Form 18: Plant Risk Assessment
PLANT
Organisation:
How is the plant used?
Who uses the plant?
Risk
Implemented
by:
Expected date of
completion
Step One – For each hazard select one category from Probability
column and one category from the Consequence columns
1
2
3
4
5
Expected
Often
Sometimes
Rarely
Highly Unlikely
Consequence (C)
A
B
C
D
E
Date of
Completion
Step Three – Address High and
Medium risks
Step Two – Plot both (P) & (C) onto the Matrix
Risk Rating Matrix
(Probability)
Sign off on
completion
Risk rating
Determined Control Measures
Consequence
Probability
Hazard
Death
Permanent Disability
Lost Time Injury
Medical Treatment
First Aid Injury
A
1
2
3
4
5
High
High
High
Medium
Medium
B
High
High
Medium
Medium
Low
C
High
Medium
Medium
Low
Low
D
Medium
Medium
Low
Low
Low
E
Medium
Low
Low
Low
Low