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Risk Assessment Recording Form

(1) The risk assessment form identifies potential hazards in a classroom such as electrocution from loose wires, slip hazards from liquid spills, and risks of falling or a computer catching fire. (2) Those at risk are identified as students and tutors who could be injured by touching loose wires, slipping on spills, tripping and falling, or being burned. (3) Existing controls to reduce risks include emergency power buttons, enforcing a no drink rule, neatly organizing wires, and not allowing food or drink near computers.

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27 views

Risk Assessment Recording Form

(1) The risk assessment form identifies potential hazards in a classroom such as electrocution from loose wires, slip hazards from liquid spills, and risks of falling or a computer catching fire. (2) Those at risk are identified as students and tutors who could be injured by touching loose wires, slipping on spills, tripping and falling, or being burned. (3) Existing controls to reduce risks include emergency power buttons, enforcing a no drink rule, neatly organizing wires, and not allowing food or drink near computers.

Uploaded by

xXhedgeyXx
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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RISK ASSESSMENT RECORDING FORM

Location or
Address: PA 17
Activity or
Situation:
(1)

Hazard

Date Assessment
Undertaken: 20th October 2014
Review
Date:
Risk

5
Electrocution

Spillages

4
Falling

Computer setting on
fire

Assessment undertaken
By: Brandon
Signature

(2) Who might be


harmed and how?

(3) What controls


exist to reduce
risk

(4) What action can

Students, Tutors
anybody that is in the
room and using
electronics. They
could touch a loose
wire.

Emergency power
buttons.

Keep all wires neatly


placed.

Student or tutor, they


could spill liquid on the
floor and slip or spill
on the desk and break
the equipment.

No drinks rule

No drinks or liquids in
the room at any time.

Student or tutor.
Someone could trip
and fall on the floor
and hurt their selves.

The wires from the


electronics can be
tidied neatly and
chairs can be tucked
underneath the
desks.

Always tuck in the


chairs after you use
them and keep the
wires tucked away.

Students could be
burnt.

Dont bring liquid into


the classroom.

Dont spill any liquids


on the computers/
dont bring food or
drink in the room.

be taken to
further reduce
risk?

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


disabled
4 Serious injury/long term
illness

Will almost certainly happen

Highly likely to happen

3 Temporary disability/3 days off


sick

Not so likely

Will need medical attention

Even less likely

Minor injury eg. 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

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