Risk assessment

Assessment title (e.g. "Review following installation Assessment completed by:

of new equipment"):

Location (area / room name): Deadline for next review:

Assessment date: Assessment signed off by:

Responsible person:

Significant hazard: Further action required:

Person(s)/group(s) at risk (e.g. specific employees or Revised risk level (following action):
all visitors):
High Medium Low

Risk level (at the time of being assessed): Deadline date for action:
High Medium Low

Measures taken to eliminate or minimise and control

the risk:

Allianz Insurance plc. Registered in England number 84638. Registered office: 57 Ladymead, Guildford, Surrey GU1
1DB, United Kingdom. Allianz Insurance plc is authorised by the Prudential Regulation Authority and regulated by the
Financial Conduct Authority and the Prudential Regulation Authority. Financial Services Register number 121849.
Allianz accepts no liability for actions taken as a consequence of the contents of this document.
Page 1 of 1