Risk Assessment Form

Ships Name   Ships No  

 

Work Activity  

 

 

Assessors:  
No Hazards associated with Activity Possible Consequences Existing Control / Safeguards Severity Likelihood Risk Level Additional Controls Rq’d.  Y/N
               
               
               
               
               


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Additional Control Measures

 

Hazard No Further action if necessary (Additional Controls)for risk level 3 or more Responsible Remedial action due Date Completed
         
         
         
         
         
         
         
         
         
         

 

 

 Additional Comments:

 

 

Signed____________________________Chief Officer/Chief Engineer                                   _____________________________  Master _______________Date


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