KB7052RiskAssessment1.docx

Risk Assessment Form

Date:

Assessor:

Area/Activity:

Assessment Title:

Item No.

Activity, Equipment, Materials, etc.

Hazard

Persons at risk

Severity

Likelihood

Risk Rating

H 20-36

M 12-18

L 1-10

Control Measures Required

Final Result*

1

Please use this format as an example.

All activity

Unknown medical conditions leading to illness/collapse

Participants who are not

medically fit

5

1

5 (L)

· Medical details will be taken when the participant joins the club and details of any conditions shared with coaches

· Any member with a serious medical condition must not train unsupervised

5x1= 5 (L)

Does this Risk Assessment Require Further Specific Risk Assessment:

Manual Handling: Y/N Please list reference No:

COSHH: Y/N? Please list reference No:

PUWER: Y/N? Please list reference No:

DSEAR: Y/N? Please list reference No:

Young Persons: Y/N? Please list reference No:

New & Expectant Mothers: Y/N? Please list reference No:

To be completed by the person undertaking the risk assessment

Name: Job Title:

Signature: Date:

To be completed by the Project Supervisor

I consider this risk assessment to be suitable and sufficient to control the risks to the health & safety of both employees undertaking the tasks and any other person who may be affected by the activities.

Name: Job Title:

Signature: Date:

NB – If Project Supervisors do not agree that the risk assessment is suitable and sufficient then the assessment must be reviewed and amended accordingly.

To ensure we are consistent in managing safety risks across the UNN please answer the following question and take any appropriate action: -

1. Can this risk assessment be shared and labelled as Generic to the University i.e. is the activity carried out within another faculty or department? Y/ N

2. Is there a related risk assessment that may require review and update following completion of this risk assessment? Y/N

UNN/H&S/RA/F/V2 Blank RA form.doc