RISK ASSESSMENT RECORDING FORM

Location or Address: Back garden, Do s !o"se Acti+it* or Sit"ation Ca,t"ring ,!oto-s

/)0 1a2ard Risk

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

/%0 3!o #ig!t 4e !ar#ed and !o.5

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

/60 3!at contro s e7ist to red"ce risk

/&0 3!at action can 4e taken to 8"rt!er red"ce risk5

Could bang yourself on the corner of the dolls house Could trip over the small bench

2 1-4

The model near the house when moving around The model near the house when moving around

Risk rating 4- ! "ove close in front of the dolls house so youre not hitting the corners Risk rating 4- "ove around carefully# and watch your step! $ont rush

Cover the sides of the house is something soft so if knocked it wont hurt! Remove the bench

RISK RATING a SE9ERIT: ; & 6 % ) D*ing or 4eing ,er#anent * disa4 ed Serio"s in?"r*' ong ter# i ness Te#,orar* disa4i it*'6 da*s o88 sick 3i need #edica attention Minor in?"r* eg@ Br"ise, gra2e 4 LIKELI1OOD ; & 6 % ) 3i a #ost certain * !a,,en 1ig! * 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 4e done )<=%; Sto,> Do not start acti+it* again "nti risk is contro ed )(=); 1ig! risk e+e , 1ig! ,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 a4o"t risk 6=; Fair * o. risk e+e @ Lo. ,riorit* 4"t kee, ,ossi4 e action in #ind )=% Lo. or tri+ia risk@ No 8"rt!er action reB"ired@

SO: a 7 4 C c
Action ReB"ired Res,onsi4 e Derson Date 8or Co#, etion