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V9                                                                         RISK ASSESSMENT

                                                                                     RISK                                                           IN         REVIEW
                  ACTIVITY                                HAZARD                     H/M/L                    PRECAUTIONS                         PLACE         DATE         REVIEWER


 Sitting at desk                           Back strain                               L        Sit in a safe and comfortable
                                                                                              position
 Food and drink                            Hot drinks can spill onto
                                           person and scold them
                                                                                              Keep all food and drink out of
                                           Drinks left near computers                         office, and in a separate room
                                           can spill and cause damage

                                           Leftover food can attract
                                           animals


 Tables and chairs                         Tables/Chairs can be left out                      Keep all chairs under desk when
                                           and in the way. This could                         not in use
                                           cause them to trip                                 Make sure tables are never in the
                                                                                              way




 Please leave this section blank:
 Risk Assessment checked by: Name …………………………………………………..                                          Signed ………………………………………………….                                   Date ……………………

         KEY:      Activity :     Describe the component part of your pursuit.
                   Hazard :       List the things you anticipate might cause harm or the things associated with your activity that have the potential to cause harm. Consider the likely
                                  harm.
                   Risk:          Assess the risk as either H (High), M (Medium) or L (Low). When concluding your assessment consider all of the circumstances.
                   Precautions:   Consider what you could do to minimise / negate the risk.
                   In Place:      Will the precautionary measures be in place at the time of the activity?
                   Review Date:   When would it be reasonable to review your assessment? Remember it might be whilst you are undertaking the activity.
                   Reviewer:      Name of the person responsible for completing the risk assessment.
                                                     A copy of this form should be taken on the activity or visit by the Reviewer.
V9/PALL/sspi/reviewedOct2010

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Risk assessment form - Working to a brief

  • 1. V9 RISK ASSESSMENT RISK IN REVIEW ACTIVITY HAZARD H/M/L PRECAUTIONS PLACE DATE REVIEWER Sitting at desk Back strain L Sit in a safe and comfortable position Food and drink Hot drinks can spill onto person and scold them Keep all food and drink out of Drinks left near computers office, and in a separate room can spill and cause damage Leftover food can attract animals Tables and chairs Tables/Chairs can be left out Keep all chairs under desk when and in the way. This could not in use cause them to trip Make sure tables are never in the way Please leave this section blank: Risk Assessment checked by: Name ………………………………………………….. Signed …………………………………………………. Date …………………… KEY: Activity : Describe the component part of your pursuit. Hazard : List the things you anticipate might cause harm or the things associated with your activity that have the potential to cause harm. Consider the likely harm. Risk: Assess the risk as either H (High), M (Medium) or L (Low). When concluding your assessment consider all of the circumstances. Precautions: Consider what you could do to minimise / negate the risk. In Place: Will the precautionary measures be in place at the time of the activity? Review Date: When would it be reasonable to review your assessment? Remember it might be whilst you are undertaking the activity. Reviewer: Name of the person responsible for completing the risk assessment. A copy of this form should be taken on the activity or visit by the Reviewer. V9/PALL/sspi/reviewedOct2010