RISK ASSESSMENT RECORDING FORM
Location or
Address: PA.20, Priestley college
Activity or
Situation: Editing
(1) Hazard
Tripping hazard bags,
tables, chairs, wires, roll out,
other people.
Low hanging lights
Eye
strain/headaches/migraines
Water spill fry the
motherboard, set it on fire.
Bright
lights/headaches/migraines
Rollout leaning against wall
Date Assessment
Undertaken: 6/2/17
Review
Date: 6/2/17
Risk (2) Who might be harmed and how?
3 Me, other students and teacher,
might injure body.
2 Me, other students and teacher,
2 might hit head or neck.
3 Tie up lights and wires and
Me and other students, might make
1 eyes hurt, might get a headache.
1 Dont look at screen for
Me, other students and teacher,
could possibly electrocute.
Me, other students and teacher,
could harm eyes and could give a
headache.
Me, other students and teacher,
could fall on someone or something
and break it.
Assessment undertaken
By: Emma Harper
Signature: E. Harper
(3) What controls exist to reduce
risk
Put bags away, put chairs
under tables, cover wires
against wall, roll up the roll
out, and dont purposefully
trip other people up.
make sure that they arent
of risk to anyone.
long periods of time
otherwise you will get a
headache or a migraine
and you will be in pain.
Put water away if not
drinking it, only take it out
when you need to drink it,
do not have water on desk
near electrics.
Turn lights off when not in
use.
Put it away in a place
where it isnt hazardous.
(4) What action can be taken
to further reduce risk?
Have all bags in one place
where they can be seen so
that nobody can trip over
them without at least
seeing them.
Tape wires to walls and
surfaces with electrical
tape so that they are
secured in place.
Look away from screen
when your eyes are
beginning to hurt.
Keep water in bag unless
you need to drink.
Only turn on lights when
needed.
Only have it out when you
need to use it.
 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 (5) What action can be taken
risk to further reduce risk?

RISK RATING

a SEVERITY b LIKELIHOOD c FINAL SCORE RATING: what needs to be done

5 Dying or being permanently disabled 5 Will almost certainly happen 16-25 Stop! Do not start activity again until risk is
controlled
4 Serious injury/long term illness 4 Highly likely to happen 10-15 High risk level, High priority. Take action
straight away to control the risk
3 Temporary disability/3 days off sick 3 Not so likely 6-9 Medium risk level. Tighten up controls and
make a plan to do something about risk
2 Will need medical attention 2 Even less likely 3-5 Fairly low risk level. Low priority but keep
possible action in mind
1 Minor injury eg. Bruise, graze 1 Unlikely to happen at all 1-2 Low or trivial risk. No further action
required.

SO: a x b = c

Action Required Responsible Person Date for Completion

Have all bags in one place where they can be seen so that nobody can trip over Emma Harper 09/02/17
them without at least seeing them.
Tape wires to walls and surfaces with electrical tape so that they are secured in
place.
Look away from screen when your eyes are beginning to hurt.
Keep water in bag unless you need to drink.
Only turn on lights when needed.
Only have it out when you need to use it.