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Sistema · 156 documentosParte de Civil Infrastructure Construction Integrated Industry Suite

CoR Risk Assessment Form

Formulario · FORM-31661

Versión 1

The CoR Risk Assessment Form is a worksheet for assessing the risks of road transport work under Chain of Responsibility. It sets out the likelihood and consequence scales, the risk matrix and what each risk score means for the work.

Hazard sections cover road conditions, worker factors, loading and unloading, mass, dimension and load restraint, vehicle maintenance, driver actions, slips, trips and falls, falling objects and traffic management, each with example control measures to keep or replace.

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

CoR Risk Assessment Form

FormularioVersion 1

Risk Assessment No.: —
Location: —
No. of workers at the workplace: —
Address: —

Contact Name: —
Position: —
Phone No.: —
Email: —

Step 1: Determine likelihood

Likelihood	Criteria	Description

Step 2: Determine consequence

Level of Effect	Example of each level

Step 3: Determine the risk score

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.

Step 4: Record risk score on the worksheet

Monitor and review

Person responsible

Road hazard – speed/mechanical

Road hazard – environmental conditions

Road hazard

Worker factors

Loading and unloading

Information and instruction

Mass management

Dimension management

Load restraint

Vehicle maintenance

Driver actions

Slips, trips and falls

Slips and trips

Falls

Falling objects

Traffic management

Other hazard

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Risk Assessment No
Location
No. of workers at the workplace
Address
Contact Name
Position
Phone No
Email
Likelihood
Criteria
Description
Level of Effect

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CoR Risk Assessment Form

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