RISK ASSESSMENT RECORDING FORM

Location or Address: Phoenix Skate Park Acti)it' or Sit%ation Photoshoot*

-$. /a0ard Risk

Date Assess ent !ndertaken: "#$#$" Re)ie+ Date: N#A

-1. 2ho i,ht 3e har ed and ho+4

Assess ent %ndertaken &': Scott Car(in Si,nat%re

-5. 2hat contro(s exist to red%ce risk

-". 2hat action can 3e taken to 6%rther red%ce risk4

Falling into bowls. Getting hit by a Skateboarder, Biker etc

4 4

Anyone in the skate park. Anyone in the skate park

Likely hood: 2 Likely hood 2

Be caref l when walking aro nd. Be caref l and tell people what yo !re doing and to look o t.

". List ha#ards so ethin, +ith the 7otentia( to ca%se har here: Seek to $ antify the le%el of risk the (ike(ihood o6 har arisin, based on the n &ber of persons affected, how often they are e'posed to the ha#ard and the se%erity of any conse$ ence. 2. List gro ps of people who are especially at risk fro& the significant ha#ards which yo ha%e identified (. List e'isting controls here or note where the infor&ation &ay be fo nd 4. List the risks which are not ade$ ately controlled and the action yo will take. )a%e regard for the le%el of risk, the cost of any action and the benefit yo e'pect to gain.

-$.

/a0ard

Risk

-1. 2ho

i,ht 3e har ed and ho+4

-5. 2hat contro(s exist to red%ce risk

-8. 2hat action can 3e taken to 6%rther red%ce risk4

RISK RATING a SE9ERIT: 8 " 5 1 $ D'in, or 3ein, 7er anent(' disa3(ed Serio%s in>%r'#(on, ter i((ness 3 LIKELI/OOD 8 " 5 1 $ 2i(( a( ost certain(' ha77en /i,h(' (ike(' to ha77en Not so (ike(' E)en (ess (ike(' !n(ike(' to ha77en at a(( c FINAL SCORE RATING: +hat needs to 3e done $;<18 Sto7= Do not start acti)it' a,ain %nti( risk is contro((ed $?<$8 /i,h risk (e)e(@ /i,h 7riorit'* Take action strai,ht a+a' to contro( the risk ;<A Medi% risk (e)e(* Ti,hten %7 contro(s and ake a 7(an to do so ethin, a3o%t risk 5<8 Fair(' (o+ risk (e)e(* Lo+ 7riorit' 3%t kee7 7ossi3(e action in ind $<1 Lo+ or tri)ia( risk* No 6%rther action reB%ired*

Te 7orar' disa3i(it'#5 da's o66 sick 2i(( need edica( attention

Minor in>%r' e,* &r%ise@ ,ra0e

SO: a x 3 C c
Action ReB%ired Res7onsi3(e Person Date 6or Co 7(etion