Transit Safety Risk Assessment Matrix Worksheet

Worksheet for transit agencies to identify hazards, rate likelihood and severity, calculate risk level, and prioritize mitigations as part of the SMS Safety Risk Management process.

Assessment Details

• Assessment date
• Assessment scope and location
  Describe the route, facility, yard, station, shop, or operating area being assessed.
• Assessor name and role
  Enter the name and job title of the person completing the assessment.
• SMS / agency safety plan reference
  Reference the applicable safety plan, procedure, or program document used for this assessment.

Hazard Identification

• Hazard description
  Describe the observable hazard or unsafe condition in specific terms.
• Hazard location or operating context
  Identify where the hazard occurs, such as platform, roadway, maintenance bay, bus stop, or crossing.
• Exposed persons or assets
  Select all that apply for who or what may be affected by the hazard.
• Existing controls in place
  Document current controls, barriers, procedures, training, signage, or PPE already in use.

Risk Rating Matrix

• Likelihood rating
  Select the likelihood score based on the agency matrix.
• Severity rating
  Select the severity score based on the worst credible consequence.
• Risk level
  Determine the overall risk level from the matrix result.
• Risk score calculation
  Enter the calculated risk score or matrix value used to prioritize the hazard.

Mitigation Planning

• Recommended mitigation actions
  Describe the actions needed to reduce the risk using the hierarchy of controls where practical.
• Mitigation priority
  Select the implementation priority based on the assessed risk.
• Responsible owner
  Identify the person, department, or contractor responsible for implementing the mitigation.
• Target completion date
  Enter the planned completion date for the mitigation action.

Review, Escalation, and Sign-Off

• Residual risk after mitigation
  Rate the remaining risk after proposed controls are applied.
• Escalation required to management or safety committee
  Indicate whether the hazard requires escalation due to severity, uncertainty, or residual risk.
• Corrective action follow-up notes
  Document follow-up items, monitoring needs, or interim controls until mitigation is complete.
• Inspector signature