风险评估表 范本

概率Probability
严重程度Severity
1
极不可能Very unlikely
1
无损伤No injury
2
不太可能Unlikely
2
轻度损伤Minor injury
3
可能Likely
3
可报告的损伤Reportable injury
4
极有可能Very Likely
4
重大损伤Major injury
风险评估表
日期
Date:
参考编号
Ref. No:
审查日期Review Date:
评估者
Assessor/s
评估者签名
Assessors Signature:
区域或部门Area or Dept:
（比如：员工、承包商、公众等）
Persons Exposed (e.g. employee, contractor, public etc)
风险
Hazard
现有的风控方法
Existing Risk Cosk
概率Probability
严重程度Severity
风险评分Risk Score
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
B部分-附加风控措施
基于A部分，确认风险等级是否超过五级(5)。如果没有超过五级（5），则完成风险评估。如果超过五级（5），则需考虑附加风控措施，并核查风险情况，判断风控措施是否可以有效将风险降低至可接受的程度。重新评估风险等级，拟建附加风控措施。
微小Trivial
无需行动方案No action required
可忍受Tolerable
无需附加控制措施。考虑采取性价比较高的预案或不增加额外费用的改善方法。需进行监管，确保控制风险。需采取必要的行动预案。
No additional controls are required. Consideration may be given to a more cost effective solution or improvement that imposes no additional cost burden. Monitoring is required to ensure that the controls are maintained. Limited action required.
残余风险Residual Risk
添加与风险评估相关的备注。Add any other comments that are relevant to the risk assessment.
风险值Value of Risk Tables
风险概率等级Risk Probability Ratings
风险严重程度等级Risk Severity Ratings
核查任务及进行情况。考虑任务中的每一步。如可能，观察任务的进行情况。核查时，确保与相关人员商议或查阅相关评估文件，比如：书面文件和政策，任务使用的设备、化学品、物品和服务（电、汽油、压缩气体）及维护程序。
Review how the task is, or is going to be, undertaken.Consider each step in the task. If possible, observe how the task is undertaken. When conducting this review, ensure you consult personnel who are involved and consider any existing documentation that may have a bearing on your assessment (e.g. documented procedures and policies, equipment used for task, chemicals, substances employed, services used (electricity, gas, compressed air etc.) or maintenance procedures.
风险Hazard
附加风控措施Additional Control Measures
重估风险等级
Revised Level of Risk
负责人姓名Name of Person Responsible
目标完成日期Target Completion Date
概率Probability
严重程度Severity
5
确定Certain
5
单人死亡/多人死亡Single/multiple death
风险严重程度/概率表Risk Severity/Probability Matrix
5
4
3
2
1
5
10
5
4
12
8
4
3
12
9
6
3
2
10
8
6
4
2
1
5
4
3
2
1
行动方案Actions and Timescales
行动方案Actions and Timescales
Section B – Additional Risk Control Measures
From Section A, identify any hazard, which has a risk rating greater than five (5). If no hazards are rated greater than five (5) then the risk assessment is complete.If there are hazards with a risk rating of greater than five (5) then additional risk control measures need to be considered.For each hazard identified as requiring an additional risk control measure, review the hazard and decide what additional controls can be introduced to sufficiently reduce the risk to an acceptable level. Re-calculate the revised risk rating taking into account the proposed additional controls.