Painting Contractor Risk Assessment Form
Complete this form to assess potential risks and controls for your painting project. Please answer each section to ensure a thorough evaluation.
Project or Site Name
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
First Name
Last Name
Type of Painting Work
*
Please Select
Interior
Exterior
Spray Painting
High-Rise/Scaffold Work
Other
Are there any hazardous materials present (e.g., lead paint, solvents)?
*
Yes
No
Unsure
Rate the likelihood of an incident occurring during this project
*
1
2
3
4
5
Rate the potential severity of an incident
*
1
2
3
4
5
Risk Assessment Matrix
Rows
Hazard Identified
Likelihood (1-5)
Severity (1-5)
Control Measures
1
2
3
Recommended Actions or Additional Controls
Submit Assessment
Should be Empty: