Risk Assessment Likelihood Scale Form
Use this form to assess the likelihood of identified risks. All descriptions and titles use the exact form title.
Risk Assessment Likelihood Scale Form
Assessor's Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Department or Project
Overall Summary of Risks
Risk Evaluation Table
*
Rows
Risk Description
Likelihood (1=Rare, 5=Almost Certain)
Impact (1=Negligible, 5=Severe)
Current Controls
Recommended Actions
Risk 1
1 - Rare
2 - Unlikely
3 - Possible
4 - Likely
5 - Almost Certain
1 - Negligible
2 - Minor
3 - Moderate
4 - Major
5 - Severe
Risk 2
1 - Rare
2 - Unlikely
3 - Possible
4 - Likely
5 - Almost Certain
1 - Negligible
2 - Minor
3 - Moderate
4 - Major
5 - Severe
Risk 3
1 - Rare
2 - Unlikely
3 - Possible
4 - Likely
5 - Almost Certain
1 - Negligible
2 - Minor
3 - Moderate
4 - Major
5 - Severe
Highest Likelihood Risk (select one)
Risk 1
Risk 2
Risk 3
None of the above
Rate the overall likelihood of risks in this assessment
1
2
3
4
5
Additional Notes or Comments
Submit Assessment
Should be Empty: