Checklist · 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 · Last reviewed
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 | ||