Premises Risk Assessment Checklist

Premises Risk Assessment Checklist
Assess premises conditions, identify hazards, record the overall risk level, and note corrective actions needed.
Premises Details
Premises / Site Name
Premises Address or Location
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Inspection Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Assessment Scope and Inspector
Assessor/Inspector Name
First NameLast Name
Area/Zone Inspected
Overall Risk Evaluation
Overall risk rating
Urgency / action priority
Corrective Actions
Recommended Corrective Actions
Target Completion Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: