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Fatigue risk assessment template

This template provides a practical starting structure for a fatigue risk assessment. Adapt it to your organisation, sector, and competent person requirements before use.

Note: This template supports documentation. It does not guarantee legal compliance or replace professional judgement.

Field Entry
Organisation / site
Assessment scope (roles, locations)
Assessor(s)
Competent person reviewer
Date
Review date / triggers

Describe the duties, typical hours, shift types, and operational context. Include peak periods, disruption patterns, and commuting considerations where relevant.

Hazard Who may be affected Existing controls
Extended shifts / overtime
Night or early-morning work
Insufficient rest between shifts
Consecutive working days
High workload / monotony
Environmental factors (heat, noise, isolation)

For each significant hazard, describe the likelihood and potential severity of harm after existing controls. Note any gaps.

Action Owner Target date Status
Role Name Date
Assessor
Competent person review
Operational approval (if required)
Date Change / trigger Reviewer Outcome

A downloadable document version (PDF/DOCX) may be added in a future update.