this first risk item.
First – Initial risk rating (Consequence)	Text	Enter the initial Consequence rating assigned to this first risk item.
First – Initial risk rating (Risk)	Text	Enter the initial overall Risk rating for this first risk item.
First – Additional controls	Text	List any further control measures proposed to reduce the risk for this first item.
First – Residual risk (Likelihood)	Text	Enter the residual Likelihood rating for this first risk item after additional controls are applied.
First – Residual risk (Consequence)	Text	Enter the residual Consequence rating for this first risk item after additional controls are applied.
First – Residual risk (Risk)	Text	Enter the residual overall Risk rating for this first risk item after additional controls are applied.
First – Action / monitored by (who)	Text	Provide the name or job title of the person responsible for carrying out or monitoring the actions for this first risk item.
First – Action / monitored by (when)	Date	Provide the date by which the action should be completed or the monitoring will take place for this first risk item.
First Risk Row
First - Hazard	Text	Describe the hazard or unsafe condition being assessed in a short phrase or sentence.
First - Who might be harmed	Text	List the people or groups who could be harmed (for example employees, contractors, visitors or the public).
First - How people might be harmed	Text	Explain how those people could be harmed or what injuries/illnesses might result from the hazard.
First - Existing risk control measures	Text	Record the control measures, precautions or procedures already in place to reduce or manage this risk.
First - Risk rating L (Likelihood)	Text	Enter the current likelihood score or rating used by your organisation to indicate how likely the hazard is to occur.
First - Risk rating C (Consequence)	Text	Enter the current consequence or severity score used by your organisation to indicate the potential impact of the hazard.
First - Risk rating R (Risk)	Text	Enter the current overall risk score or rating that represents the combined likelihood and consequence.
First - Additional controls	Text	Describe any further control measures or actions recommended to reduce the risk beyond existing controls.
First - New risk rating L (Residual Likelihood)	Text	Enter the expected residual likelihood score after the additional controls have been implemented.
First - New risk rating C (Residual Consequence)	Text	Enter the expected residual consequence or severity score after the additional controls have been implemented.
First - New risk rating R (Residual Risk)	Text	Enter the expected residual overall risk score after the additional controls have been implemented.
First - Action / monitored by whom	Text	Provide the name, job title or department responsible for implementing and monitoring the action.
First - Action / monitored by when	Date	Specify the target date or deadline by which the action should be completed or reviewed.
Review date
Review date	Date	Enter the date when this risk assessment was reviewed.
Second risk item (row 2)
Second risk item — Hazard	Text	Enter a brief description of the hazard or potential source of harm for the second risk row.
Second risk item — Who might be harmed	Text	List the people, roles or groups who could be harmed by this hazard (for example staff, contractors, visitors) for the second risk row.
Second risk item — How might people be harmed	Text	Describe how people could be injured or harmed by the hazard, including likely injury types or exposure routes, for the second risk row.
Second risk item — Existing control measures	Text	Detail the existing controls, procedures or equipment already in place to reduce this risk for the second risk row.
Second risk item — Risk rating L (Likelihood)	Text	Enter the likelihood score or rating assigned to this hazard before any additional controls for the second risk row.
Second risk item — Risk rating C (Consequence)	Text	Enter the consequence or severity score assigned to this hazard before any additional controls for the second risk row.
Second risk item — Risk rating R (Overall risk)	Text	Enter the overall risk rating (typically derived from likelihood and consequence) for this hazard before additional controls for the second risk row.
Second risk item — Additional controls	Text	List the additional control measures or actions that should be implemented to reduce the risk for the second risk row.
Second risk item — Residual risk L (Likelihood)	Text	Record the likelihood score for the hazard after the additional controls have been applied for the second risk row.
Second risk item — Residual risk C (Consequence)	Text	Record the consequence or severity score for the hazard after the additional controls have been applied for the second risk row.
Second risk item — Residual risk R (Overall risk)	Text	Enter the overall residual risk rating after the additional controls have been applied for the second risk row.
Second risk item — Action / monitored by whom	Text	Specify the name or role of the person responsible for carrying out or monitoring the required actions for the second risk row.
Second risk item — Action / monitored by when	Date	Provide the target completion or monitoring date for the required actions for the second risk row.
Second Risk Row
harmed	Text	Describe the hazard within the work environment that could potentially result in harm.
Second risk — Who might be harmed	Text	List the people or groups who could be harmed by this hazard (for example employees, contractors, members of the public).
Second risk — How might people be harmed	Text	Describe the ways in which people could be harmed or the types of injury/illness that could result from the hazard.
Second risk — Existing risk control measures	Text	Describe the current controls, procedures or measures already in place that reduce the likelihood or severity of harm.
Second risk — Risk rating (L)	Text	Enter the initial likelihood score for this risk before any additional controls are applied.
Second risk — Risk rating (C)	Text	Enter the initial consequence (severity) score for this risk before any additional controls are applied.
Second risk — Risk rating (R)	Text	Enter the initial overall risk rating or risk score derived from the likelihood and consequence values.
Second risk — Additional controls	Text	List any further control measures or actions to be implemented to reduce the risk.
Second risk — Residual risk (L)	Text	Enter the residual likelihood score after the additional controls have been applied.
Second risk — Residual risk (C)	Text	Enter the residual consequence (severity) score after the additional controls have been applied.
Second risk — Residual risk (R)	Text	Enter the residual overall risk rating or risk score after the additional controls have been applied.
Second risk — Action / monitored by whom	Text	Provide the name or role of the person responsible for carrying out and monitoring the required actions or controls.
Second risk — Action / monitored by when	Date	Specify the target date by which the action should be completed or monitoring must take place.
Signature
Signature 1	Text	Enter the signatory's full name or electronic signature for the form to indicate approval or acknowledgement.
Training Provider name
Training provider name	Text	Enter the full name of the organisation or individual who provided the training (legal or trading name).

Risk Assessment Form Instructions