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Environmental Risk Assessment Form

양식 · FORM-31346

버전 2
Miscellaneous
어떤 휴대폰에서든 읽기 가능

The Environmental Risk Assessment Form helps you assess the environmental impact of an item or service you plan to buy, before you commit to it.

It includes a guidance sheet, a likelihood and consequence scale, a risk matrix with the action each score needs, and a hierarchy of control. An assessment worksheet records the item, its potential risks, the risk level, the mitigation strategies and who is responsible.

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

Environmental Risk Assessment Form

양식Version 2

Guidance Sheet for Environmental Risk Assessment Form

Risk Matrix

Likelihood	Criteria	Description

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.