Risk Assessment Operations Report Form
Report, evaluate, and document operational risks with this structured assessment form.
Assessment Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Assessor's Full Name
*
First Name
Last Name
Assessor's Contact Email
*
example@example.com
Site/Location of Assessment
*
Department or Area Assessed
*
Type of Risk Identified
*
Please Select
Safety
Environmental
Operational
Financial
Compliance
Other
Risk Description
*
Hazard Evaluation Matrix
Rows
Hazard Description
Likelihood (1-5)
Severity (1-5)
Existing Controls
Risk Rating (L x S)
Hazard 1
Hazard 2
Hazard 3
Overall Risk Level
*
Low
Medium
High
Recommended Control Measures
*
Responsible Person(s) for Action
*
Target Completion Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Follow-Up Required?
*
Yes
No
Additional Comments or Observations
Submit Report
Should be Empty: