RISK ASSESSMENT RECORDING FORM

Location or
Address: P19
Date Assessment
nderta!en: 1"#1$#1%
Assessment &nderta!en
'(: Natas)a
Acti*it( or
Sit&ation Editin+ P)oto,s
Re*ie-
Date: n#a
Si+nat&re
.1/ 0a1ard Ris! .$/ 2)o mi+)t 3e )armed and )o-4 .%/ 2)at contro5s e6ist to red&ce
ris!
.7/ 2)at action can 3e ta!en
to 8&rt)er red&ce ris!4
The room is full of computers; a drink
could spill into one of them and
cause an electrical shock or worse.
Tripping over chairs or tables
Tripping over cable/wires
Tripping over bags
4
1-4
1-4
1-4
The user on computer
Anyone walking about in the room
Anyone walking around in the room
Anyone walking around in the room
isk rating 1. !o drinks by the
computers and computer e"uipment
hid in its own compartment.
isk rating 4.Tuck chairs under tables
and leave gaps ne#t to each of the
tables.
isk rating $. %nsure all cable wires
are tucked away.
isk rating 4-&. %nsure all bags are
under the table.
!o drinks allowed out at all in the
room.
'ake people follow the rules( and
stay seated no walking around.
)ave wireless head phones
instead or make sure people
follow the rules.
'ake sure all rules are followed.
RISK RATING
a SE9ERIT: 3 LIKELI0OOD c FINAL SCORE RATING: -)at needs to 3e done
; D(in+ or 3ein+ <ermanent5( disa35ed ; 2i55 a5most certain5( )a<<en 1"=$; Sto<> Do not start acti*it( a+ain &nti5 ris! is
contro55ed
7 Serio&s in?&r(#5on+ term i55ness 7 0i+)5( 5i!e5( to )a<<en 1@=1; 0i+) ris! 5e*e5A 0i+) <riorit(B Ta!e action
strai+)t a-a( to contro5 t)e ris!
% Tem<orar( disa3i5it(#% da(s o88 sic! % Not so 5i!e5( "=9 Medi&m ris! 5e*e5B Ti+)ten &< contro5s and
ma!e a <5an to do somet)in+ a3o&t ris!
$ 2i55 need medica5 attention $ E*en 5ess 5i!e5( %=; Fair5( 5o- ris! 5e*e5B Lo- <riorit( 3&t !ee<
<ossi35e action in mind
1 Minor in?&r( e+B 'r&iseA +ra1e 1 n5i!e5( to )a<<en at a55 1=$ Lo- or tri*ia5 ris!B No 8&rt)er action
reC&iredB
SO: a 6 3 D c
Action ReC&ired Res<onsi35e Person Date 8or Com<5etion