Task & Work Environment
Tell us about the job and where you're working
Hazard Identification
What dangers could be present?
Look at the work area and the task. Think about what could go wrong. Check each hazard that might be present. It is better to check too many than to miss one.
Human Factors Assessment
Are YOU ready to do this work safely?
IMSAFE Self-Check
Before starting any work, ask yourself these questions honestly. Check the box if the answer is YES — meaning it could affect your ability to work safely today.
Common Daily Factors
Things that happen on the job that can increase risk. Check any that apply today.
Personal Considerations
These are personal. Only you know the answer. Be honest with yourself.
Other Considerations
These are common traps that experienced workers sometimes fall into.
Risk Matrix
Your risk level — calculated from what you told us
| Probability ↓ / Severity → | Catastrophic | Critical | Marginal | Negligible |
|---|---|---|---|---|
| 5 — Frequent | HIGH | HIGH | SERIOUS | MEDIUM |
| 4 — Probable | HIGH | HIGH | SERIOUS | MEDIUM |
| 3 — Occasional | HIGH | SERIOUS | MEDIUM | LOW |
| 2 — Remote | SERIOUS | MEDIUM | MEDIUM | LOW |
| 1 — Improbable | MEDIUM | MEDIUM | LOW | LOW |
Click any cell, row header, or column header to adjust
Severity — How bad could it be?
Probability — How likely is it?
Risk Controls
What are you doing to make it safer?
How to use: For each level, pick the control that fits your task. Start at the top — the green controls are the most effective. Work your way down. PPE at the bottom is the least effective and should be your last resort.
Residual Risk
How much risk is left after your controls?
Sign Off
Sign your name and you're done