RISK ASSESSMENT RECORDING FORM

Location or
Address: P1-16
Activity or
Situation: Production of advertisements
(1)

Hazard

Date Assessment
Undertaken: 10/12/14
Review
Date:

Assessment undertaken
By: Nicholas May
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?

cables

A3

You or the model may be harmed by

falling over them.

Tape over the wires to keep them in

place

Keep them hidden away

chairs

A2

The model or you may be harmed if

you trip over a chair leg sticking out

Keep all chairs tucked away

Be aware of surroundings

water

A1

The computers may get damaged

threw water

Keep any beverages away from water

Do not have water in the lesson

eye strain

A3

Your eyes may begin to hurt

Take regular brakes from the

computer

Do eye focusing exercises to keep them stimulated

tables

A2

You may stub your toe on a table or

run into one

Keep all tables at a moderate distance

from the activity

Dont run near tables.

cupboards

A2

Cupboard doors may be open and

someone may whack their head on
them

They can be closed

Be aware of the environment around you before

making any sudden movements

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