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Ver 2.

20
DIGITAL ARTS CENTRE - UNIVERSITY OF WORCESTER

Risk Assessment
A. Assessment Location & Details - Complete all boxes.
Address or GPS location of Assessment Type of Location Copies to: Contact details of Project Manager

Indoor Public Place Local Authority Name:


Outdoor Public Place Team Members
Indoor Private Place Location Owner / Maintainer Address:
Outdoor Private Place Local Police
Near Water Local Fire Brigade
Near Pylons Animal Welfare
Other Sub-contractors
Other
Contact number:

Overview of location use Team Members Date of Assessment

Date of Works

Name:
Assessor Date
Signature:

Name:
Checked by Date
Signature:

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Ver 2.20
DIGITAL ARTS CENTRE - UNIVERSITY OF WORCESTER

B. Hazard List - Tick all appropriate hazards from below.


1. Situation Hazards 2. Physical / Chemical Hazards 3. Health Hazards 4. Environmental Hazards

1.1 Asbestos 2.1 Contact with cold liquid / vapour 3.1 Disease causative agent 4.1 Litter
1.2 Assault by person 2.2 Contact with cold surface 3.2 Infection 4.2 Nuisance noise / vibration
1.3 Attack by animal 2.3 Contact with hot liquid / vapour 3.3 Lack of food / water 4.3 Physical damage
1.4 Breathing compressed gas 2.4 Contact with hot surface 3.4 Lack of oxygen 4.4 Waste substance released into air
1.5 Cold environment 2.5 Electric shock 3.5 Physical fatigue 4.5 Waste substance released into soil
1.6 Crush by load 2.6 Explosive blast 3.6 Repetitive action
1.7 Drowning 2.7 Explosive release of stored pressure 3.7 Static body posture
1.8 Entanglement in moving machinery 2.8 Fire 3.8 Stress 5. Other
1.9 Hot environment 2.9 Hazardous Substance
1.10 Intimidation 2.10 Ionizing radiation
1.11 Lifting Equipment 2.11 Laser light
1.12 Manual Handling 2.12 Lightning strike
1.14 Object falling, moving or flying 2.14 Noise
1.15 Obstruction / Exposed feature 2.15 Non-ionizing radiation
1.16 Sharp object / material 2.16 Stroboscopic light
1.17 Slippery surface 2.17 Vibration
1.18 Trap in moving machinery
1.19 Trip hazard
1.20 Vehicle impact / collision
1.21 Working at height

C. Risk Matrix for reference - Consider the severity of each ticked hazard from Part B.
Severity of Likely Probable Possible Remote Improbable
Harm

Fatal Extremely High High High Medium Low Consider all Medium, High
and Extremely High
Major Injury High High Medium Low Low determinations as
unacceptable risks.
Minor Injury Medium Medium Low Low Very Low Control measures must be
applied to reduce the risk.
No Injury Low Very Low Very Low Very Low Very Low

Machinery N/A N/A N/A N/A N/A

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Ver 2.20
DIGITAL ARTS CENTRE - UNIVERSITY OF WORCESTER

D. Assessment Findings - Document the risks found in Part B & Part C, the severity and people at risk.
Hazard Who’s Risk Likelihood Acceptable Control Measures Acceptable
(from Part B)
Exposed Outcome of Risk? with
(from Part C)
Occurrence (What has been done or needs to done to reduce the Controls?
(from Part C) risk?)
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No

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Ver 2.20
DIGITAL ARTS CENTRE - UNIVERSITY OF WORCESTER

Hazard Who’s Risk Likelihood Acceptable Control Measures Acceptable


(from Part B)
Exposed Outcome of Risk? with
(from Part C)
Occurrence (What has been done or needs to done to reduce the Controls?
(from Part C) risk?)
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No
Employee Fatal Likely
Young Person
Contractor
Major Injury
Minor Injury
Probable
Possible
Yes Yes
Public
Visitor
No Injury
Machinery
Remote
Improbable
No No

If any hazards are not acceptable even with controls you must not proceed with the works.
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