SR-2
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