RISK ASSESSMENT RECORDING FORM

Location or
Address: Our Wood
Activity or
Situation: Taking Photographs
(1)

Hazard

Date Assessment
Undertaken: 10/01/17
Review
Date: 10/01/17

Assessment undertaken
By: Sam Ormrod
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?

Falling in the pond

The cast or crew may be harmed by

this as both will be near the pond. If
the crew fell in they are more likely
to be harmed as they carry electrical
equipment.

Not standing closer than a meter

and a half from the pond.

Tying rope to nearby trees to

make a barrier of sorts.

Slipping on the muddy floor

The cast or crew could be harmed

by this as both will be on/near the
muddy floor, if slipped on it could
cause minor injury.

Putting a slippery floor sign down

to warn the cast and crew that the
floor is a hazard.

Laying down a blanket or cover on

the floor to ensure that it isnt
slippy.

Tripping over a tree trunk

Both cast or crew may be harmed

but the crew are more likely to
injured as they will be moving more
and they will be standing closer to
the trees. If they trip they may
sustain a minor injury.

Make sure that the cast and crew

exercise caution when walking
about the woods.

Spray painting the roots of the

trees bright colours so they are
more noticeable.

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