Sample Page

Employee Name *

Prénom

Nom

Project / Client

Date / Time

Single Line Text

Hours

Hourly Rate

Notes

Risk Identification - Détectabilité *

Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Strongly Agree	Strongly Agree
Strongly DisagreeOccurrence Strongly Disagree	DisagreeOccurrence Disagree	NeutralOccurrence Neutral	AgreeOccurrence Agree	Strongly AgreeOccurrence Strongly Agree	Strongly AgreeOccurrence Strongly Agree	Strongly AgreeOccurrence Strongly Agree

Please select appropriate level of risk

Risk Identification - Sévérité *

Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Strongly Agree	Strongly Agree
Strongly DisagreeOccurrence Strongly Disagree	DisagreeOccurrence Disagree	NeutralOccurrence Neutral	AgreeOccurrence Agree	Strongly AgreeOccurrence Strongly Agree	Strongly AgreeOccurrence Strongly Agree	Strongly AgreeOccurrence Strongly Agree

Please select appropriate level of risk

Risk Identification - Occurrence *

Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Strongly Agree	Strongly Agree
Strongly DisagreeOccurrence Strongly Disagree	DisagreeOccurrence Disagree	NeutralOccurrence Neutral	AgreeOccurrence Agree	Strongly AgreeOccurrence Strongly Agree	Strongly AgreeOccurrence Strongly Agree	Strongly AgreeOccurrence Strongly Agree

Please select appropriate level of risk