📍 When to use this template
- Before starting a new, complex, or hazardous activity like deep excavation, heavy lifting, or high-rise work.
- Prepared at the project's start, and updated quarterly or whenever a major new risk is identified or a significant change in scope occurs.
- Typically prepared by the Contractor's Safety Officer or Project Manager, and reviewed/approved by the PMC/Engineer-in-Charge.
Sections & fields
Preview of the template structure. Download Excel to fill on site.
1Header / Project Information8 fields
Project Name
_____________
Contract / Package No.
_____________
Date of Assessment
_____________
Revision No.
_____________
Prepared By (Name & Designation)
_____________
Reviewed By (PMC/Client)
_____________
Approved By (Engineer-in-Charge)
_____________
2Activity Description6 fields
Activity Name / Work Package
_____________
Location (Grid/Chainage/Floor)
_____________
Scheduled Start Date
_____________
Scheduled End Date
_____________
Associated Method Statement Ref. No.
_____________
Associated Drawings Ref. No.
_____________
3Risk Identification5 fields
Risk Category (e.g., Safety, Health, Environmental, Technical, Schedule, Financial)
_____________
Description of Potential Risk/Hazard
_____________
Potential Cause(s)
_____________
Potential Consequence(s)/Impact
_____________
4Risk Analysis & Evaluation6 fields
Existing Control Measures
_____________
Likelihood (1-5 Scale: Very Low to Very High)
_____________
Severity/Impact (1-5 Scale: Insignificant to Catastrophic)
_____________
Risk Score (Likelihood x Severity)
_____________
Risk Priority Level (Low, Medium, High, Critical)
_____________
Risk Owner (Person Responsible)
_____________
5Risk Response & Mitigation Plan7 fields
Proposed Additional Mitigation/Control Measures
_____________
Action By (Name/Team)
_____________
Target Date for Action
_____________
Residual Risk Likelihood (Post-Mitigation)
_____________
Residual Risk Severity (Post-Mitigation)
_____________
Residual Risk Score
_____________
Contingency Plan (If mitigation fails)
_____________
6Monitoring & Review4 fields
Status of Mitigation Action (Open, In Progress, Closed)
_____________
Date of Last Review
_____________
Next Review Date
_____________
Remarks / Observations
_____________
💡 Sample filled excerpt
Risk ID: RSK-EXC-001 | Description: Collapse of deep excavation sides (5m deep) | Likelihood: 3 (Medium) | Severity: 5 (Catastrophic) | Risk Score: 15 (High) | Mitigation: Provide shoring & strutting as per IS 3764; daily inspection by competent person.
⚖ Compliance notes
- Helps fulfil requirements under the Building and Other Construction Workers (BOCW) Act, 1996, especially concerning safety provisions for hazardous processes.
- Supports compliance with ISO 45001 (Occupational Health and Safety) and ISO 31000 (Risk Management) standards, often a requirement in private sector contracts.
- Provides documented evidence of due diligence for safety audits by statutory bodies like the Directorate of Industrial Safety and Health (DISH).
- Can be a contractual requirement under specific FIDIC clauses or Special Conditions of Contract (SCC) related to Health, Safety, and Environment (HSE).