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Fillable Printable Example Risk Assessment Form

Fillable Printable Example Risk Assessment Form

Example Risk Assessment Form

Example Risk Assessment Form

TASK/ACTIVITYVENUE/ROOM/
AREA
Jubilee Square
DATEREVIEW DATE
ASSESSORSIGNATURE
DESCRIPTION
OF HAZARD
CONSEQUENCE
OF HAZARD
PERSONS
AT RISK
CURRENT
CONTROL MEASURES
RISK
L X S =
H,M,OR L
1.Vehicle movement on site, risk of
collision with person or object
Broken bones
Death
Staff,
Performers
Public
Vehicle to be guided by stewards in high res
jackets.
Vehicle to not exceed 5mph.
Hazard lights to be turned on whilst moving.
Any vehicles remaining on the Square to have
a drip tray underneath
2x4=8 Low
2.Construction / Dismantling of
staging, risk of falling objects,
collapsing structure, slips and trips,
Sprains, broken
bones, back
strain
Staff,
Performers
Public
Staff experienced in handling equipment.
Staff to look for potential hazards and report
them to the production manager
2x3=Low
3.Electricity / PA / DJ equipment, risk
of fire / electrocution, slips and trips
from leads
Burns, sprains,
death
Staff
Performers
Public
All electrical equipment will be checked for damage,
abrasion before use.
Cables routed away from pedestrian /vehicle routes
Cables to be covered to reduce risk of slipping
Event will be cancelled if it rains
All equipment PAT tested
2x4=Low
EXAMPLE RISK ASSESSMENT FORM
LikelihoodxSeverity
Very Unlikely1Minor injury, No time off
Unlikely2Injury and upto three days off
Likely3Reportable Condition
Very Likely4Major injury/Long term absence
Certain5Death
Select the Likelihood andmultiply by selected Severity to give the
Risk Rating.
Risk Rating
High =16-25, Medium = 9-15, Low = 1-8
4.Audience, risk of trips and falls,
abuse, fire hazards.
Sprains, bruisesStaff,
Performers
Public
Stewards briefed to move on crowd who are
standingin the road
Stewards to keep exits from the business in the
Square clear and accessible
Stewards to look for hazards and either clear them
or inform the production manager
Stewards to look for drunk / abusiveaudience
members and inform the production manager or
police
Stage to be kept clear of all hazards
2x3=Low
5.Staging, risk of slips and trips,
violence
Sprains, broken
bones
Staff
Performers
Public
Stewards to look for any spillages and clear them
immediately.
Stewards to look for drunk / abusiveaudience
members and inform the production manager or
police
2x1= low
6.Litter – risk of trips and fallsSprainsStaff
Performers
Public
Stewards to clear rubbish at the end of the
event.
Bin bags available on site.
2x1= low
7.NoiseEar damageStaff
Performers
Public
Production manager to be responsible for noise
level through regular monitoring and evaluation.
2x1= low
8.First AidN/aStaff
Performers
Public
Two qualified first aiders to be on site.2x3=Low
RECOMMENDED CONTROL MEASURESRevised
Risk
L X S =
H,M,OR L
MANAGEMENT ACTION PLAN & IMPLEMENTATION DATE(S)
1.Regulations to be adhered to.2x4=Low
2.Production manager to communicate manual handling
procedures to staff and performers.
2x3=Low
3.
The PA equipment will be monitored by stewards and
technician at all times, the audience will not be allowed near.
2x4=Low
4.
There will be a minimum of 6 stewards available who will
remain vigilant at all times. The stewards will be briefed to clear
any obstructions/ risks.
2x3=Low
5.Stewards to have available a mop or cloth to clean
spillages
2x1= low
6.Stewards to clear any litter that may cause a hazard2x1= low
7.
The noise levels are not expected to beexcessive.
2x1= low
8.Stewards to be briefed in case of emergency and given
emergency numbers.
2x3=Low
1.Communicate findings of risk assessment to staff
and relevant others.
2. Stewards to be given emergency numbers
3. Production Manager toremain on site and vigilant at all
times
4.Stewards to wear high vis jackets to mark them out as
stewards.
5.4 stewards to be in radio contact
Signature of Manager
Name of Manager
Date
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