Occupational risk assessment models currently available in most cases are non-systematic and do not contain the clear approach to risk assessment. In accordance with the current Russian regulatory documents, the employer applies the results of special assessment of the working conditions for identification and assessment of risk levels and independently selects any existing methodology based on the specifics of its organization activities. Occupational management system begins with the identification of the occupational safety policy in the organization, the formation of the goals and objectives of the policy and the distribution of the responsibilities of line managers and ordinary employees. Each employee, to one degree or another, should take part in the formation of this system, in the development of occupational safety documentation in full cooperation of all the employer representatives. The most important part of the occupational safety management system at the enterprise should be: planning and approval of risk assessment procedure, identification of risks and determination of the required «barriers», selection of risk assessment methodology, and risk analysis, making decisions about the level of risks, and, in conclusion, defining measures on the reduction of the occupational risk level. The article shows the application of «Consequences and probabilities matrix» method (GOST R ISO/IEC 31010—2011). The proposed version of the occupational risk assessment method differs by the specifity of the description of risk ranking and assessment on the risk scale and the priority of measures on its reduction. The method is based on the assessment of consequence severity indicators and the likelihood of the occurrence of the event leading to health damage, which is performed in the specific organization by the working group on risk assessment. The method can be modified and applied to the assessment of the occupational risks at the performance of various production processes.