SELECT DOCUMENT TYPE OR DELETE FIELD[ENTER DOCUMENT NUMBER]

[ENTER DOCUMENT NAME]Parent Procedure: [Enter Parent Procedure Number and Document Title]

ARTC Reference # ___ Version Number x.x Date Reviewed [Enter Date] This document is uncontrolled when printed.

Australian Rail Track Corporation CONFIDENTIAL Page 0 of 8

Risk Assessment Report(Insert Name of Risk Assessment)(Insert Date of Risk Assessment)

Risk Assessment Report (Insert Name of Risk Assessment)

(Insert Date of Risk Assessment)

Document Control

Risk Assessment <insert name of risk assessment>

Date Issued <insert date issued – leave blank when circulating as draft>

Version <insert version number or indicate as draft>

Prepared by <insert name of document author>

Purpose To <insert risk assessment objective(s)>

Endorsed by <insert name and title>

Approved By <insert name and title>

Date Approved <insert date approved – leave blank when circulating as draft>

ARTC Reference RSK-FM-003 Version Number 1.0 Date Reviewed 25 May 2016 This document is uncontrolled when printed.

Australian Rail Track Corporation CONFIDENTIAL Page 1 of 8

Risk Assessment Report (Insert Name of Risk Assessment)

(Insert Date of Risk Assessment)

TABLE OF CONTENTS

TABLE OF CONTENTS.......................................................................21. INTRODUCTION..........................................................................3

1.1. Purpose............................................................................................................................. 3

1.2. Background....................................................................................................................... 3

1.3. Methodology...................................................................................................................... 3

1.4. Risk Assessment Workshop..............................................................................................3

2. RISK INFORMATION....................................................................41.5. Overview of Identified Risks..............................................................................................4

APPENDIX 1 – SUMMARY OF REFERENCED DOCUMENTS......................6ATTACHMENT 1 – RISK ASSESSMENT.................................................................................7

ARTC Reference RSK-FM-003 Version Number 1.0 Date Reviewed 25 May 2016 This document is uncontrolled when printed.

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Risk Assessment Report (Insert Name of Risk Assessment)

(Insert Date of Risk Assessment)

1. INTRODUCTION1.1. Purpose This Risk Assessment Report provides a summary overview of risks, current controls and proposed controls associated with <summarise the activity or project under assessment>.

<If appropriate, include additional statements regarding any external requirements that need to be met, for example regulatory requirements>

1.2. Background<summarise key background information in this section – for example, scope and context>

1.3. Risk Assessment WorkshopA risk assessment workshop was held on <insert date/s> at <insert location/s>.

The risk assessment workshop was facilitated by <insert facilitator name, title>, with the following attendees:

<insert name, title, business unit>

<if appropriate, include statement regarding any additional input that was received following the risk assessment workshop>

1.4. MethodologyThe risk assessment was undertaken by conducting <insert statement regarding the methodology used, e.g. brain storming, bow tie, quantitative analysis etc>

<if appropriate, include any other information relevant to the methodology used for the risk assessment>

The risk assessment was conducted utilising the risk management framework and risk matrix as documented in RSK-PR-001 Risk Management Procedure OR RSK-WI-005 Project Risk Management <delete as necessary>.

ARTC Reference RSK-FM-003 Version Number 1.0 Date Reviewed 25 May 2016 This document is uncontrolled when printed.

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Risk Assessment Report (Insert Name of Risk Assessment)

(Insert Date of Risk Assessment)

2. RISK INFORMATION2.1 Overview of Identified Risks

<provide an overview summary of identified risks in a format appropriate for the risk assessment undertaken. See Risk Management intranet site for examples>

<additional sub headings may be added as deemed appropriate>

ARTC Reference RSK-FM-003 Version Number 1.0 Date Reviewed 25 May 2016 This document is uncontrolled when printed.

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Risk Assessment Report (Insert Name of Risk Assessment)

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3. PROPOSED TREATMENTS

<insert summary of proposed treatments. This may be through general summary statements/paragraphs that refer to Attachment 1, or summarised in a table – see below for examples in table format. Delete as required>

<OPTION 1 TABLE>

Proposed Treatment Planned Residual Risk Level

Person Responsible

Due Date How will this risk and control options be monitored?

<OPTION 2 TABLE>

Risk Issue Proposed Control Planned Residual Risk Level

Person Responsible

Due Date How will this risk and control options be monitored?

ARTC Reference RSK-FM-003 Version Number 1.0 Date Reviewed 25 May 2016 This document is uncontrolled when printed.

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Risk Assessment Report (Insert Name of Risk Assessment)

(Insert Date of Risk Assessment)

APPENDIX 1 – SUMMARY OF REFERENCED DOCUMENTS<if appropriate, include reference documents – if not, delete>

Number Title Date Version

<if appropriate, include other appendices and number accordingly>

ARTC Reference RSK-FM-003 Version Number 1.0 Date Reviewed 25 May 2016 This document is uncontrolled when printed.

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Risk Assessment Report (Insert Name of Risk Assessment)

(Insert Date of Risk Assessment)

ATTACHMENT 1 – RISK ASSESSMENT

<if appropriate, include other attachments and number accordingly>

ARTC Reference RSK-FM-003 Version Number 1.0 Date Reviewed 25 May 2016 This document is uncontrolled when printed.

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