Safe Work Method Statement Template Page 2

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Safe Work
Method Statement
RISK RATING MATRIX
CONSEQUENCE
Serious injury
Minor injury, first aid
No injury, but
Death/permanent
LIKELIHOOD
(hospitalised), lost time
administered
incident recorded
disability
Will almost certainly happen/has
Extreme
High
High
Medium
happened before
High
High
Medium
Medium
Will probably happen at some time
High
Medium
Medium
Low
Could happen at some time
Medium
Medium
Low
Low
Might happen but only rarely
Risk Categories and Response
• Extreme - Under no circumstances cause exposure to such a hazard
• High - cease exposure to hazard immediately, until protection and procedures approved by manager are implemented
• Medium - procedures and protection may be enough, hazard and risk should be discussed with manager
• Low - risk may be managed by procedures and protection

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