For Prof. Goodman Only

BOS 3651— Unit IV Hazard Analysis/Risk Analysis Project Student Name _ ______________________________________

Hazard Description

Exposure Interval

Type of Hazard

Initial Risk Assessment

Hazard Target(s) Severity Probability Risk Code [check all applicable] [worst credible] [for exposure interval] [from matrix]

(with existing planned/designed-in countermeasures)

Personnel

Equipment

Downtime

Environment

Product

Date

Activity

Additional Control Measures

Post-Control Measure Risk Assessment

Hazard Target(s) Severity Probability Risk Code [check all applicable] [worst credible] [for exposure interval] [from matrix]

Personnel

Equipment

Downtime

Environment

Product

Code Each Risk Assessment:

Comments

SEVERITY: 1 – Catastrophic 2 – Critical 3 – Marginal 4 – Negligible

PROBABILITY (Likelihood of Occurrence): A – Frequent B – Probable C – Occasional D – Remote E – Improbable

RISK CODE: H – High S – Serious M – Medium L – Low