This worked example demonstrates how to keep a task, hazard, possible consequence, existing arrangement and follow-up question connected. It is not a site risk assessment or an instruction to use these controls.
Worked example
Illustrative task: deliveries enter an area also used by pedestrians. The example identifies the vehicle/pedestrian interface and a possible struck-by consequence. It records that the current separation arrangement needs verification. It deliberately avoids assigning invented numerical risk ratings or declaring the activity safe.
Use the resource
Use your organisation’s approved assessment method and competent participants for real work. Replace the fictional context, establish the actual conditions and evidence, and agree who can decide and review controls. Keep a record of assumptions and information that remains unavailable.
Worked record
| Task | Hazard/interface | Possible consequence | Evidence question | Action owner | Review evidence |
|---|---|---|---|---|---|
| Delivery movement | Vehicle/pedestrian interface | Person struck by moving vehicle | Does the actual route match the documented arrangement? | Assign competent responsible person | Record observation and agreed review result |
How to use it
- Describe the real task and affected people.
- Record observed arrangements and missing evidence.
- Use the approved method to assess and decide controls.
- Assign implementation and review; retain the evidence.
Your working record
Enter your information, then download a copy to keep it. Entries stay in this tab and are not saved automatically.
Blank record
Download a blank copy for offline reference or printing. Complete the editable record above to save your entries.
Download blank recordRelated guidance and resources
Source context
- Current Diba consulting services
Eight client-approved service categories; not assignment-specific capacity.
- Department of Employment and Labour: OHS Act
General statutory context; not legal approval of this guidance.
Source context checked 6 October 2026. Examples are illustrative.