- A. Hazard
- B. Potential Risk: Identify what harm it can do
- C. Risk Score Risk Analysis Matrix on the previous page
- D. Risk Controls: What can I put between me and the hazard to prevent harm?
- E. Control type: Identify the type of control:
- Eliminate (E)
- Isolate substitute engineer (ISE)
- Administration / training (A) PPE
For each control measure give yourself brownie points. Brownie points are listed at the top in the lightly shaded area. Tally up the brownie points
- F. Residual Risk Score: Add up all the brownie points you have earned, take them from the original risk score, you now know the residual score
- G. Person Responsible: Select who of the following is responsible to implement the control measure. PCBU, Supervisor (S), Worker (W)