5x5 Risk Assessment Matrix Checklist Form
Use this form to evaluate project or task risks using a 5x5 likelihood vs impact matrix checklist. Please complete all relevant sections for each item being assessed.
Project or Task Name
*
Brief Description or Context
*
Select applicable risk factors for this item
Operational failure
Resource constraints
Compliance/regulatory issues
Technology failure
External factors (e.g., market, weather)
Other
Likelihood (1 = Rare, 5 = Almost Certain)
*
Rare (1)
1
2
3
4
Almost Certain (5)
5
1 is Rare (1), 5 is Almost Certain (5)
Impact (1 = Insignificant, 5 = Catastrophic)
*
Insignificant (1)
1
2
3
4
Catastrophic (5)
5
1 is Insignificant (1), 5 is Catastrophic (5)
Describe existing controls or mitigation measures
Overall risk rating (auto-calculated: Likelihood x Impact)
Recommended actions or comments
Submit Assessment
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