RISK ASSESSMENT FORM
Please go through sections 1 -8 and tick which hazards are relevant to your event, trip and activity, input these
onto the Risk Assessment Form and complete the additional relevant information( you may need to add
hazards to this list).
1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11
INDOOR HAZARDS
Inappropriate lighting
Temperature
Insufficient or unsuitable space
Untidiness – causing trip / fire hazard
Stairs – dark / steep / no handrail
Lack of fire escapes / extinguishers / procedures
Slip / trip / fall hazards
Inadequate ventilation
Fire
Poor surfaces for activities – slips / trips / impact
Electrical hazards
5
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
5.10
5.11
HAZARDS ON HILLS AND MOUNTAINS
Slips & trips on grass, mud, rock
River crossings
Remote locations
Difficult communication – weather / distance
Falling debris
Extra work imposed by terrain type / angle
Lack of shelter
Separation of group members
Getting lost
Falls from height
Extremes of weather
2
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
SPORTING ACTIVITY HAZARDS
Uneven playing surface
Playing surface too hard or soft
Hard or sharp objects on pitch
Sliding on Astroturf or tarmac
Collisions / Conflict with surrounding objects or people
Impact from sports equipment
Contact sport injury
Personal injury – fracture / sprains / cuts
6
6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
PEOPLE & ORGANISATIONAL HAZARDS
Lack of information, training or instruction
Poor activity planning or preparation
Poor activity delivery or organisation
Ignorance of rules and / or procedures
Unsafe behaviour or attitude
Lack of appropriate first aid equipment and experience
Medical conditions of participants
Poor safety control from group leaders
22.22
USE BY UNTRAINED PERSONS NAUGHTY
6.9
Poor safety awareness from participants
3
3.1
3.2
3.3
3.4
HAZARDS ON COASTS & STILL/MOVING WATERS
Falls from cliffs, piers, sea walls ,weirs or waterfalls
Struck by falling objects from cliff
Slips/falls on slopes / uneven surfaces/banks/
Quick sand & mud
6.10
6.11
6.12
6.13
6.14
Lack of cooperation within group
Differing skill levels within group
Low level of physical fitness / strength
Aggression between participants
Aggression from crowd / public
3.5
Access problems due to steep angle of beach slope
6.15
Under 18’s
3.6
3.7
3.8
3.9
3.10
3.11
Collisions between users/objects
Swept away by wave surges
Being washed against rocks / piers
Low water temperatures
Communication problems from waves / swell / distance
Struck by objects in water
6.16
6.17
6.18
6.19
6.20
22.22
3.12
Stranded by tides
8
3.13
3.14
3.15
3.16
3.17
3.18
3.19
3.20
3.22
3.23
Swept away by currents/undertow
Rip tides
Longshore drift
Conflicts between beach users
Getting swept away from equipment or people
Striking / trapping by submerged obstacles
Access problems – rescue / getting kit into water
Getting out of depth
Difficult communications
Drowning
4
4.1
4.2
4.3
4.4
4.5
4.6
CASH HANDLING
Money left unattended
Money in unsealed containers
Transporting money to different locations
Money miscounted
Student centre/bank closed to deposit money
Storing money overnight
8.1
8.2
8.3
8.4
8.5
8.6
8.7
8.8
8.9
8.6
8.7
8.8
8.9
8.10
8.11
8.12
8.13
8.14
8.15
Contact between participants increasing risk
Participant Safety
Public Safety
Public nuisance /illegal activity
Separation from other people
USE BY UNTRAINED PERSONS NAUGHTY
EQUIPMENT, SOCIAL EVENTS AND OTHER
HAZARDS
Transport to and from your activity
Food poisoning
Hazardous substances
Equipment with moving / hot parts
Heavy equipment
Noise from equipment
Risk of trapping body / clothing in equipment
Inadequate environment for equipment operation
Inadequate protective equipment
Equipment in unsuitable condition
Excessive Drinking
Drinking Games
Psychological Effects
Loss/theft/damage to personal items
Y
E
YS
RISK ASSESSMENT FORM
Club/Society Name:
Assessed by
Approved by
(UDSU)
Date Approved
Signed:
Date of Assessment:
Review Date:
Signed:
Reviewed by:
Approved by:
Summary of Activity:
Hazard
S
L
HR
Person(s)
risk
Controls
Person(s)
Responsible
Hazard No
Actions in
case of
Incident
A B C D
RISK ASSESSMENT FORM
Hazard
Insert additional pages as necessary
S
L
HR
Person(s) at
risk
Controls
Person(s)
Responsible
Hazard No
Actions in
case of
Incident
A B C D
RISK ASSESSMENT FORM
Further Controls
Hazard
Further Controls Required:
(including
number)
Insert more lines as appropriate
Additional Notes:
SU Notes: Additional Students’ Union Risk Assessment required? Yes/No
Person(s)
Responsible
RISK ASSESSMENT FORM
Key
Hazard Ratings:
S = Severity 1-Negligible Injuries. 2-Minor Injuries. 3-Major Injuries 4-Single Fatality 5-Multiple fatalities
L = Likelihood 1-Very Unlikely 2-Unlikely 3-Likely. 4-Very Likely 5-Certain to happen
Hazard Rating (Severity x Likelihood) 1-5 Low Risk (trivial) 6-12 Medium Risk (Continuous monitoring required) 13-25 High Risk
(Action Required). If your hazard rating is above 13 then you must complete the ‘Further Controls’ section.
Actions in Case of Incident
A= Complete a ‘Report of an Injury/Incident Form’, B=Contact University Security (Critical Incident): 01332 597777 C=Contact First Aider,
D=other (please specify in ‘Additional Notes’ section)
In the case of any emergency or serious accident you MUST contact the University Security immediately on the number above. If the
Emergency services (999) are required please ring them first and then contact the us.
Person’s Responsible (please complete)
Name of Person
e.g. Joe Bloggs
Initials
JB