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riskassessmentform_1.xls

Task Risk Assessment

Risk Identification and Assessment Worksheet
Nature of Activity Project, Event, Home,
Notes:
Date of Assessment:
Risk Description Inherent Exposure Severity/consequence Frequency/Likelihood of this event occuring Risk Rating Risk Rating Directions Loss Control Method
Risk Description Description of the impact in a worse case scenerio What would be the financial impact of this event How likely is it that this event will occur Risk Score based on severity and frequency (colume C & D) Level of Risk Transfer, control, eliminate, duplicate
(i.e. Hurricane) Property damage to buildings, loss of revenue from business operations, individual's injured, automobiles damaged 5 MAJOR 3 POSSIBLE 15 Threatens the viability of the entity. Avoid if possible. Risk control and mitigations techniques are to be implemented to minimize potential losses.
Employee Stealing from Organization
Hurricane that destroys main building
Employee becomes totally disabled as the result of a work related injury/illness
Hacker steals customers Identities
A country your company does business with gets a new ruler that does not like the US
Failure to innovate/meet consumer needs
Your business in interrupted because a supplier has gone out of business
Your company van causes a three car accident and someone dies as the result
Your electronic payment system crashes and you lose the information on current payments
&LProsafe Offshore TRA&C&D&RPage&Pof &N

Severity

SEVERITY/ CONSEQUENCE IF EFFECTS ARE;
5 MAJOR Personnel Multiple fatalities and or multiple injuries.
Asset Major damage to worksite, equipment or vessel causing the operation to cease requiring demobilisation.
Production Loss of production progress of 10 days or more.
Environment Long-term impact on the natural environment with a restoration time likely to exceed 1 year, or ongoing legal non-compliance.
4 SERIOUS Personnel Single fatality, 2 persons or more suffering Lost Time Injury(ies) or acute/chronic health effects.
Asset Serious damage to worksite, equipment or vessel causing the operation to cease temporarily.
Production Loss of production progress of 2 to 9 days.
Environment Medium-term impact on the natural environment with restoration expected within 1 month to 1 year, or a one-off legal non-compliance.
3 MODERATE Personnel 1 person suffering Lost Time Injury(ies) or persistent health effects.
Asset Locally repairable damage to worksite, equipment or vessel, possibly extensive.
Production Loss of production progress of less than 2 days.
Environment Short-term controllable impact on the natural environment with restoration expected within 1 day to 1 month.
2 MINOR Personnel Non-Lost Time Injury(ies), first aid treatments or minor short-term health effects.
Asset Damage requiring minor repair.
Production Minimal production interruption of less than 1 hour.
Environment Minimal impact on the natural environment with restoration expected within 1 day.
1 NEGLIGIBLE Personnel Negligible injury or health implications with no work absence.
Asset No likely equipment damage or function loss.
Production Very minor production interruption.
Environment No damage or effects to the natural environment.

Likelihood

LIKELIHOOD DEFINITION
5 Almost inevitable that an incident would result.
Probable
4 Such an event is known to have occurred and represents a credible scenario.
Likely An additional factor may result in an accident.
3 Possible when additional factors are present but otherwise unlikely to occur.
Possible
2 Conceivable, occurrence would require multiple failures of systems and controls or a rare combination of factors.
Unlikely
1 Little or no chance of occurrence; would require a freak combination of factors for the situation to result.
Very unlikely

Risk Rating

Risk Rating SEVERITY/CONSEQUENCE
1 2 3 4 5
Negligible Minor Moderate Serious Major
LIKELIHOOD 1 1 2 3 4 5
Very unlikely
2 2 4 6 8 10
Unlikely
3 3 6 9 12 15
Possible
4 4 8 12 16 20
Likely
5 5 10 15 20 25
Probable

RR Directions

1-6 May be acceptable to accept risk. Analysis and implementation of risk control techniques may be required, wi careful attention to cost/benefit analysis including risk mitigation costs.
Low
7-14 The risk can be tolerated provided the benefits outweigh the costs (including cost to mitigate) considerably. Risk control and mitigation techniques required
Med
15-25 Threatens the viability of the entity. Avoid if possible. Risk control and mitigations techniques are to be implemented to minimize potential losses.
High

Definition of terms – Likelihood of Occurrence

Rare

Likely to occur only in very

exceptional circumstances

Unlikely

Could occur at some time

Possible

May occur at some time

Likely

Will probably occur at least once

Almost Certain

Is expected to occur in most

circumstances

MBD005C1B88.doc

Definition of terms – Likelihood of Occurrence

Rare

Likely to occur only in very exceptional circumstances

Unlikely

Could occur at some time

Possible

May occur at some time

Likely

Will probably occur at least once

Almost Certain

Is expected to occur in most circumstances

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