INSERT YOUR COMPANY

LOGO HERE

RISK ASSESSMENT
Actions should be taken based on the risk score. Assign a priority (very high, high, medium or low) based on existing and required control measures, in
consultation with your supervisor or relevant committee.
PART I General aspects of the work environment and duties or activities of the worker
DATE OF
COMPANY:
ASSESSMENT:
ASSESSOR NAME: APPROVED BY:
SIGNATURE: SIGNATURE:
SCOPE OF WORK: LOCATION:
REVIEW DATE:
PART II LIKELIHOOD OF EXPOSURE TO SARS-CoV-2
RISK MATRIX Unlikely Possible Likely
Highly improbable May be experienced once every year by an Likely to be experienced once or twice a
individual year by an individual
CONSEQUENCE Severe Medium High Very high
OF EXPOSURE Fatal or permanent disability
TO SARS-CoV-2 Moderate Low Medium High
Medical attention >14 days and complete recovery
Negligible Very low low Medium
Near miss or unlikely to happen
Keep monitoring the process Keep the process going, but monitor Keep the process going, and Investigate the process and Stop the process and implement
regularly and consider a control plan implement a control plan as soon as implement controls immediately controls
possible
PART III Identification of risk and proposed preventative measures to reduce risk
FINAL RISK LEVEL = C x L PROCEED ADDITIONAL
WHO EXISTING
TASK or ROUTE OF HEALTH WITH CONTROL ACTION DUE
HAZARD MAY BE VERY VERY CONTROL
ACTIVITY EXPOSURE EFFECTS LOW MEDIUM HIGH EXISTING MEASURES BY DATE
AT RISK LOW HIGH
MEASURES
CONTROLS
YES NO
YES NO

YES NO
KEY: C – consequence (severe, moderate, negligible); L (unlikely, possible, likely)

1
 EXAMPLE: APPLYING THE HIERARCHY OF CONTROLS
FOR COVID-19

– Eliminate the hazard

ELIMINATION – Practical for intentional use
– Impractical for unknown exposure
– Early identification and isolation where necessary
Most effective controls
Preference
If not practical then

− Replace infectious agent with less infectious strain

SUBSTITUTION − Replace high exposure activity with less exposure
− Limit exposed workers

If not practical then

ENGINEERING
Re-design the work process. Reduce exposure without relying on worker
& behaviour – may be cost effective solution.

ENVIRONMENT
Building Devices Environment
If not comprehensive
then  Negative pressure  Disinfection devices  Environmental
 Isolation rooms (e.g. UVGI) monitoring
 Ventilation  Sterilisation devices  Air, surface
 HEPA filtration  Safety instruments decontamination
 Access control (e.g. BSC)  Waste management
 Physical barriers
 Signage

ADMINISTRATION
Least effective controls Implement policies & procedures, health protection, enhance training

If not sufficient then

Policies & Procedures Health protection Training
complement with – Employee
− OHS & HR – HBA regulation
− SHE: incident Assistance Prog – Hazards & risks
management – Vaccination (flu) – Control measures
− Social distancing – Medical surveillance – PPE
− Hand & respiratory − Mental health – Incidents
hygiene – Advocate good
− Cleaning & hygiene
disinfection
− Waste & laundry

PPE Correct type, fit, usage, maintenance & disposal. PPE may include
gloves, goggles, respirators, face shield, surgical mask, coats,
gowns, aprons, coveralls, hair and shoe covers

BEHAVIOUR The right attitude is the best tool to control transmission

Figure 1. Flow diagram illustrating the fundamental pillars of the hierarchy of controls and possible
recommendations.
2