Complete all sections before commencing electrical maintenance work
| Initial Risk Rating | |||
|---|---|---|---|
| Likelihood (1–5) | Severity (1–5) | Risk Score (L×S) | Rating |
| — | — | ||
Low (1–6) Medium (7–14) High (15–25)
| Action Required | Responsible Person | Target Date |
|---|---|---|
| Technician Name | Signature | Date Briefed |
|---|---|---|