You are on page 1of 2

RISK ASSESSMENT RECORDING FORM

Location or
Address: P1.9
Date Assessent
!nderta"en: 1#
t$
Dece%er &'1(
Assessent )nderta"en
*+: So,$ie Ra-.inson
Acti/it+ or
Sit)ation Editin0 o1 P$oto0ra,$s
Re/ie-
Date: N2A
Si0nat)re
314 5a6ard Ris" 3&4 7$o i0$t %e $ared and $o-8 3(4 7$at contro.s e9ist to red)ce
ris"
3:4 7$at action can %e ta"en
to 1)rt$er red)ce ris"8
Spilling drinks onto electrical
equipment
Tripping over tables and/or
chairs
Tripping over cables around
the room
Tripping over bags
4
1-4
1-4
1-4
User of computer
Any one alking around the
room
Any one alking around the
room
Any one alking around the
room
!ikely hood"1
#o drinks near $%
Arrangements of equipment
!ikely hood"4
%hairs pushed under the
tables
&aps beteen tables
!ikely hood" '
(nsuring equipment is
aay properly
!ikely hood"4
$utting bags aay under
the table
)an drinks from the room
*ake people follo rule
and stay in seats+
Stay in seat
)uy ireless headphones
,ollo the rules that have
been put in place
1+ !ist ha-ards soet$in0 -it$ t$e ,otentia. to ca)se $ar here"
Seek to quantify the level of risk t$e .i"e.i$ood o1 $ar arisin0 based on the number of persons affected. ho often they are e/posed to the ha-ard and the
severity of any consequence+
0+ !ist groups of people ho are especially at risk from the significant ha-ards hich you have identified
'+ !ist e/isting controls here or note here the information may be found
4+ !ist the risks hich are not adequately controlled and the action you ill take+ 1ave regard for the level of risk. the cost of any action and the benefit you e/pect to
gain+
314 5a6ard Ris" 3&4 7$o i0$t %e $ared and $o-8 3(4 7$at contro.s e9ist to red)ce
ris"
3;4 7$at action can %e ta"en
to 1)rt$er red)ce ris"8
RISK RATING
a SE<ERIT= % LIKELI5OOD c FINAL SCORE RATING: -$at needs to %e done
; D+in0 or %ein0 ,eranent.+ disa%.ed ; 7i.. a.ost certain.+ $a,,en 1#>&; Sto,? Do not start acti/it+ a0ain )nti. ris" is
contro..ed
: Serio)s in@)r+2.on0 ter i..ness : 5i0$.+ .i"e.+ to $a,,en 1'>1; 5i0$ ris" .e/e.A 5i0$ ,riorit+. Ta"e action
strai0$t a-a+ to contro. t$e ris"
( Te,orar+ disa%i.it+2( da+s o11 sic" ( Not so .i"e.+ #>9 Medi) ris" .e/e.. Ti0$ten ), contro.s and
a"e a ,.an to do soet$in0 a%o)t ris"
& 7i.. need edica. attention & E/en .ess .i"e.+ (>; Fair.+ .o- ris" .e/e.. Lo- ,riorit+ %)t "ee,
,ossi%.e action in ind
1 Minor in@)r+ e0. *r)iseA 0ra6e 1 !n.i"e.+ to $a,,en at a.. 1>& Lo- or tri/ia. ris". No 1)rt$er action
reB)ired.
SO: a 9 % C c
Action ReB)ired Res,onsi%.e Person Date 1or Co,.etion

You might also like