Careers Risk Assessment Action Plan
Identify, assess, and plan actions to mitigate career-related workplace risks.
Department/Team
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
First Name
Last Name
Role/Position of Assessor
*
List and assess potential career-related risks in your area. For each risk, specify the likelihood, impact, current controls, required actions, responsible person, and target completion date.
*
Rows
Risk/Hazard Description
Likelihood (1-Low, 5-High)
Impact (1-Low, 5-High)
Current Controls
Additional Actions Needed
Responsible Person
Target Date
Risk 1
1
2
3
4
5
1
2
3
4
5
Risk 2
1
2
3
4
5
1
2
3
4
5
Risk 3
1
2
3
4
5
1
2
3
4
5
Overall risk rating for the department/team
*
Low
1
2
3
4
High
5
1 is Low, 5 is High
Are there any immediate actions required?
*
Yes
No
If yes, please describe the immediate actions required
Person responsible for implementing the action plan
*
First Name
Last Name
Target date for completion of all actions
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Review and comments (by supervisor or manager)
Submit Action Plan
Should be Empty: