Sports Club:
PERSON’s CONDUCTING THIS ASSESSMENT
Name:
Name:
Name:
Date risk assessment undertaken:
Signature:
Signature:
Signature:
ASSESSMENT REVIEW HISTORY
This assessment should be reviewed immediately if there is any reason to suppose that the original assessment is no longer valid. Otherwise, the assessment should be reviewed annually. The
responsible person must ensure that this risk assessment remains valid.
Review 1
Review 2
Review 3
Review 4
Review 5
Review 6
Acceptable Y/N
Risk
L, M, H, VH
What are you already doing
(Existing Risk Control Measures)
Risk Rating
Who Might be Harmed
and How?
Severity
What are the Hazards
Likelihood
Heading
Hazard Ref No.
Due date:
Date conducted:
Conducted by (1):
Conducted by (2):
Conducted by (3):
Risk
L, M, H
Completion Date
Risk Rating
Target Date
Severity
Action By
Likelihood
Recommended Additional
Risk Control Measures
Implemented
Y/N
Revised Risk
Risk
Hazard Ref No.
Identified Actions to Improve Control of Unacceptable Risks
Revision of Risk
Signed Off
Guidance Document
What are the Hazards?
A hazard is anything with the potential to cause harm or ill health to people, or damage to property;
Hazard Ref No.
Hazards in number sequence starting at 1
Who might be harmed and how?
For each hazard identified, decide which individuals or groups of people might be harmed, in what numbers and the type of injury or ill-health that might occur.
What are you already doing?
List systems and procedures that are currently in operation to reduce the hazard
Criteria for Determining Risk Rating and Required Action
Likelihood
The likelihood of harm arising from a particular hazard is determined using the following criteria:
Score
Very Unlikely:
Unlikely:
Possible:
Likely:
Very Likely:
May occur only in exceptional circumstances.
May occur given an unlikely sequence of events and/or multiple failures.
Foreseeable under normal circumstances – a known past incident may have occurred.
Easily foreseeable under normal circumstances.
Inevitable under the circumstances – known past incidents may have occurred.
1
2
3
4
5
Severity
The severity of harm arising from a particular hazard is determined using the following criteria:
Score
No injury/pain or minor injury not requiring first aid.
1
Minor injuries requiring first aid e.g. cuts and bruises. No lasting effects.
2
Up to 3 days absence, flesh wound, bruising etc.
3
Requires over 3 days off work or a hospital visit. Reportable to HSE.
4
Single or multiple fatality, long term disability, loss of limb.
5
Risk Rating & Required Action
Having estimated the likelihood and severity of a hazard, multiply the two values together to determine the Risk Rating, or use this matrix. Then,
decide on further action, as illustrated by the table below:
Insignificant:
Minor:
Moderate:
Major:
Fatal:
Risk Rating & Required Action
Having estimated the likelihood and severity of a hazard, multiply the two values together to determine the Risk Rating, or
use this matrix. Then, decide on further action, as illustrated by the table below:
Severity
5
4
3
2
1
5
4
3
2
1
1
10
8
6
4
2
2
15
12
9
6
3
3
20
16
12
8
4
4
25
20
15
10
5
5
Likelihood
A Guide to Required Action
Risk Rating
Risk
17-25
Very high (VH)
10-16
High (H)
4-9
Medium (M)
1-3
Low (L)
Risk
L, M, H, VH
As above guidance indicate level of risk
Acceptable Y / N
Indicate if hazard acceptable
Identified Actions to Improve Control of Unacceptable Risk
(Note: Assessors may propose more stringent actions depending on the
circumstances)
Stop work activity immediately and make
improvements to risk controls.
Improve risk control measures, within a specified
timescale.
Plan to improve risk control measures at time of next
review, or sooner.
No further action, but ensure risk control measures
remain effective.