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FORM05
Individual Risk Assessment Form
For assessing and managing risks to service users, staff, and others.
Risk Details

Person's Name (or generic risk title): [Person's Name (or generic risk title)]

Date of Assessment: [Date of Assessment]

Hazard Identified: [Hazard Identified]

Who Is at Risk?: [Who Is at Risk?]

Current Control Measures in Place: [Current Control Measures in Place]

Risk Rating

Likelihood (1=Rare, 2=Unlikely, 3=Possible, 4=Likely, 5=Almost Certain): [Likelihood (1=Rare, 2=Unlikely, 3=Possible, 4=Likely, 5=Almost Certain)]

Severity (1=Negligible, 2=Minor, 3=Moderate, 4=Major, 5=Catastrophic): [Severity (1=Negligible, 2=Minor, 3=Moderate, 4=Major, 5=Catastrophic)]

Additional Controls Required: [Additional Controls Required]

Residual Risk Rating (after controls): [Residual Risk Rating (after controls)]

Review Date: [Review Date]

Assessor Name: [Assessor Name]

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Individual Risk Assessment Form

For assessing and managing risks to service users, staff, and others.

⚠️ Fill in your details below. Download a pre-branded PDF version of this form for use in your service.
Organisation Details
Risk Details
Risk Rating

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