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Risk Assessment Form

Establishment: Assessment Assessment

No: Date:
Session:

Location:

Activity/Process:

Assessor: Notes:

Name:

Position:

Signature:
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Hazards Who is at Risk? Control Measures Risk Rating Additional Controls Residual
(Likelihood X Risk
Consequence)
Rating

Insufficient warm up resulting Trainer & Clients Ensure a sufficient warm up is 1x2=2
in musculoskeletal injuries. conducted – the trainer should also
be sufficiently warm prior to
demonstrations.
Falls resulting in musculoskeletal Trainer & Clients Brief clients on potential hazards 1x2=2
injuries, cuts, grazes & burns. (trip hazards) in the training
environment.
Improper clothing and Trainer & Clients Ensure the clients are wearing 1x2=2
footwear resulting in a higher appropriate clothing and footwear.
risk of musculoskeletal injuries.
Incorrect technique on Trainer & Clients Fully brief participants on correct 1x3=3 If poor technique is used, stop 1x2=2
exercises resulting in technique. the activity, and fully brief and
musculoskeletal injuries. retrain clients in techniques.
Dehydration due to insufficient Trainer & Clients Trainer is to carry out health 2x2=4 As control measures and 1x2=2
fluid intake before and during the surveillance and allow water breaks taper down the intensity of
activity. before during and after the activity. the activity.
Heat Stress injuries resulting in Trainer & Clients Weather is checked prior to the day’s 2x3=6 As control measures and 1x2=2
heat related injuries. sessions or throughout the day taper down the intensity of
during summer months. the activity.
Insufficient cool down Trainer & Clients Trainer to ensure a sufficient cool 1x2=2
resulting in muscular injuries. down is conducted.
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Frequent occurrence.
High 3 3 Med 6 High 9 High

Occasional occurrence.
Likelihood Medium 2 2 Low 4 Med 6 High

Rare or improbable occurrence.

Low 1 1 Low 2 Low 3 Med

Consequence 1 2 3

Minor injury or illness. Serious injury or illness. Fatalities, major injury, or

Likelihood x Consequence produces the risk rating. illness.

Low Medium High

Improve control measures; consider stopping work.

High

Review control measures and improve if reasonably practicable to do so, consider alternative ways of working.
Medium

Maintain control measures and review if there are any changes.

Low