Standard 17 Appendix 4
September 2008
TASK BASED RISK ASSESSMENT
Name
Uncontrolled Hazards: (What is it, When does it occur, Who is at risk) Severity Likelihood Current
Risk
Additional Controls
Risk after actions
Safety Committee Comments
Inevitable Very High Probability Probable Less Probable Least Probable
10 8 6 4 2
5 20 1000 800 600 400 200
4 10 400 320 240 160 80
3 7 210 168 126 84 42
2 4 80 64 48 32 16
1 1 10 8 6 4 2 May c se Minor Injur
May cause death
May cause a severe accident
May cause a LTA
May cause a non LTA
Risk Level determination
Consequence - Risk Severity (RS) of
Injury/Incident/Illness, Actual or
potential
Severity correction factor
Likelihood - Risk occurrence probability (ROP)
au y
Review Due ( Very Critical – Stop Work, Critical – 3 month, Medium – 12 months, Low – 3 Years,
Negligible – 5 Years )
Date