Ƶ

Activity Based Risk Assessment Form for the Netherlands

Activity Based Risk Assessment Form Template for Netherlands

This document is a comprehensive Activity Based Risk Assessment Form designed to comply with Dutch workplace safety regulations, particularly the Working Conditions Act (Arbowet) and associated legislation. It provides a structured approach to identifying, evaluating, and controlling risks associated with specific workplace activities. The form incorporates Dutch regulatory requirements for risk assessment documentation, including hazard identification, risk evaluation matrices, control measures, and action planning. It serves as both a legal compliance document and a practical tool for ensuring workplace safety in the Netherlands.

Your data doesn't train Genie's AI

You keep IP ownership of your information

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Download a Standard Template

4.6 / 5
4.8 / 5
Access for free
OR

Alternatively: Run an advanced review of an existing
Activity Based Risk Assessment Form

Let Ƶ's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.

What is a Activity Based Risk Assessment Form?

The Activity Based Risk Assessment Form is a mandatory document under Dutch health and safety legislation, specifically required by the Working Conditions Act (Arbowet) and its associated regulations. This document should be used whenever a new workplace activity is introduced, when existing activities are modified, or during regular safety reviews. The form captures detailed information about specific work activities, associated hazards, risk levels, existing control measures, and required additional safety measures. It is designed to meet the Netherlands' strict workplace safety requirements and must be maintained as part of the organization's risk inventory and evaluation (RI&E) documentation. The assessment process involves input from various stakeholders including safety specialists, supervisors, and employee representatives, ensuring a comprehensive evaluation of workplace risks.

What sections should be included in a Activity Based Risk Assessment Form?

1. General Information: Basic details including date, assessor name, department/location, and activity being assessed

2. Activity Description: Detailed description of the work activity, including step-by-step breakdown of tasks

3. Hazard Identification: List and description of all potential hazards associated with the activity

4. Risk Assessment Matrix: Evaluation of likelihood and severity of identified risks using standardized risk matrix

5. Current Control Measures: Existing safety measures and controls currently in place

6. Risk Evaluation: Assessment of residual risks after considering existing controls

7. Additional Control Measures: Proposed new or enhanced control measures to further reduce risks

8. Action Plan: Detailed plan for implementing additional control measures, including responsibilities and timelines

9. Review and Sign-off: Approval section including signatures from assessor, supervisor, and safety representative

What sections are optional to include in a Activity Based Risk Assessment Form?

1. Environmental Impact Assessment: Additional section for activities with potential environmental impacts

2. Specific PPE Requirements: Detailed personal protective equipment specifications when specialized PPE is needed

3. Emergency Response Procedures: Specific emergency protocols when high-risk activities are involved

4. Training Requirements: Special training or certification requirements for performing the activity

5. Chemical Risk Assessment: Detailed chemical hazard assessment for activities involving hazardous substances

6. Noise Assessment: Specific assessment for activities with significant noise exposure

7. Manual Handling Assessment: Detailed ergonomic assessment for activities involving significant manual handling

What schedules should be included in a Activity Based Risk Assessment Form?

1. Risk Assessment Matrix Template: Standard risk evaluation matrix used for assessment

2. Hazard Checklist: Comprehensive checklist of potential hazards by category

3. Control Measure Hierarchy: Framework for selecting appropriate control measures

4. PPE Requirements Chart: Visual guide showing required PPE for different hazard types

5. Incident Report Form: Template for reporting any incidents during the activity

6. Safety Equipment Inspection Checklist: Checklist for verifying safety equipment condition

7. Related Standard Operating Procedures: Reference documents for standard safety procedures

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Netherlands

Publisher

Ƶ

Cost

Free to use
Relevant legal definitions



































Clauses




















Relevant Industries

Manufacturing

Construction

Chemical Industry

Logistics and Warehousing

Healthcare

Energy and Utilities

Food Processing

Mining and Extraction

Agriculture

Transportation

Waste Management

Laboratory and Research

Pharmaceutical Industry

Relevant Teams

Health and Safety

Operations

Quality Assurance

Compliance

Production

Facility Management

Human Resources

Risk Management

Environmental Health

Occupational Health

Training and Development

Process Safety

Relevant Roles

Health and Safety Coordinator

Risk Assessment Specialist

Operations Manager

Department Supervisor

Safety Engineer

Compliance Officer

Environmental Health Officer

Quality Assurance Manager

Production Manager

Facility Manager

Occupational Health Nurse

Safety Training Coordinator

Process Safety Engineer

Industrial Hygienist

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Science Risk Assessment

A comprehensive risk assessment document for scientific research activities, compliant with Dutch and EU safety regulations and research standards.

Download

Risk Assessment For Catering

A Dutch-compliant risk assessment document for catering operations, covering food safety, workplace hazards, and control measures under Netherlands regulations.

Download

Museum Risk Assessment

A Dutch-law compliant risk assessment document for museums, evaluating operational, collection, and safety risks while ensuring regulatory compliance.

Download

Local Risk Assessment

A mandatory workplace risk assessment document under Dutch law that identifies, analyzes, and evaluates occupational hazards and safety measures in compliance with Netherlands RI&E requirements.

Download

Fraud Risk Assessment For Banks

A Dutch-compliant fraud risk assessment framework for banking institutions, aligned with DNB requirements and EU regulations.

Download

Beauty Risk Assessment

A Dutch-compliant risk assessment document for beauty treatments, incorporating medical history review and treatment-specific risk evaluation under Netherlands healthcare regulations.

Download

Simple Fire Risk Assessment

A Dutch-compliant fire risk assessment document evaluating fire hazards and safety measures according to local regulations and the Arbowet.

Download

Risk Assessment Policy

A policy document establishing risk assessment procedures and responsibilities in compliance with Dutch legislation and regulations.

Download

Liquidity Risk Assessment

A regulatory-compliant assessment of an institution's liquidity risk profile and management framework under Dutch and EU financial regulations.

Download

Information Technology Risk Assessment

Dutch-law governed IT Risk Assessment agreement establishing framework for comprehensive technology risk evaluation, compliant with EU and Dutch regulations.

Download

Home Working Risk Assessment

A Dutch law-compliant assessment document for evaluating and managing health and safety risks associated with home-based working arrangements.

Download

Cyber Security Assessment

Dutch-law governed agreement for cybersecurity assessment services, defining assessment scope, methodology, and compliance requirements.

Download

Business Risk Assessment

A Dutch law-compliant business risk assessment document that identifies and analyzes organizational risks while providing mitigation strategies.

Download

Risk Assessment Executive Summary

A Dutch law-compliant executive summary document outlining key organizational risks, impacts, and mitigation strategies for senior management decision-making.

Download

Remote Access Risk Assessment

A technical and legal assessment of remote access systems and associated risks, compliant with Dutch and EU regulations.

Download

Workstation Risk Assessment

A Dutch regulatory-compliant assessment document evaluating workplace computer station safety and ergonomics, providing analysis and improvement recommendations under Arbowet requirements.

Download

Risk Assessment Letter

A formal document under Dutch law that evaluates and documents organizational or project risks, providing analysis and mitigation recommendations while ensuring compliance with Dutch regulatory requirements.

Download

Rapid Risk Assessment

A Dutch-compliant rapid evaluation tool for identifying and addressing workplace hazards and risks, aligned with the Arbeidsomstandighedenwet requirements.

Download

Hot Works Risk Assessment

A Dutch-compliant risk assessment document for managing safety hazards in hot works operations, aligned with Arbeidsomstandighedenwet requirements.

Download

Cyber Security Risk Assessment Matrix

A structured cybersecurity risk assessment document compliant with Dutch and EU regulations, used to evaluate and document organizational cyber risks and mitigation strategies.

Download

Compressed Air Risk Assessment

A Dutch law-compliant risk assessment document for evaluating safety aspects of compressed air systems in industrial settings, ensuring compliance with local and EU safety standards.

Download

Building Risk Assessment

A comprehensive risk evaluation document for construction projects in the Netherlands, ensuring compliance with Dutch building and safety regulations while protecting workers and public safety.

Download

Bribery And Corruption Risk Assessment

A Dutch law-compliant assessment document analyzing organizational bribery and corruption risks, evaluating control measures, and providing recommendations for enhanced compliance.

Download

Program Risk Assessment

A Dutch law-compliant document that assesses and documents program-related risks, providing comprehensive risk analysis and mitigation strategies.

Download

Organisational Risk Assessment

A comprehensive risk assessment document compliant with Dutch law and EU regulations, identifying and analyzing organizational risks with proposed mitigation strategies.

Download

Machine Guarding Risk Assessment

A technical assessment document evaluating machinery guarding systems and safety measures under Dutch and EU regulations, providing risk analysis and compliance recommendations.

Download

Demolition Risk Assessment

A mandatory technical document under Dutch law that evaluates and addresses safety risks associated with demolition projects, ensuring compliance with national safety and environmental regulations.

Download

Data Breach Assessment

A formal assessment document analyzing a data breach incident and its impacts, prepared in compliance with Dutch data protection laws and GDPR requirements.

Download

Return To Work Risk Assessment

A Dutch-compliant workplace risk assessment document facilitating safe employee return to work, aligned with Arbowet requirements and including necessary workplace modifications and control measures.

Download

Project Risk Assessment

A Dutch-compliant risk assessment document that identifies, analyzes, and provides mitigation strategies for project-related risks under Netherlands jurisdiction.

Download

Cleaning Risk Assessment

A Dutch law-compliant risk assessment document for identifying and controlling hazards in cleaning operations, ensuring workplace safety and regulatory compliance.

Download

Project Risk Assessment Process

A comprehensive Project Risk Assessment Process document aligned with Dutch legislation and international best practices for systematic project risk management.

Download

Audit Risk Assessment Matrix

A structured risk assessment tool used in Dutch audit engagements that complies with local and EU audit regulations while documenting and evaluating various audit risks.

Download

High Level Risk Assessment

A Dutch law-compliant high-level risk assessment document for identifying and evaluating organizational risks while ensuring regulatory compliance.

Download

Modern Slavery Risk Assessment

A Dutch law-compliant assessment framework for identifying and mitigating modern slavery risks in operations and supply chains.

Download

Vulnerability Assessment Matrix

A Dutch-compliant framework for systematically assessing and documenting organizational security vulnerabilities, aligned with local cybersecurity regulations and GDPR requirements.

Download

Cloud Computing Risk Assessment

A detailed risk assessment for cloud computing services compliant with Dutch and EU regulations, evaluating security, compliance, and operational risks.

Download

Hazard Identification Form

A Dutch-compliant workplace hazard identification and assessment document required under the Arbowet for documenting and managing workplace safety risks.

Download

Procurement Risk Assessment Matrix

A structured framework for assessing procurement risks under Dutch law, incorporating EU procurement directives and local regulatory requirements.

Download

Vulnerable Person Risk Assessment

A Dutch-law compliant risk assessment document for evaluating and managing risks associated with vulnerable individuals, ensuring appropriate care and protection measures.

Download
See more related templates

ұԾ’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; ұԾ’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

We are ISO27001 certified, so your data is secure

Organizational security:

You retain IP ownership of your documents and their information

You have full control over your data and who gets to see it