System · 111 documentsPart of Asbestos Removal Integrated Industry Suite

Quality Risk Assessment Form

Form · FORM-30135

Version 2

The Quality Risk Assessment Form helps you assess the quality risks of items and services you plan to buy. A guidance sheet explains how to list each item, brainstorm quality risks, rate likelihood and consequence, and plan mitigation strategies.

It includes a four-step risk matrix to work out each risk score, a register with worked examples for electronic components, and assessor details for sign-off.

Written by SafetyDocs safety experts, who have been writing safety documents since 2004.

Quality Risk Assessment Form

FormVersion 2

Guidance Sheet for Quality Risk Assessment Form

Risk Matrix

CRITERIA	DESCRIPTION	Example of each level

CONSEQUENCE	Level of effect

Likelihood ↑	InsignificantNo effect, or so minor that the effect is acceptable	MinorMinor first aid treatment, minimal business disruption, minimal environmental effect	ModerateSerious injuries, medium business interruption, medium environmental impact	MajorExtensive injuries or fatality, significant business interruption, environmental harm, prosecution	CatastrophicMultiple permanent disabilities or fatalities, business failure, substantial environmental harm, prosecution or imprisonment
	Consequence →
Almost certainExpected in most circumstances	2 Moderate	2 Moderate	3 High	4 Acute	4 Acute
LikelyWill probably occur in most circumstances	2 Moderate	2 Moderate	3 High	4 Acute	4 Acute
PossibleCould possibly occur at some time	1 Low	2 Moderate	2 Moderate	3 High	4 Acute
UnlikelyUnlikely but possible	1 Low	1 Low	2 Moderate	3 High	4 Acute
RareHighly unlikely to occur	1 Low	1 Low	2 Moderate	2 Moderate	3 High

1 LowRecord and monitor. Proceed with work, and review the risks regularly.
2 ModerateMaintain control measures. Be cautious when working, and monitor and review regularly.
3 HighReview before commencing work. Introduce new controls or maintain high-level controls to lower the risk level, and monitor the controls frequently.
4 AcuteDo not proceed until the risk level is reduced. Immediately introduce high-level controls, and re-assess before proceeding.

SCORE	ACTION

Quality Risk Assessment

Assessor Name / Signature: —
Job Title: —

Date: —

Item/service	Potential risks	Risk level	Mitigation strategies	Responsible person

Its guidance and example entries are locked

You can see how the form is laid out. Get it to fill in on any device, print it, or make it your own.

Try the editor free Get this system

How it reads in a browser

Get this system

Included in paid plans
Use template credits from your plan. This one costs 20.
Compare plans and prices
Buy it once
$999.90 paid once, and it's yours to keep. Works on the free plan too.

Try the editor free Sign up free

No card needed to sign up. Early access members get 30% off any plan.

What it covers

15 fields

CRITERIA
DESCRIPTION
Example of each level
CONSEQUENCE
Level of effect
SCORE
ACTION
Assessor Name / Signature
Job Title
Date
Item/service
Potential risks

and 3 more

How templates work

Try it before you pay.

Preview free
Every template's job steps, hazards and first task are open to read. No sign-up.
Try the editor
Tailor a demo SWMS with your company, job and site, on a computer or your phone.
Sign up free
Your details and logo carry over. This template opens already filled in.
Use a credit or buy once
Paid plans include template credits every month. Or buy this one to keep.

Quality Risk Assessment Form

Preview of the Quality Risk Assessment Form

Get this system

Included in paid plans

Buy it once

What it covers

15 fields

Try it before you pay.

Preview free

Try the editor

Sign up free

Use a credit or buy once