Risk Assessment Survey - Sample



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|Company Name |      |

|Work field (please select) | |

|Company size (please select) | |

|Address |      |

|City |      |County |      |

|General Manager |      |

|Contact person |      |Position | |

| | |(please select) | |

|Phone |      |Fax |      |

|E-mail |      |Web Site |      |

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|LEVEL (please select one option) |Not at all |Not much |Maybe |Yes, |Yes, very |

| | | | |certainly |much |

|Do you think that a risk assessment is useful for your company? | | | | | |

|Do you have capacity to perform a risk assessment in your company? | | | | | |

|Does your company use a recognized training method to facilitate the improvement| | | | | |

|of general knowledge on risk? | | | | | |

|Are you looking for a training course in the field of risk management? | | | | | |

|Are you familiar with ISO 31000 and ISO 31010 standards on risk management? | | | | | |

|Do you want to implement in your company a management system based on the above | | | | | |

|mentioned standards? | | | | | |

|Is it understood in your company that risk is an integrant part of your | | | | | |

|business, is this fact accepted and does your company operate in this reality? | | | | | |

|Do the employees have a common perception on what risk means for the company / | | | | | |

|business? | | | | | |

|Does the company management encourage the reporting of events in order to | | | | | |

|identify the risks? | | | | | |

|Does the company effectively communicate the risk to the employees or | | | | | |

|stakeholders (internal and external)? | | | | | |

|Is it understood that the risk management effectiveness critically depends on | | | | | |

|data collection, analysis and dissemination of relevant data? | | | | | |

*Information provided by you through this survey will be used only in the MRI project: Cross - border cooperation for specialists training in the field of Industrial Risk Management (project site: mrisk.ro/irm).

**Optional. The data are useful in the design process of implementation activities of standards and in service risk assessment procedures, related to industrial facilities and equipments. They allow the assessment of information and relevant training needs and support dissemination activities related to industrial risk management.

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|LEVEL (please select one option) |Not at all |Not much |Maybe |Yes, |Yes, very |

| | | | |certainly |much |

|Risk assessment. Do you have any system and/or operational procedures that | | | | | |

|manage the processes of risk identification, measurement, ranking, treatment, | | | | | |

|monitoring and recording the risks which can affect the achievement of your | | | | | |

|organization’s objectives? | | | | | |

|Risk utilization in the decision making process. Records. Do you evaluate and | | | | | |

|record the risk when you make important decisions (launch of projects or new | | | | | |

|products, development of strategic plans, investment plans, works etc.)? | | | | | |

|Professional training. Is there any training method used to facilitate the | | | | | |

|knowledge improvement on risk? | | | | | |

|Information. Do you have enough data on events history, thus the organization | | | | | |

|could learn from its own mistakes? | | | | | |

|Inspections. Do you have implemented any inspection plans to reduce the inherent| | | | | |

|risks, which are periodically revised? | | | | | |

|The inspections cost. Do you report the inspections cost to its effectiveness? | | | | | |

|Do you control too much without having any proof of risk? | | | | | |

|Warning systems. Do you have monitoring systems in the potential high risk areas| | | | | |

|that identify the changing of risk level? Can these systems be identified in | | | | | |

|situ in a suitable manner? | | | | | |

|Preparing for unlikely events. Do you have plans for emergency situations | | | | | |

|related to unlikely events but with major consequences, which can stop the | | | | | |

|company’s activity? | | | | | |

|Risk transfer. Does your company use instruments for risk transfer or sharing | | | | | |

|with other organizations (e.g. insurance companies)? | | | | | |

|Risk review. Do you have a risk review process, after implementation of the | | | | | |

|mitigation measures / controls for identified risk? | | | | | |

|Limitations. What are the limitations that impede you to implement the risk | |

|mitigation plans? | |

|Risk. Which do you think could be the main risk for your company? | |

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