WORKPLACE SAFETY · FREE TEMPLATE

Workplace task risk assessment

Record task-specific hazards, exposed people, controls, action owners and verification.

Use in Kivloo Explore the checklist Free to print & download
INSIDE THIS WORKSHEET
  1. Task and people
  2. Hazards and controls
  3. Action and review

Before new work and at applicable review triggers · Includes example records and blank register rows

TRY A CHECK. RIGHT HERE.
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Workplace task risk assessment

One check.
One clear answer.

Identify the actual task, location and assessment scope.

Tap an answer to continue

Interactive example · No account needed

MEET PIP, YOUR FIELD COMPANION

A quick check.
Then back to your day.

09Checks & fields
A clear starting point
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THE RIGHT CHECK. AT THE RIGHT MOMENT.

A little structure.
A more confident shift.

Connect a workplace assessment to preventive action. This starter is not a completed DUERP or a complete national compliance program.

BEFORE YOU START

Make it specific to your site.

Choose the site and task with workers. Identify applicable requirements and any specialist assessment needed.

kivloo.FIELD NOTES / WORKPLACE SAFETY
THE COMPLETE STARTER CHECKLIST

Workplace task risk assessment

Site: ____________________   Date: ______________

Completed by: _____________   Reviewed by: _____________

One hazard and control decision per record

Fictional worked example. Use the blank rows for your own records.

Task / locationHazard / harmPeople exposedExisting controlsAssessment / methodAdditional controlOwner / due dateVerification / review trigger
TASK-01Describe the actual hazardRoles / groupsCurrent controlsSite-approved methodProposed measureROLE-01 / ____Evidence / ____

01Task and people

  1. Identify the actual task, location and assessment scope.

  2. Identify workers, contractors and others exposed, including non-routine activities.

  3. Record the assessor and worker consultation.

02Hazards and controls

  1. Describe each hazard and how harm could occur.

  2. Record existing controls and evaluate their effectiveness.

  3. Consider removal or reduction of the hazard and identify specialist advice needed.

03Action and review

  1. Record additional controls, accountable owners and target dates.

  2. Record the approval decision and communicate restrictions or changes.

  3. Verify effectiveness and record the next review date or trigger.

Close the loop

Approve controls, communicate changes, verify actions and review after changes or new risk information.

Kivloo · kivloo.app/template-library/workplace-risk-assessment

How to use the downloaded checklist

Open the CSV in your spreadsheet app. Adapt the checks, enter your approved criteria and add any missing site requirements. Use the result, action, owner, due date and verification columns to document follow-up.

Keep the original observation when a check fails. Record the corrective action and verification separately so the full sequence remains clear.

BRING THE ROUTINE TO YOUR TEAM

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