Group Risk Assessment (RA) form - Annotated [DOCX 24.77KB]

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University of Sussex
Risk Assessment
A project risk assessment is required for all work. The form should be completed electronically and approved and signed by
the principal investigator or responsible person before any work commences.
Title of project or activity
Principal investigator /
Responsible person
Project Title
Your main supervisor
(responsible for all aspects of
safety incl. training)
School/Dept
Date of assessment
Due for review/expires
Eng/Inf Department
DATE
End DATE of Project
Location of work
Include every location you might use, e.g. Richmond 3B3, JCW F1
(project lab), main supervisor’s research lab
(Buildings and room numbers)
Project or Activity
Brief description of project or activity
[ENTER DETAILS HERE]
This should be a description of the activity that your project entails, not the objectives. For example:
an electronics project which entails the design construction and testing of a low power, low frequency,
electronic system.
Identification of hazards
Which types of work will be undertaken? Tick all that apply (in Word simply click the box).
Hazards you could reasonably expect – tick all and only those that apply. For software based projects,
only DSE applies
Trips, slips, falls
Electricity
Lone Working
Use of micro-organisms
Moving Parts
Dust *
DSE
Use of Human derived material
Cold or Heat
Fumes *
Field work
Use of Lasers
Fire
Vehicles
Use of Chemicals*
Live Animals (of any type)
Pressure Systems
Work at Height
Use of radioactive materials**
Use of Biological material
Noise
Manual Handling
Use of GM***
Other – list below
Other hazards identified:
* Is a full COSHH assessment required?
Also consider disabilities and inexperience
** permission to be granted by RPS
*** GM assessment required
Who might be harmed? this is the personal risk assessment to the
group members so only tick ‘students’, unless you are involving
others in your practical work/testing/evaluation
Students
Technical Staff
Faculty
Cleaning Staff
Research Staff
Clerical Staff
Visitors and Reps
Secretarial Staff
Contractors
General Public
Maintenance Staff
Children
Others:
Numbers of people likely to be harmed
Also consider disabilities and inexperience
Measures to control/minimise the risks
What procedures/arrangements/protective equipment is to be used in order to limit the likely damage (risk) from the
hazards identified above?
Other Risk or
CoSHH
assessments for
the work area
[ENTER DETAILS
HERE]
Ask your main
supervisor if this
applies
Risk Control Measures
University of Sussex
Safety Procedures and Guidance to be used
Standard
Procedures for
the work area,
e.g. Safe Systems
of Work
[ENTER DETAILS HERE]
[ENTER DETAILS
HERE]
Refer to the School Health and Safety Handbook
(http://www.sussex.ac.uk/ei/internal/forstudents/handbooks) Ask your main
supervisor if this
applies
Approval
Instruction, training and supervision ask your main supervisor and tick all and only those that apply.
Special instructions are required to safely carry out the work (If yes enter details below)
[ENTER DETAILS HERE]
Special training is required to safely carry out the work (If yes enter details below)
[ENTER DETAILS HERE]
A: Work may not be carried out without direct personal supervision (If yes enter details below)
B: Work may not be started without the advice and approval of supervisor (If yes enter details below)
C: Work can be carried out without direct supervision
D: Lone work allowed This is never allowed for practical work in final year projects.
Yes
Yes
Yes
Yes
Yes
Yes
See FAQ “What is lone working and how does it apply to final year projects?”
Supervisor(s)
[ENTER DETAILS HERE]
Principal investigator / Responsible person
Name
[ENTER DETAILS HERE]
Signature
[ENTER DETAILS HERE]
Date
[ENTER DETAILS HERE]
Your main supervisor
Personnel involved All group members and any others ticked in ‘Who might be harmed?’
Role
Print name
Signature
Date
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