RISK ASSESSMENT RECORD – Part A
Campus: HW, WB, CC, MA or other:
HW
Department/School
RAG
Room/Location
High Wycombe
Activity
Wycombe collection
Distribution
Matthew Kitching
Date completed
3/12/2011
Who gets a copy of the assessment
Assessor
Name:
Alice Dewsnap
Signature:
Tel:
Authoriser
Name
(if not Assessor)
Signature
3564
Date authorised
Hazard list – select your hazards from the list below and use these to complete Part B
Situational hazards
1
Assault by person
2
Slips, trips and falls
3
Tick
X
Physical / chemical hazards
Tick
Health hazards
21
Contact with cold liquid/vapour
41
Disease causative agent
22
Contact with cold surface
42
Infection
Manual handling/lifting
23
Contact with hot liquid/steam
43
Allergic reaction
4
Breathing compressed gas
24
Contact with hot surface
44
Lack of oxygen
5
Entanglement in moving
machinery
45
Physical fatigue
25
Contact with urine/blood/faeces
6
Crush by load
26
Electric shock
46
Repetitive action
7
Drowning
27
Chemicals and substances
47
Static body posture
8
Hot environment
28
Explosive blast
48
Stress / anxiety
9
Entanglement in moving
machinery
29
Explosive release of stored pressure
10
Pressure systems/temperature
30
Fire
X
Tick
Managerial / organisational
hazards
X
49
Management factors (lack of
communication, co-operation, coordination and competence)
X
11
Object falling, moving or flying
X
31
Hazardous substance
12
Obstruction / exposed feature
X
32
Ionizing radiation
50
Litter, glass
X
13
Sharp object / material
33
Laser light
51
Dog faeces
X
14
Slippery surface
52
Physical damage e.g. damage to
goal posts
15
Trap in moving machinery
53
Flood
16
Trip hazard
17
Vehicle impact / collision
18
Environmental hazards
X
X
X
34
Lightning strike
X
35
Noise
X
36
Non-ionizing radiation
54
Rain/windy condition
37
Stroboscopic light
55
Pot holes
Vibration
56
Used needles
Falls from height
38
19
Alcoholic Intoxication
39
20
Exposure
X
X
40
Risk matrix – use this to determine risk for
Likelihood of Harm
each hazard i.e. ‘how bad and how likely’
Severity of Harm
Remote
Very unlikely
Unlikely
Possible
Likely
e.g. <1 in 1000 chance
e.g. 1 in 200 chance
e.g. 1 in 50 chance
e.g. 1 in 10 chance
e.g. >1 in 3 chance
Trivial
Low
Low
Negligible e.g. small bruise
Trivial
Trivial
Slight e.g. small cut, deep bruise
Trivial
Trivial
Low
Low
Medium
Moderate e.g. deep cut, torn muscle
Trivial
Low
Medium
Medium
High
Severe e.g. fracture, loss of consciousness
Low
Medium
High
High
Extremely high
Very Severe e.g. death, permanent disability
Low
Medium
High
Extremely high
Extremely high
Please contact the Health & Safety Manager if Medium, High or Extremely high have been selected.
For help & advice, please call Tony Everett Health & Safety Manager - on x3047 or e-mail [email protected]
Risk Assessment Form – Part B
Activity1 – Bucket collection in Wycombe
Version 1
Location –High Wycombe
Dates / times:
07/12/2010
10am-5pm
Hazards2
List what could cause harm from
this activity
e.g. falls from height, trip hazard,
fire, etc.
Who exposed
Control measures
Risk3
List who might be harmed from this
activity
e.g. staff, students, contractors,
public, etc.
For each hazard, list the measures you will be taking to minimise the risk
identified
e.g. appointing competent persons, training received, planning, use of
personal protective equipment, provision of first aid, etc.
For each hazard,
decide level of
risk once all your
controls are in
place
Low
STUDENTS
What further action is
necessary?
Action by
who?
Slips, trips and falls
STUDENTS
Obstruction / exposed
feature
STUDENTS
Public access area controlled for public safety by local council,
Students given emergency numbers.
Public access area controlled for public safety by local council
Public access area controlled for public safety by local council
Sharp object / material
STUDENTS
Public access area controlled for public safety by local council
Low
STUDENTS
Students advised to wear suitable footwear for winter conditions
medium
Trip hazard
STUDENTS
Public access area controlled for public safety by local council
Low
Vehicle impact / collision
STUDENTS
Students given specific areas to go away from roads
Low
Alcoholic Intoxication
STUDENTS
Students asked not to drink heavily during daytime
Medium
Fire
STUDENTS
Public access area controlled for public safety by local council,
Low
Trivial
Weather Check
AD
Lightning strike
STUDENTS
Stress / anxiety
STUDENTS
Students will be in built up area, forecast checked for extreme
weather prior to event on Tuesday
Students encouraged to have fun and enjoy the day
Low
Briefing beforehand
AD
Managed by SU, briefing will be given along with contact details
Low
Briefing beforehand
AD
Weather Check
AD
Assault by person
Slippery surface
AD
Briefing beforehand
AD
Low
Low
Management factors (lack
of communication, cooperation, co-ordination and
competence)
STUDENTS
Litter, glass
Students
Public access area controlled for public safety by local council
Low
Dog faeces
STUDENTS
Public access area controlled for public safety by local council
Low
Rain/windy condition
STUDENTS
Weather forecast checked for extreme conditions before
students depart.
Low
For help & advice, please call Tony Everett Health & Safety Manager - on x3047 or e-mail [email protected]
Briefing beforehand
Action by
when?
Date
complet
ed
For help & advice, please call Tony Everett Health & Safety Manager - on x3047 or e-mail [email protected]