RISK ASSESSMENT YOUNG PERSONS

NAME______________________ DESCRIPTION OF DUTIES __________________________________________________________________________ __________________________________________________________________________ 1 2 3 4 IS THE WORK BEYOND THE PERSONS PHYSICAL / PSYCHOLOGICAL CAPACITY? DOES THE WORK INVOLVE HARMFUL EXPOSURE TO AGENTS THAT ARE TOXIC, CARCINOGENIC OR HAVE ANY OTHER CHRONIC HEALTH EFFECT? DOES THE WORK INVOLVE EXPOSURE TO RADIATION? DOES THE WORK INVOLVE A RISK OF ACCIDENTS WHICH, IT MAY BE REASONABLY ASSUMED, CANNOT BE RECOGNISED / AVOIDED BY YOUNG PERSONS DUE TO THEIR INSUFFICIENT ATTENTION TO SAFETY OR LACK OF EXPERIENCE / TRAINING? If YES please specify on a separate page. IS THERE A RISK TO HEALTH FROM EXTREME COLD / HEAT? NOISE? VIBRATION? IF YES TO ANY OF THE ABOVE - IS THE WORK NECESSARY FOR TRAINING? WILL THE YOUNG PERSON BE SUPERVISED BY A COMPETENT PERSON? WHAT IS THE RISK OF EXPOSURE TO BIOLOGICAL, CHEMICAL, PHYSICAL AGENTS? WHAT IS THE RISK ASSOCIATED WITH THE HANDLING OF WORK EQUIPMENT? WHAT IS THE RISK ASSOCIATED WITH ASBESTOS? WHAT IS THE RISK OF COLLAPSING STRUCTURES? WHAT IS THE RISK ASSOCIATED WITH HV ELECTRICITY? WILL THE RISKS PRESENTED BE REDUCED TO THE LOWEST LEVEL THAT IS REASONABLY PRACTICABLE? VERY GOOD LEVEL OF EXPERIENCE LEVEL OF RELEVANT KNOWLEDGE LEVEL OF MATURITY GOOD
AVERAGE

OCCUPATION__________________________

Y/N Y/N Y/N

Y/N

Y/N Y/N Y/N Y/N Y/N H/M/L H/M/L H/M/L H/M/L H/M/L Y/N

6 7 8 9 10 11 12 13

FAIR

POOR

LEVEL OF SUPERVISION REQUIRED

HIGH
CONSTANT ATTENTION

MEDIUM
REGULAR ATTENTION

LOW
SUPERVISOR NEAR BY

SIGNED POSITION

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DATE _______________