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Risk Assessment Template

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RISK ASSESSMENT RECORDING FORM

Location or
Address: PA.16
Activity or
Situation Photo shoot
(1)

Hazard

Date Assessment
Undertaken: 29/01/2015
Review
Date:

Assessment undertaken
By: Reece McCormack
Signature

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce


risk

(4) What action can be taken


to further reduce risk?

Tripping over cables

The photographer or model

Tie the cables down so you cant


trip on them

Make sure that cables arent in the


way people will walk

Getting hit by a car

The photographer or model

Be safe crossing roads

Dont cross the road unless


necessary

Spilling water on the equipment

The equipment

Make sure liquids have lids

Dont take any liquids near


equipment

Eye strain on the computer

The photographer

Dont stay at the computer for a


long time

Have set times on the computor

1. List hazards something with the potential to cause harm here:


Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.
2. List groups of people who are especially at risk from the significant hazards which you have identified
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you expect to
gain.

(1)

Hazard

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce


risk

(5) What action can be taken


to further reduce risk?

RISK RATING
a SEVERITY

b LIKELIHOOD

c FINAL SCORE RATING: what needs to be done

Dying or being permanently disabled

Will almost certainly happen

Serious injury/long term illness

Highly likely to happen

Temporary disability/3 days off sick

Not so likely

Will need medical attention

Even less likely

Minor injury eg. Bruise, graze

Unlikely to happen at all

16-25 Stop! Do not start activity again until risk is


controlled
10-15 High risk level, High priority. Take action
straight away to control the risk
6-9
Medium risk level. Tighten up controls and
make a plan to do something about risk
3-5
Fairly low risk level. Low priority but keep
possible action in mind
1-2
Low or trivial risk. No further action
required.

SO: a x b = c
Action Required

Responsible Person

Date for Completion

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