Blank Farm Risk Assessment Template

This is a blank farm risk assessment template that AgriOps members can download.

This template is in Microsoft Word format and gives you a blank risk assessment template to create risk assessments for your farm/agri-business. We have included a risk scoring matrix to generate the overall risk rating (Likelihood x Severity of Harm).

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How to Use the Blank Risk Assessment Template >

This guide will help you understand and effectively use the Blank Risk Assessment Template. Follow the steps below to complete the assessment accurately.

Step 1: Fill in Basic Information

  • Risk Assessment ID No: Assign a unique identifier for the risk assessment.
  • Task/Activity: Specify the task or activity being assessed.
  • Task Description: Provide a brief description of the task or activity.

Step 2: Identify Who is at Risk

  • In the section labeled “Who is at Risk?”, tick the applicable boxes to identify the individuals or groups that may be affected by the risks associated with the task. Options include:
    • Operators
    • Contractors
    • General Public
    • Other Employees
    • Visitors
    • Other (specify if necessary)

Step 3: Assess Hazards

  • How might the persons at risk be harmed? Describe the potential harm that could occur.
  • What are the Hazards? List the hazards associated with the task and provide a brief description of each.

Step 4: Evaluate Risks

  • Risk Rating: Use the Risk Scoring Matrix to evaluate the likelihood and severity of each hazard:
    • Likelihood of Occurrence: Rate as High (3), Medium (2), or Low (1).
    • Severity of Harm: Rate as Major (3), Serious (2), or Slight (1).
  • Calculate the overall risk rating using the matrix provided:
    • Low (1), Medium (2), High (3) against the severity levels.

Step 5: Current Control Measures

  • Document the current control measures in place to mitigate the risks associated with each hazard. This helps maintain the current risk rating.

Step 6: Additional Control Measures

  • Identify any additional control measures that are required to further reduce the risk. This may include new policies, procedures, or equipment.

Step 7: Personal Protective Equipment (PPE)

  • Specify any PPE required for the task to ensure safety.

Step 8: Policies and Procedures

  • List any relevant policies, procedures, or competency levels required for the task.

Step 9: Review and Approval

  • Risk Assessment Reviewed By: Include the name of the person who reviewed the assessment.
  • Date of Risk Assessment Review: Enter the date when the assessment was reviewed.
  • Next Review of Risk Assessment Due By: Set a date for the next review to ensure ongoing safety.