Young Worker Risk Assessment Form
Assess job-related risks for young workers to ensure a safe work environment.
Job Title or Role
*
Department or Work Area
*
Has the young worker received safety training for this role?
*
Yes
No
Not Sure
Level of supervision provided to the young worker
*
Constant
Frequent
Occasional
Minimal
Rate the overall risk level of the tasks assigned to the young worker
*
1
2
3
4
5
Are hazardous materials or equipment used in this role?
*
Yes
No
Not Applicable
Workplace Hazards Assessment
*
Rows
Not Present
Low Risk
Moderate Risk
High Risk
Slips, trips, and falls
1
2
3
4
Manual handling/lifting
5
6
7
8
Machinery operation
9
10
11
12
Chemical exposure
13
14
15
16
Noise exposure
17
18
19
20
Has the young worker been informed about emergency procedures?
*
Yes
No
Not Sure
What additional risks or concerns have been identified for this young worker?
Suggested actions or controls to reduce identified risks
Submit Assessment
Should be Empty: