General risk assessment form

Number Hazard Possible Risk rating H, M, L Detail existing Detail further Revised risk rating
effects/harm Indicate the rating controls action required to H, M, L
Something with the Where a group of prior to controls reduce risk Indicate the rating
potential to harm: people may be being in place. (See Provide details of Note the action following
hazards listed affected differently, page 7 for guidance control measures required, implementation of
should be all those for example young on rating the risk.) already in place. If responsible person controls.
present before people or expectant measures are and target date.
controls are in mothers, identify the detailed in other
place. separate documents, state
effects/harm and where.
risk rating.
1
2
3
4

Risk rating
Risk rating Action required
High
For example, Immediate action required.
 fatality possible to one or more individuals however infrequent
 major injury to few individuals occurring frequently
 likelihood of long term muscular-skeletal problems affecting significant
numbers of staff.
Medium
For example, Requires attention as soon as possible.
 major injury to one/few individuals occurring infrequently
 likelihood of long term muscular-skeletal problems affecting some staff.
Low
For example, minor injury occurring infrequently to few staff. Not a priority, may need attention if not as low as reasonably practicable.