RISK ASSESSMENT

RISK

HAZARD

ACTIVITY

IN PLACE

PRECAUTIONS

H/M/L

Transport

Crashing

Be careful when driving.

N/A

N/A

N/A

Filming

Tripping on cables

Be careful when
walking.

Move any
unneeded
cables.

On the
day

Morgan Pye

Drinking coffee

Spilling it over yourself and

burning yourself

N/A

L
Have a cold drink.

Med kit is
located behind
the bar.

N/A

Please leave this section blank:

Risk Assessment checked by:

KEY:

Name ..

Signed .

Activity :

Describe the component part of your pursuit.

Hazard :

List the things you anticipate might cause harm or the things associated with your activity that have the
potential to cause harm. Consider the likely harm.

Date

Risk:

Assess the risk as either H (High), M (Medium) or L (Low). When concluding your assessment consider all of
the circumstances.

Precautions:

Consider what you could do to minimise / negate the risk.

In Place:

Will the precautionary measures be in place at the time of the activity?

Review Date:

When would it be reasonable to review your assessment? Remember it might be whilst you are undertaking
the activity.

Reviewer:

Name of the person responsible for completing the risk assessment.

A copy of this form should be taken on the activity or visit by the Reviewer.

V9/PALL/sspi/reviewedOct2010