RISK ASSESSMENT RECORD – Part A
Campus: HW, WB, CC, MA or other:
HW
Department/School
Volunteering/RAG
Room/Location
Totteridge
Activity
Outdoor fence painting and litter picking
Distribution
File copy, volunteers
Date completed
19.9.2012
Date authorised
17.9.2012
Who gets a copy of the assessment
Assessor
Name:
Alice Dewsnap
Signature:
Tel:
3564
Authoriser
Name
Alice Dewsnap
(if not Assessor)
Signature
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
Tick
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
11
Object falling, moving or flying
31
Hazardous substance
12
Obstruction / exposed feature
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
16
Trip hazard
17
Vehicle impact / collision
18
X
X
X
X
Managerial / organisational
hazards
49
Management factors (lack of
communication, co-operation, coordination and competence)
Environmental hazards
X
34
Lightning strike
35
Noise
53
Flood
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
40
Risk matrix – use this to determine risk for
X
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 tony.everett@bucks.ac.uk
Risk Assessment Form – Part B
Activity1 –Painting a fence
Version 1
Location – Totteridge
Dates / times:
19.9.2012
10am-3pm
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
low
What further action is
necessary?
Action by
who?
Action by
when?
1
Assault by person
Staff, students
2
Slips, trips and falls
Staff, students
16
Trip hazard
Staff, students
17
Vehicle impact / collision
Staff, students
27
Chemicals and substances
Staff, students
Public area, PCSO’s attending
Public area, equipment kept cleared away to allow for more
space
Public area, equipment kept cleared away to allow for more
space
Footpath away from main road. SU providing transport in mini
bus
Students advised to wear old, warm clothes
31
Hazardous substance
Staff, students
Paint is not hazardous on skin, but advised to wash afterwards
low
Brief students
AD
19.9
50
Litter, glass
Staff, students
Public footpath, inform students beforehand
low
Brief students
AD
19.9
51
Dog faeces
Staff, students
Public footpath, inform students beforehand
low
Brief students
AD
19.9
Staff, students
Project postponed if weather is hazardous
low
54
Rain/windy condition
For help & advice, please call Tony Everett Health & Safety Manager - on x3047 or e-mail tony.everett@bucks.ac.uk
low
low
low
Date
complet
ed
Continue on separate sheet if necessary
1 – complete separate table for each activity
2 - from hazard list in Part A
3 - from risk matrix in Part A
Review your assessment to make sure you are still improving, or at least not sliding back
If there is a significant change in your workplace, remember to check your risk assessment and, where necessary amend it.
For help & advice, please call Tony Everett Health & Safety Manager - on x3047 or e-mail tony.everett@bucks.ac.uk