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Hazard report form

Write up a hazard properly, in about five minutes

The same hazard report RISE ships with, filled in here. It rates severity against probability, tells you what the number means, and prints as a finished report you can file or hand on.

What you get from the form

A real ratingSeverity against probability, scored the way the product scores it rather than by feel.
The right questionsThe eight hazard types, the contributing factors, the recommendations.
Something to doWhat a team does with a hazard at that rating, which is the part a blank form never tells you.
A finished reportPrint it or save it as a PDF, and hand it to whoever owns the fix.

How it scores

What the rating means

Severity and probability are rated one to five each, so a hazard scores between 1 and 25, landing in one of three bands.

1 to 3
LowRecord it and watch for the pattern
125
4 to 12
MediumWorth a control and a date, not an emergency
125
13 to 25
HighThis one gets looked at before the next shift
125

These thresholds are the ones RISE ships with. Yours win.

Every account sets its own: where each threshold starts and stops, what it is called, and what has to happen at each one. What counts as high risk in your operation is your operation's call, not a default somebody else picked.

Your turn

Let’s get started

Fill it in for a hazard you have in front of you. It rates the risk the way RISE rates it, and hands back a finished report.

Report details

A short name for the hazard, the way you would say it out loud.

What type of hazard are you reporting?
Rate the severity level of this hazard.

How bad the outcome would be if it happened.

Rate the probability level of this hazard.

How likely it is to happen, as things stand today.

Include a detailed and accurate description while being as concise as possible.

6 answers still needed.

Discover how RISE can empower your safety program

A guided walkthrough of how RISE handles reporting, evaluation, resolution and insight, with time to talk about how your own operation runs today.

Book a demo