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RISK ASSESSMENT RECORDING FORM

Location or
Address: P.19
Activity or
Situation: Editing
(1)

Hazard

Computer overheating.

Date Assessment
Undertaken: 28/01/16
Review
Date: 10/02/16

Assessment undertaken
By: Michael Barker
Signature

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce


Risk

(4) What action can be taken to

A1
B3

The person using the computer.

The air conditioner (cools the


temperature).

Turning off the computer.

further reduce risk?

The person to not run and be


sensible in the room.

Falling over bags and chairs.

A2
B4

The person who fell, or someone


near where they fell.

Keeping bag and chairs under


tables.

Eye strain.

A1
B2

Someone using the computer.

The amount of time spent on the


computer.

The brightness setting on the


computer.

Water near plug sockets and


computers.

A5
B2

The person using the computer or


near the plug socket.

Not having any drinks or liquid


substance in the room.

Using safety plugs in any sockets


not in use.

Tripping over cables.

A2
B3

People walking around the room.

Tidying the room.

Wrapping wires up, so theyre not


sticking out.

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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