RISK ASSESSMENT CONTROL FORM – HAPPYVILLE HOME CARE SERVICE

Site supervisor/manager Date

Name of person completing risk assessment

Hazard identification and initial risk rating Control measures and actions

Likelihood Risk Current control

of harm Consequen level measures &
Hazard Potential harm occurring ce level rating effectiveness Further action/controls required

Veronica
leaving
things on the
floor where
they can be
tripped on
 RISK ASSESSMENT CONTROL FORM – HAPPYVILLE HOME CARE SERVICE

Veronica
leaving the
gas on the
stove

Fire
 RISK ASSESSMENT CONTROL FORM – HAPPYVILLE HOME CARE SERVICE

Manual
handling of
Veronica
(risk to
worker)

Hilda’s
difficulties
cooking
 RISK ASSESSMENT CONTROL FORM – HAPPYVILLE HOME CARE SERVICE

Veronica’s
safety in the
shower