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System · 48 documentsPart of Health and Safety Manual

Workplace Fatigue Risk Assessment Form

Form · FORM-31120

  • Version 4

Fatigue in the workplace increases the risk of injuries or other accidents and can be caused by the job task, or the way work is structured.

This Fatigue Risk Assessment Form helps businesses identify and mitigate fatigue-related risks in the workplace. It provides a structured approach to assessing fatigue factors and implementing effective control measures.

It records the task's details and the reason for the assessment, then works through the type of job or task, plant and equipment, ergonomics, work location, worker factors, non-work factors, work hours and shift work, each with example control measures to use or replace.

Suitable for health and safety officers, human resources professionals, operations managers, supervisors in high-risk industries and organisations implementing fatigue management programs. It is part of the Health and Safety Manual.

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Preview of the Workplace Fatigue Risk Assessment Form

Workplace Fatigue Risk Assessment Form

FormVersion 4

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What it covers

7 fields

  1. Location of the task
  2. Description of the task
  3. Date of assessment
  4. Work activity
  5. Management rep
  6. Health and safety rep
  7. Workers, others

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