RISK ASSESSMENT RECORDING FORM

Location or
Address: PA.6
Activity or
Situation Risk Assessment for photo-shoot
(1)

Hazard

Date Assessment
Undertaken: Friday 5th December 2014
Review
Date:

Assessment undertaken
By: Georgia Plant
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?

Tripping over a table or chair leg.

A1

Anyone who is in the room can do

this. They can be harmed by not
looking where they are going.

You can control this risk by being

more careful when walking around
the room.

You could remove all the chairs

and tables from the room.

Tripping over the wires.

A1

Anyone that is in the room.

The cables are stored under

benching.

Make sure all the wires are under

the benching.

Water going over the electronics.

A1

Anyone near a computer.

Dont have any liquids near the

electronics.

Have a drink outside the room.

Tripping over bags.

A2

Anyone wondering around the room.

Leave bags under the tables.

Make sure all the bags are kept

under the tables.

Eye strain from using the computer

too long.

A2

Anyone using a computer.

You can take a screen break so

your eyes dont get strained.

You can look around the room.

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

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

Minor injury eg. Bruise, graze

Unlikely to happen at all

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