risk assessment template
DESCRIPTION
gTRANSCRIPT
WEATHERHEAD HIGH SCHOOL
RISK ASSESSMENT RECORDING FORM
Location or
Address: PA 16Date Assessment
Undertaken: 20th October 2014Assessment undertaken
By: Brandon
Activity or
Situation: Review
Date: Signature
(1) HazardRisk(2) Who might be harmed and how?(3) What controls exist to reduce
risk(4) What action can be taken to further reduce risk?
Electrocution SpillagesFalling OvercrowdingComputer setting on fire
53
4
3
4Students, Tutors anybody that is in the room and using electronics. They could touch a loose wire.
Student or tutor, they could spill liquid on the floor and slip or spill on the desk and break the equipment. Student or tutor. Someone could trip and fall on the floor and hurt their selves.
Students and tutors. Someone could end up getting pushed around and fall.Students and tutors; someone could be burnt. Emergency power buttons.No drinks ruleThe wires from the electronics can be tidied neatly and chairs can be tucked underneath the desks. Classes are limited to a certain number of students and tutors. Dont bring food or drink into the classroom. Keep all wires neatly placed.
No drinks or liquids in the room at any time.
Always tuck in the chairs after you use them and keep the wires tucked away. Limit the amount of people within the room at one time.Dont spill any liquids on the computers/dont bring food or drink in the room.
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.
5 Dying or being permanently disabled5 Will almost certainly happen16-25 Stop! Do not start activity again until risk is controlled
4 Serious injury/long term illness4 Highly likely to happen10-15 High risk level, High priority. Take action straight away to control the risk
3 Temporary disability/3 days off sick3 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, graze1 Unlikely to happen at all1-2 Low or trivial risk. No further action required.
SO: a x b = c
Action RequiredResponsible Person Date for Completion