The Activity Based Risk Assessment Form is a crucial workplace safety document required under Canadian occupational health and safety legislation. It is designed to be completed before undertaking any new or modified workplace activity that could present potential risks to workers, property, or the environment. The form helps organizations comply with both federal and provincial safety requirements while demonstrating due diligence in risk management. It includes detailed sections for hazard identification, risk evaluation, control measures, and action planning, making it essential for maintaining workplace safety and meeting regulatory obligations. This document should be used whenever there are significant changes to workplace activities, new processes are introduced, or as part of regular safety reviews.
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1. Document Control Information: Form identification number, revision date, and approval status
2. Activity Description: Detailed description of the task or activity being assessed, including location and scope
3. Assessment Team: Names and roles of individuals conducting the risk assessment
4. Hazard Identification: Systematic identification of all potential hazards associated with the activity
5. Risk Analysis: Evaluation of likelihood and consequences for each identified hazard
6. Current Control Measures: Existing safety measures and controls already in place
7. Risk Rating: Assessment of risk levels using defined risk matrix
8. Additional Control Measures: Proposed new or enhanced controls to reduce risks
9. Residual Risk Assessment: Re-evaluation of risks after implementation of additional controls
10. Action Plan: Specific actions required, responsibilities, and timeframes
11. Approval and Sign-off: Signatures of authorized personnel approving the assessment
1. Emergency Response Procedures: Specific emergency protocols related to the assessed activity, required for high-risk activities
2. Environmental Impact Assessment: Environmental considerations and controls, needed when activity may affect environment
3. Personal Protective Equipment (PPE) Requirements: Detailed PPE specifications, required for activities needing specific protective equipment
4. Training Requirements: Specific training or certifications needed, included when specialized skills are required
5. Contractor Management: Additional controls and requirements for contractor involvement, needed when external parties are involved
6. Change Management Process: Procedures for managing changes to the activity or controls, important for complex or ongoing activities
1. Risk Assessment Matrix: Standard risk evaluation matrix used for risk rating
2. Hazard Checklist: Comprehensive list of potential hazards by category
3. Control Measure Guidelines: Detailed descriptions of recommended control measures
4. PPE Selection Guide: Matrix for selecting appropriate PPE based on hazards
5. Incident Report Form: Template for reporting incidents or near-misses
6. Safe Work Procedures: Detailed step-by-step procedures for high-risk tasks
7. Review and Monitoring Schedule: Timeline for periodic review and monitoring of control measures
Authors
Relevant legal definitions
Clauses
Relevant Industries
Manufacturing
Construction
Mining
Oil and Gas
Transportation
Warehousing and Logistics
Healthcare
Food Processing
Chemical Processing
Utilities
Forestry
Agriculture
Marine Operations
Aviation
Educational Institutions
Relevant Teams
Health and Safety
Operations
Quality Assurance
Maintenance
Production
Environmental Compliance
Facilities Management
Risk Management
Project Management
Training and Development
Relevant Roles
Health and Safety Coordinator
Risk Assessment Specialist
Operations Manager
Project Manager
Site Supervisor
Safety Officer
Department Manager
Quality Control Manager
Maintenance Supervisor
Production Supervisor
Environmental Compliance Officer
Facility Manager
Training Coordinator
Industrial Hygienist
Safety Engineer
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