High-Risk Delivery Assessment Form
Use this form to assess and document key risk factors for high-risk delivery jobs. Please complete all sections for a comprehensive assessment.
Delivery Job Reference Number
*
Delivery Location or Route
*
Type of Goods Being Delivered
*
Risk Level Assessment
*
Low
Moderate
High
Critical
Potential Hazards (Select all that apply)
*
Heavy traffic
Adverse weather
Difficult terrain
Restricted access
High-value cargo
Nighttime delivery
Other
Safety Measures in Place
*
Pre-delivery briefing
Personal protective equipment (PPE)
Escort or support vehicle
Emergency contact plan
Tracking device
Other
Team Experience Level
*
Novice
Intermediate
Experienced
Expert
Overall Risk Rating
*
Very Low
1
2
3
4
Very High
5
1 is Very Low, 5 is Very High
Team Roles and Contact Table
*
Rows
Role
Name
Phone
Team Member 1
Team Member 2
Team Member 3
Describe the most significant risk and planned mitigation steps
*
Additional Comments
Submit Assessment
Should be Empty: