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Activity Based Risk Assessment Form for the United States

Activity Based Risk Assessment Form Template for United States

The Activity Based Risk Assessment Form is a comprehensive document used in the United States to evaluate and document potential hazards and risks associated with specific workplace activities. It complies with OSHA requirements and relevant state regulations, providing a structured approach to identifying, assessing, and controlling workplace risks. The form includes detailed sections for hazard identification, risk evaluation, and control measures, ensuring compliance with federal and state safety standards while promoting workplace safety.

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What is a Activity Based Risk Assessment Form?

The Activity Based Risk Assessment Form serves as a critical tool for organizations operating in the United States to systematically evaluate and document risks associated with specific workplace activities. This document is essential for compliance with OSHA regulations and state-specific safety requirements. It enables organizations to identify potential hazards, assess their likelihood and severity, and implement appropriate control measures. The form is particularly important in high-risk industries but is valuable across all sectors where workplace safety is a priority. It helps organizations maintain documentation of their risk management efforts and demonstrates due diligence in ensuring workplace safety.

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

1. Activity Information: Details of the activity being assessed, including location, date, and scope

2. Risk Assessment Team: Identification of individuals conducting the assessment and their qualifications

3. Hazard Identification: Systematic identification of potential hazards associated with the activity

4. Risk Evaluation: Assessment of likelihood and severity of identified risks

5. Control Measures: Existing and proposed measures to mitigate identified risks

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

1. Environmental Impact: Assessment of environmental risks when activity involves potential environmental impacts

2. Equipment Assessment: Specific evaluation of equipment-related risks when activity involves use of machinery or specialized equipment

3. Chemical Hazards: Detailed assessment of chemical-related risks when activity involves use of hazardous materials

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

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

2. Control Measure Checklist: Detailed checklist of required control measures

3. Emergency Procedures: Specific emergency response procedures related to identified risks

4. Reference Documents: List of relevant standards, procedures, and guidelines referenced

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

United States

Publisher

Ƶ

Cost

Free to use
Clauses




















Industries

OSHA Requirements: 29 CFR 1910 (General Industry Standards), 29 CFR 1926 (Construction Standards), and General Duty Clause Section 5(a)(1) - These form the backbone of workplace safety regulations in the US

Americans with Disabilities Act (ADA): Federal civil rights law requiring risk assessments to consider accessibility and reasonable accommodations for individuals with disabilities

State-Specific Health and Safety Regulations: Various state-level requirements that may impose additional or more stringent safety standards than federal regulations

Industry-Specific Regulations: Sector-specific requirements that vary based on the nature of activity (e.g., construction, healthcare, manufacturing)

EPA Regulations: Environmental Protection Agency requirements pertaining to environmental impacts and handling of hazardous materials

Record Keeping Requirements: OSHA 300 Log requirements and documentation retention periods for maintaining accurate records of workplace incidents and assessments

Privacy Laws: Including HIPAA for health information protection and general personal information protection requirements

Risk Management Standards: ISO 31000 Risk Management Guidelines and ANSI/ASSP Z690.3 Risk Assessment Techniques for standardized risk assessment approaches

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

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