Site Risk Assessment

Complete the form below to submit a Site Risk Assessment

When to use this form: For any deliveries that cannot be done, and must return to the store

Report Form: Site Risk Assessment

Your Name (Driver Name)

Name

Your Driver App Number

Name

Attach Photos Showing The Issues

Max. file size: 2 GB.

Attach Photos Showing The Issues

Max. file size: 2 GB.

Attach Photos Showing The Issues

Max. file size: 2 GB.

Time

Date

Dingo Job Number

Risk Assessment

In your own words explain the Hazards

Risk Rating > Use the Risk Matrix above to assess the Liklihood (Left), and Consequence (Top) to determin the Risk Rating (At the bottom)

Control Measures > Can you do anything to reduce the risk rating, such as moving vehicles out of the way?

Residual Risk Rating > After control measures have been implemented, what is the new Risk Rating?

After controls have been implemented, is the risk low enough to perform the task safely?