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1. Assessment Details: Basic information including date, location, assessor name, and purpose of assessment
2. Workplace Information: Details about the workplace being assessed, including physical address, type of business, and number of workers
3. Hazard Identification: Systematic identification of all potential hazards in the workplace, categorized by type (physical, chemical, biological, psychological)
4. Risk Assessment Matrix: Evaluation of identified hazards using a risk matrix to determine likelihood and consequence ratings
5. Control Measures: Existing and proposed control measures following the hierarchy of controls
6. Action Plan: Specific actions required, including responsible persons and timeframes for implementation
7. Consultation: Record of worker consultation and involvement in the assessment process
8. Review and Sign-off: Assessment review details, authorization, and next review date
1. Emergency Response Procedures: To be included when assessing high-risk workplaces or where specific emergency protocols are required
2. Hazardous Substances Register: Required when the workplace handles or stores hazardous substances
3. Noise Assessment: For workplaces where noise exposure may be a significant hazard
4. Manual Handling Assessment: For workplaces with significant manual handling tasks
5. Personal Protective Equipment (PPE) Requirements: Detailed section when specific PPE is crucial for workplace safety
6. Contractor Management: When external contractors regularly work on site
7. Remote Work Considerations: For organizations with remote or hybrid working arrangements
1. Appendix A: Risk Matrix Guide: Detailed guide for using the risk assessment matrix, including definitions of likelihood and consequence levels
2. Appendix B: Hazard Checklist: Comprehensive checklist of common workplace hazards to assist in identification
3. Appendix C: Control Measures Reference: Reference guide for various types of control measures and their appropriate application
4. Appendix D: Relevant Legislation: Summary of applicable health and safety legislation and requirements
5. Appendix E: Incident Report Form: Template for recording any incidents or near-misses identified during the assessment
6. Appendix F: Review Schedule: Timeline and triggers for reviewing and updating the assessment
Risk
Control Measure
PCBU (Person Conducting a Business
Worker
Workplace
Reasonably Practicable
Health and Safety Representative
Notifiable Incident
Critical Risk
Safe Work Procedure
PPE (Personal Protective Equipment)
Risk Assessment
Hierarchy of Controls
Significant Hazard
Near Miss
Safety Data Sheet
Competent Person
Work Group
Administrative Control
Engineering Control
Elimination
Substitution
Isolation
Emergency Response Plan
Hazardous Substance
Risk Register
WorkSafe NZ
Health Monitoring
Safety Management System
Workplace Information
Risk Identification
Hazard Assessment
Control Measures
Emergency Procedures
Worker Consultation
Monitoring and Review
Training Requirements
Reporting Requirements
Documentation
Compliance
Responsibilities
Implementation
Equipment Safety
Environmental Conditions
Access and Security
First Aid
Incident Management
Personal Protective Equipment
Hazardous Substances
Manual Handling
Electrical Safety
Fire Safety
Communication Protocols
Review and Updates
Manufacturing
Construction
Healthcare
Education
Retail
Hospitality
Mining and Resources
Agriculture
Transportation and Logistics
Professional Services
Information Technology
Public Sector
Warehousing
Food Processing
Chemical Industry
Energy and Utilities
Health and Safety
Operations
Human Resources
Facilities Management
Risk Management
Quality Assurance
Compliance
Production
Maintenance
Environmental Health
Occupational Health
Emergency Response
Senior Management
Worker Representatives
Health and Safety Manager
Risk Assessment Officer
Operations Manager
Facility Manager
Site Supervisor
Safety Coordinator
Compliance Officer
Human Resources Manager
Department Head
Production Manager
Project Manager
Quality Assurance Manager
Workplace Safety Inspector
Environmental Health Officer
Industrial Hygienist
Occupational Health Nurse
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