RISK ASSESSMENT RECORDING FORM

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

Hazard

Date Assessment
Undertaken: 05/12/14
Review
Date:

Assessment undertaken
By: Helena Rutter
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 computer cables

A1
B3

People using the classroom may be

injured by falling over the computer
cables

The cables are stored under the

work benches

Make sure all equipment is on top

of the benches and is stored
correctly

Tripping over chairs

A1
B3

People using the classroom may be

injured by falling over chairs that
have been left out

The chairs are stored under the

tables

Make sure all chairs are stored

correctly under the tables

Eye strain from using PC

A1
B4

Anybody using the PC

Take regular screen breaks

Dont sit too close to the screen

Water near computers

A3
B4

Person using the PC

Keep the lid on drinks at all times

Only allow drinks outside the

classroom/away from the PC

Tripping over bags

A1
B3

People using the classroom may be

injured by falling over bags

The bags are stored under the

tables

Make sure all bags are stored

correctly under the tables and are
not near the workspace

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 e.g. 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