RISK ASSESSMENT RECORDING FORM

Location or Address: Back garden, ta !e and enc" Acti,it+ or Sit*ation Ca-t*ring -"oto.s
0)1 2a3ard Risk

Date Assess#ent $ndertaken: %&'(%')& Re,ie/ Date: n'a

0%1 4"o #ig"t e "ar#ed and "o/5

Assess#ent *ndertaken B+: Natas"a Signat*re

061 4"at contro!s e7ist to red*ce risk

0&1 4"at action can e taken to 8*rt"er red*ce risk5

Could fall down the step Trip over bench

1-5 1-4

Anyone close to the step moving around. Anyone near the bench and table moving around Anyone sat on the bench beneath the window ledge

!is" rating #-4 $eep away from the step and watch their step. !is" rating 4-5 %ove around carefully and watch your step. &on't rush 1-4 (it on the opposite side away from the window ledge

)ut something down on the floor after the step which won't hurt if they fall into it. &on't move off the bench or "eep at least 1m away from the bench %ove the bench and tables away from the window ledge

Bang your head on the window ledge

RISK RATING a SE9ERIT: ; & 6 % ) D+ing or eing -er#anent!+ disa !ed Serio*s in?*r+'!ong ter# i!!ness Te#-orar+ disa i!it+'6 da+s o88 sick 4i!! need #edica! attention Minor in?*r+ eg@ Br*ise, gra3e

1-4

LIKELI2OOD ; & 6 % ) 4i!! a!#ost certain!+ "a--en 2ig"!+ !ike!+ to "a--en Not so !ike!+ E,en !ess !ike!+ $n!ike!+ to "a--en at a!!

c FINAL SCORE RATING: /"at needs to e done )<=%; Sto-> Do not start acti,it+ again *nti! risk is contro!!ed )(=); 2ig" risk !e,e!, 2ig" -riorit+@ Take action straig"t a/a+ to contro! t"e risk <=A Medi*# risk !e,e!@ Tig"ten *- contro!s and #ake a -!an to do so#et"ing a o*t risk 6=; Fair!+ !o/ risk !e,e!@ Lo/ -riorit+ *t kee-ossi !e action in #ind )=% Lo/ or tri,ia! risk@ No 8*rt"er action reB*ired@

SO: a 7
Action ReB*ired

Cc
Res-onsi !e Derson Date 8or Co#-!etion