Targeted Risk Assessment Form
Use this form to evaluate the risk level of a specific activity, project, or situation and capture the key factors, controls, and recommended next step.
Risk Scope
Activity / Project / Situation Name
*
Assessment Type / Category
*
Operational
Safety
Process
Vendor
Event
Other
Location / Environment
Brief Description of Activity or Situation
*
Risk Evaluation
Potential impact level
*
Negligible
1
2
3
4
Critical
5
1 is Negligible, 5 is Critical
Likelihood of occurrence
*
Rare
1
2
3
4
Almost certain
5
1 is Rare, 5 is Almost certain
Overall risk rating
*
Low
1
2
3
4
Extreme
5
1 is Low, 5 is Extreme
Key risk factors observed
*
Process complexity
Insufficient controls
High change frequency
Limited staff expertise
Third-party dependency
Data sensitivity
Operational instability
Regulatory exposure
Other
Mitigation actions or controls already in place
Reviewer Summary
Recommended Next Step / Risk Disposition
*
Proceed
Proceed with Mitigation
Escalate for Review
Defer
Additional Notes or Follow-Up Actions
Submit Targeted Risk Assessment Form
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