Risk Assessment

1.

Title

Completion
Expiry Date
date
College/ College of Business, Department/
Engineering & Mathematics
Directorate Technology & Engineering Institute
Print
name
Assessor Title/role/position Student
Sign

Print
Authorised name
Title/role/position
by
Sign

2. Reviews
Date Reason for review Reviewer name & signature Approver name & signature

Print Print

Sign Sign

Print Print

Sign Sign

Print Print

Sign Sign
Type of document e.g. SOP,
3. Documents referred to in this RA other risk assessment,
MSDS
- -
- -
- -
- -

Page 1 of 9
4. Description of the Process / Activity provide a full description of the process(es)

5. Location(s)
JCB Heavy Products: Uttoxeter
Sheffield Hallam University: Sheffield
Personal House: Uttoxeter

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 6. Hazardous Substances/COSHH

Name of chemical, substance or Quantity Hazardous properties Precautions for safe use Waste disposal
product (state strength of or If including H codes, ensure you insert If including P codes, ensure you insert the
solution, if diluted) volume the relevant text for each relevant text for each

Action in event of spillage or accidental release:

Page 3 of 9
Outline any hazardous chemical reactions:

Page 4 of 9
7. Risk estimation

Description of Hazard Who is at risk? Safety precautions Risk level

(Look at
section 8)

Use the risk reference matrix on the next page to determine the risk level

Page 5 of 9
8. Risk Reference matrix use this to determine the risks in the Hazards and Safety Precautions table

LIKELIHOOD of harm
Contact
Unlikely that Likely that
Contact with with Contact with
contact with contact with
hazard will hazard hazard will
hazard will hazard will
not occur could occur
occur occur
occur

No first aid required NEGLIGIBLE NEGLIGIBLE LOW LOW LOW

None, or very minor

injuries, not
requiring urgent first
aid treatment and
not requiring further NEGLIGIBLE NEGLIGIBLE LOW MEDIUM MEDIUM
medical treatment
Little or no
significant adverse
health impact
Less serious
injuries, requiring
urgent first aid
and/or GP or
outpatient hospital
treatment. Not likely
to lead to disability. LOW LOW MEDIUM HIGH HIGH

Moderate or short-
term, recoverable
illness, not likely to
lead to permanent
condition
Major injuries
SEVERITY of harm

requiring inpatient
hospital treatment;
injuries resulting in
permanent
disability.
LOW MEDIUM HIGH INTOLERABLE INTOLERABLE
Potentially life
threatening or life
shortening disease
or condition, or
chronic (ie long
term) illness
Fatality LOW MEDIUM HIGH INTOLERABLE INTOLERABLE

NEGLIGIBLE No further action needed

LOW Monitor the risks and the control measures
Monitor the risks and maintain strict control measures. Activity may not suitable for lone
MEDIUM
workers
HIGH Introduce further controls to lower the risk. Re-assess before proceeding
DO NOT PROCEED. Introduce further controls to lower the risk. Re-assess before
INTOLERABLE
proceeding

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9. Personal Protective Equipment (PPE: including Respiratory Protective Equipment - RPE)

Gloves Eye/Face protection Clothing

Type of PPE
(Tick appropriate box) (Tick appropriate box) (Tick appropriate box)

EN166 1-F3, EN166 389 BTS

EN166 1-F3, EN166 389 BTS

(EN388, EN511,EN420)
(EN374-2, EN374-3)

(No BSEN number)

lab coat or overall

High vis coat/vest

(EN471 class2)
(EN388, EN407)

Face visor (UV)

Face Visor (N2)

(D166 - 349B)

Safety glasses

Ear defenders
Safety shoes
(EN166 1F)

(EN345-1)
Heatproof
(EN455)

(EN511)

(EN352)
Goggles
Leather

Aprons
Nitrile

Vinyl

Cryo
Outline the stage of the
process that PPE is
required

Other PPE or RPE required

Masks will be required while at JCB site and Sheffield Hallam University

10. Emergency provision

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Action required Person responsible Deadline date Date complete

Communication of significant findings

Action required and means of communication Person/people to Target date(s): Date completed:
(describe): communicate findings:

Additional considerations

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11. Record of understanding/agreement (optional)

Assessment title
Module Number
Declaration: I have read, understood and will comply with the safety precautions outlined above

Name Staff/Student ID Role/Position Signature Date

Remember!
The risk assessment is a legally-required document and is a record of your planning,
representing the observations, judgements and decisions you have used to ensure work-
related risks are properly controlled at an acceptable level,
Complete it with care and in your own words. Ensure information is relevant to your work -
avoid cutting and pasting from elsewhere, as this suggests you have not properly considered
the information.
Above all, treat it as an integral part of your work, not as some extra burden. You and the
person authorising the assessment may be held accountable for any failings in the
assessment which could have led to a person being harmed, so it is vital you exercise due
diligence in carrying out the assessment.

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