| # | Hazard | Persons at Risk | L | S | Rating | Control Measures | L¹ | S¹ | Residual | Action / Responsible |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 15 V.HIGH | 6 MED | ||||||||
| 2 | 15 V.HIGH | 4 LOW | ||||||||
| 3 | 8 MED | 4 LOW | ||||||||
| 4 | 12 HIGH | 6 MED | ||||||||
| 5 | 8 MED | 4 LOW | ||||||||
| 6 | 9 MED | 3 LOW |
| Role | Full Name | Signature | Date |
|---|---|---|---|
| Prepared by (AB SiteSafe) | |||
| Authorised by (Client) |
| No. | Full Name | Trade / Role | Date | Signature |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 |