This document is a hazard analysis and risk assessment project template. It includes sections for describing a hazard, assessing its initial risk level based on severity and probability, identifying existing control measures, assessing post-control risk levels, and providing comments. Risk is determined using a matrix that assigns codes based on combinations of severity (ranging from catastrophic to negligible) and probability of occurrence (ranging from frequent to improbable).

1. BOS 3651— Unit IV Hazard Analysis/Risk Analysis Project
Student Name _ ______________________________________
Hazard Description
Exposure Interval
Type of Hazard
Initial Risk Assessment
Hazard Target(s) Severity Probability
Risk Code
[check all applicable] [worst credible] [for exposure
interval] [from matrix]
(with existing planned/designed-in
countermeasures)
Personnel
Equipment
Downtime

2. Environment
Product
Date
Activity
Additional Control Measures
Post-Control Measure Risk Assessment
Hazard Target(s) Severity Probability
Risk Code
[check all applicable] [worst credible] [for exposure
interval] [from matrix]
Personnel
Equipment
Downtime
Environment
Product
Code Each Risk Assessment:
Comments

3. SEVERITY:
1 – Catastrophic
2 – Critical
3 – Marginal
4 – Negligible

4. PROBABILITY
(Likelihood of Occurrence):
A – Frequent
B – Probable
C – Occasional
D – Remote
E – Improbable
RISK CODE:
H – High
S – Serious
M – Medium
L – Low
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