Task overview

For this part of the assessment, you will need to complete two Hazard Report Forms.

• Hazard Report Form one: must be for an existing workplace hazard
• Hazard Report Form two: must be for a potential workplace hazard

Student Name
Student email address
Hazard Report Form One: Existing Workplace Hazard
Hazard Description (describe the nature of the hazard)
Hazard Location (describe the location of the hazard)
Risk of the Hazard (what is the risk and who is at risk)
Provide details of any controls that have been applied (if applicable)

Who was the hazard reported to? (refer to the organisational hierarchy to determine who to report the hazard to)
Student Name:
Signature:
Date:

Student Name
Student email address
Hazard Report Form Two: Potential Workplace Hazard
Hazard Description (describe the nature of the hazard)
Hazard Location (describe the location of the hazard)
Risk of the Hazard (what is the risk and who is at risk)

Provide details of any controls that have been applied (if applicable)
Who was the hazard reported to? (refer to the organisational hierarchy to determine who to report the hazard to)
Student Name:
Signature:
Date:

Task 2: Risk Assessment Form

Task overview

For this part of the assessment, you will need to complete the below risk assessment form based on the existing workplace hazard and the potential workplace hazard that you identified above.

Risk: Describe the nature and location of the risk	During what workplace activities or tasks is this risk relevant?	Risk Matrix	Determine what controls can be used to minimise or manage the risk	Who has the risk been reported to?
Likelihood: select the option that represents the likelihood that the risk will occur	Severity: Select the severity of harm that is likely as a result of the risk	Rating: Use the risk rating matrix below to determine the risk rating using the likelihood and severity of the risk
Existing Workplace Hazard:
		Rare Unlikely Possible Likely Almost Certain	Insignificant Minor Moderate Major Catastrophic	Low Medium High Extreme
Potential Workplace Hazard
		Rare Unlikely Possible Likely Almost Certain	Insignificant Minor Moderate Major Catastrophic	Low Medium High Extreme

RISK RATING MATRIX

Likelihood	Severity
	Insignificant	Minor	Moderate	Major	Catastrophic
Almost Certain	Medium	High	High	Extreme	Extreme
Likely	Medium	Medium	High	High	Extreme
Possible	Low	Medium	Medium	High	High
Unlikely	Low	Low	Medium	Medium	High
Rare	Low	Low	Low	Medium	Medium

Task 3: Observation Checklist