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RISK ASSESSMENT RECORDING FORM

Location or
Address: large Woods
Activity or
Situation: Spread Sheet Photography
(1)

Hazard

Date Assessment
Undertaken: 1/03/2016
Review
Date:

Risk

(2) Who might be harmed and how?

Assessment undertaken
By: Tom Lynock
Signature

(3) What controls exist to reduce


risk

(4) What action can be taken


To further reduce risk?

Tripping over twigs and branches

A:2
B:4
T:8

Myself and my model

Be wary of where stepping when


moving to the location

Stick to the main paths of the


woods before venturing off into the
deeper sections.

Temperature

A:3
B:3
T:9

Myself and my model

When not in photography clothes,


wrap up in warm clothing

If no suitable clothing is available,


return to a suitable location and
wait for the weather to improve
temperature wise.

Scratching arms and legs on braches

A:2
B:2
T:4

Myself and my model

Be wary of areas with lots of old


trees

Nothing can be done further to


reduce this risk.

Falling off of trees that are being


used in photo shoot

A:3
B:3
T:9

My model

When climbing on the trees, be


wary of foot positioning

Use a different tree.

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

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