Site Safety & Administration
Hazard Identification and Risk Assessment (HIRA)
Systematic identification and assessment of site hazards in accordance with Safe Work Australia and state WHS legislation requirements.
31 checklist items
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Checklist Items
| Item | Pass / Yes | Fail / No |
|---|---|---|
| SITE INFORMATION | ||
| Site / Project Name | ___________________________ | |
| Site Address | ___________________________ | |
| Assessment Date | ___________________________ | |
| Assessed By (Name) | ___________________________ | |
| Position / Trade | ___________________________ | |
| Principal Contractor | ___________________________ | |
| Work Activity Being Assessed | ___________________________ | |
| HAZARD IDENTIFICATION | ||
| Hazard Description | ___________________________ | |
| Location of Hazard on Site | ___________________________ | |
| Who is at Risk? | ___________________________ | |
| Have all workers in the area been consulted? | Yes ☐ | No ☐ |
| Has a site walk-through been conducted? | Yes ☐ | No ☐ |
| RISK ASSESSMENT | ||
| Likelihood (1=Rare, 5=Almost Certain) | ___________________________ | |
| Consequence (1=Negligible, 5=Catastrophic) | ___________________________ | |
| Risk Rating Score (Likelihood x Consequence) | ___________________________ | |
| Risk Level (Low / Medium / High / Extreme) | ___________________________ | |
| Is the risk level acceptable without further controls? | Yes ☐ | No ☐ |
| HIERARCHY OF CONTROLS | ||
| Elimination: Can the hazard be removed entirely? | Yes ☐ | No ☐ |
| Substitution: Can it be replaced with something safer? | Yes ☐ | No ☐ |
| Isolation: Can the hazard be isolated from workers? | Yes ☐ | No ☐ |
| Engineering Controls Identified | ___________________________ | |
| Administrative Controls Identified | ___________________________ | |
| PPE Required | ___________________________ | |
| RESIDUAL RISK | ||
| Residual Likelihood After Controls (1-5) | ___________________________ | |
| Residual Consequence After Controls (1-5) | ___________________________ | |
| Residual Risk Score | ___________________________ | |
| Residual Risk Acceptable? | Yes ☐ | No ☐ |
| REVIEW AND SIGN-OFF | ||
| Has the assessment been communicated to all affected workers? | Yes ☐ | No ☐ |
| Review Date | ___________________________ | |
| Supervisor / Safety Officer Signature | ___________________________ | |
| Worker Representative Signature | ___________________________ | |