RISK ASSESSMENT RECORDING FORM
Location or
Address: PA.6, Priestley Building,
Priestley College, Loushers Lane, Warrington,
WA4 6RD.
Activity or
Situation: Magazine Cover Photoshoot.
(1)
Hazard
Date Assessment
Undertaken: 24/02/2016
Assessment undertaken
By: Luke Linforth
Review
Date:
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?
Electrocution from water going on
computers. 4x1
Photographer, model, students and
teachers using the room.
Keep water away from computer.
Re-enforce rule.
Tripping over chairs. 1x1
Photographer, model, students and
teachers using the room.
Tuck chairs under desks.
Re-enforce rule.
Banging into desks. 1x1
Photographer, model, students and
teachers using the room.
Walk slowly around desks.
Re-enforce rule.
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