$29 | Word file with tick boxes and type-in fields, plus a printable PDF
A practical form for assessing one task, job or work area at a time. Walk through the work with the people who do it, list each hazard, rate the risk, and plan controls that start with the most effective option. Every action gets an owner, a due date and a check that it worked, so nothing stalls after the walk-through.
Instant download in Word and PDF, with lifetime access. Also included in Pro and Team memberships.
What's Included
- Assessment Details: the task or area, who assessed it, who was consulted and why the assessment is being done
- Find the Hazards: tick-box prompts across nine hazard categories, from noise and machinery to fatigue and working alone
- Risk Rating Guide: a simple 4 by 4 likelihood and severity grid with clear actions for Low, Medium, High and Critical risks
- Hazard Register: one line per hazard, with existing controls and the risk score
- Control Plan: the hierarchy of controls explained with examples, then an action table with owners, due dates, a done check and the risk after controls
- Communication, Sign-Off and Review: who was told, the next review date, reasons to reassess sooner and a review history
- Jurisdiction Notes: where the hazard assessment rules sit in each province, territory and federal workplace (except Quebec)
- 6 pages. Add your company name once, then keep a copy for each assessment
Where It Applies
One version that works in every province and territory except Quebec, plus federally regulated workplaces.
Who It's For
Small and growing Canadian businesses, and the owners, supervisors and safety representatives who plan and record hazard assessments.
Important Note: This form gives general information, not legal advice. Rules were checked against official government sources on October 4, 2026. Some industries, such as construction, mining and health care, have extra rules not covered here.
