RISK ASSESSMENT RECORDING FORM

Location or
Address: Priestley collage P1.9
Activity or
Situation: editing
(1)

Hazard

Date Assessment
Undertaken:
26/1/2016
Review
Date:

Assessment undertaken
By:
Ricky Chin
Signature

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce

risk

(4) What action can be taken

Falling over wires.

A1
B2

Crew member might fall over

tangled wires.

Use wire ties to prevent the wires

tangling.

Placing all the wires under the

desks and tables.

Falling over chairs.

A1
B2

Crew member might fall over chairs.

Pull all chairs under the desks

properly.

Make sure no one runs near the

chairs.

Eye strain

A1
B2

Crew members eyes might strain by

looking at a screen too long.

Take breaks between editing.

Place a screen filter to dim the

screen.

Seizure

A4
B3

Crew member may have a seizure

by looking at flashing lights.

Make the room a bright area.

Make sure crew members dont

look at flashes directly.

Crew member being shocked by wet

plug

Dont place drinks near sockets

Dont touch wet sockets

Wet plugs

A3
B2

To further reduce risk?

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.
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