Lone Working Risk Assessment

Project Name Main contractor Reference

Project no. Subs Date

Client Assessor's Name Signature

Location Task Lone Working Risk assessment type Initial Review

Risk assessment Risk assessment

(before controls) (after controls)

Risk factor

Risk factor
Likelihood

Likelihood
Hazards Who affected How affected Controls to be implemented

Severity

Severity
(check all that apply) Risk Risk
level level

Risk posed by Workplace to the lone worker Employee Death, serious injury, long/short term - Complete workplace risk review and
disability assessment
- Regular inspections and reviews of
workplace
- Close out of corrective actions relating to
0 0 inspections and reviews 0 0
- Set up employees feedback for
suggested improvements to the workplace

Risk of violence Employee and Death, serious injury, long/short term Check local security arrangements
other parties disability
0 0 0 0

Specific risk to women working alone Employee Death, serious injury, long/short term Local regulations to be complied with
disability
0 0 0 0

Lone Working Risk Assessment Rev 01 June 2020 Page 1 of 3

 Risk assessment Risk assessment

(before controls) (after controls)

Risk factor

Risk factor
Likelihood

Likelihood
Hazards
Who affected How affected Controls to be implemented

Severity

Severity
(check all that apply) Risk Risk
level level

Specific risk to young workers working alone Employee Death, serious injury, long/short term Complete young persons risk assessment
disability
0 0 0 0

Medically unfit person working alone Employee and Death, serious injury, long/short term Prevent employees who are ill, or those
other parties disability having chronic health problems from
0 0 0 0
working alone

Insufficient training to ensure competency Employee Death, serious injury, long/short term - Induction to be given to new starters
disability - Review specific training requirements

0 0 0 0

Lack of arrangements in place if person Employee and Death, serious injury, long/short term - First Aid box accessible
becomes ill, has an accident or there is an other parties. disability - Emergency numbers displayed
emergency prominently
0 0 0 0

- Communication available

Inadequate communications Employee Death, serious injury, long/short term - Provide communications hardware
disability set up call in times to supervisor /
arranged number
- Set up emergency procedures in the
0 0 event of a no show 0 0

Risk factor method Severity Likelihood Notes

Severity
1 2 3 4 5 Risk level 1 - No potential for injury, illness, or incident 1 - Very Unlikely
Likelihood

2 4 6 8 10 Low 2 - Potential for minor injury, illness, or incident 2 - Unlikely

Lone Working Risk Assessment Rev 01 June 2020 Page 2 of 3

 Risk assessment Risk assessment

(before controls) (after controls)

Risk factor

Risk factor
Likelihood

Likelihood
Hazards
Who affected How affected Controls to be implemented

Severity

Severity
(check all that apply) Risk Risk
level level
Likelihood

3 6 9 12 15 Medium 3 - Potential for a recordable injury, illness, or incident 3 - Likely

4 8 12 16 20 High 4 - Potential for major incident, or major injury or illness causing short term disability 4 - Very Likely
5 10 15 20 25 5 - Potential for major incident, or major injury or illness causing a fatality or long term disability 5 - Certain

Lone Working Risk Assessment Rev 01 June 2020 Page 3 of 3