RISK ASSESSMENT RECORDING FORM

Location or
Address: 24 Saffron Gardens
Activity or
Situation: Outside in the garden.
(1)

Hazard

Date Assessment
Undertaken: 23/2/16
Review
Date:

Assessment undertaken
By: Christopher Cowap
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?

Someone could trip over in the

garden.

The person who trips, they could

bang their head.

Be extra careful outside.

Take the photos inside.

The bench the model is sitting on

could break.

The person who Is sitting on the

bench, they could get a scratch,
graze, splinter, impalement.

Only sit on the bench for a short

period of time.

Reinforce the bench.

Slip on the decking near the pond.

RISK RATING: 12
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