RISK ASSESSMENT RECORDING FORM

Location or
Address: PA.16
Activity or
Situation: Production of Advertisements
(1)

Hazard

Date Assessment
Undertaken: 5th December 2014
Review
Date:

Assessment undertaken
By: Ailena Runce
Signature

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce

risk

(4) What action can be taken

to further reduce risk?

Tripping over cables.

A1
B2

People using the room.

Cables stored underneath

benching.

Make sure all equipment on top of

the benching stored correctly.

Tripping over chairs.

A1
B3

People using the room.

Chairs pushed underneath the

tables so that they are out way.

Continue to put chairs underneath

the tables.

Eye strain from using PC.

A2
B2

People who are using the

computers.

Swivel chairs provided to turn away

from the computer.

Take breaks whilst sat at a

computer.

Back strain

B3
A2

People who sit at a computer.

Adjustable chairs provided.

Convince students to sit correctly

on a chair.

Tripping over bags

B3
A1

People in class, e.g. students

themselves and teachers.

Bags are put underneath the

tables.

A4
B4

People who sit at a computer with

drinks by their side.

Drinks arent allowed near

computers.

Water near computers

Continue to put bags underneath

the tables.
Keep drinks away from computer,
keyboard.

1. List hazards something with the potential to cause harm here:

Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.
2. List groups of people who are especially at risk from the significant hazards which you have identified
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you expect to
gain.

(1)

Hazard

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce

risk

(5) What action can be taken

to further reduce risk?

RISK RATING
a SEVERITY

b LIKELIHOOD

c FINAL SCORE RATING: what needs to be done

Dying or being permanently disabled

Will almost certainly happen

Serious injury/long term illness

Highly likely to happen

Temporary disability/3 days off sick

Not so likely

Will need medical attention

Even less likely

Minor injury eg. Bruise, graze

Unlikely to happen at all

16-25 Stop! Do not start activity again until risk is

controlled
10-15 High risk level, High priority. Take action
straight away to control the risk
6-9
Medium risk level. Tighten up controls and
make a plan to do something about risk
3-5
Fairly low risk level. Low priority but keep
possible action in mind
1-2
Low or trivial risk. No further action
required.

SO: a x b = c
Action Required

Responsible Person

Date for Completion