RISK ASSESSMENT RECORDING FORM

Location or
Address: 12 holly road, Haydock
Activity or
Situation: Photoshoot
(1)

Hazard

Date Assessment
Undertaken: 06/3/16
Review
Date:

Assessment undertaken
By: Olivia Campbell
Signature

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce

risk

(4) What action can be taken

Somebody trip over the plant pot in

the garden or they could get in the
way

The person walking past the plant

pot

Could trip and bang their head on

an object

Move the plant pots out the way or

stand away from them

Somebody could trip over the table

and chairs in the garden

The person who is in the garden

moving around

Tuck chair and tables under the

table

Minimise the amount of movement

in the garden

The person moving about near the

shoes

Move the shoes out the porch

Move the shoes out the porch

Somebody could trip over the shoes

in the porch way

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.

(1)

Hazard

Somebody could trip over my rug in

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce

risk

(5) What action can be taken

To further reduce risk?

The person who Is moving around

near the rug

Move the rug away or make sure it

is down properly

Stand away from the rug

the front room

Somebody could trip over the leg rest
in the middle of the room

The person who is moving around

near the leg rest

Move the leg rest out of the way

Move the leg rest out of the middle

of the room

Somebody might slip on the mat near

the front door

The person who is stood near the

front door

Move the mat out the way

Make sure the model does not

mess around near the mat and
keeps stood still whilst standing on
it

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