RISK ASSESSMENT RECORD – Part A
Campus: HW, WB, CC, MA or other:
HW
Distribution
Department/School
Volunteering
Activity
Litter pick
Date completed
24/10/2012
File copy
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
Tick
Physical / chemical hazards
Tick
Health hazards
Tick
1
Assault by person
X
21
Contact with cold liquid/vapour
41
Disease causative agent
X
2
Slips, trips and falls
X
22
Contact with cold surface
42
Infection
X
3
Manual handling/lifting
X
23
Contact with hot liquid/steam
43
Allergic reaction
X
4
Breathing compressed gas
24
Contact with hot surface
44
Lack of oxygen
5
Entanglement in moving
machinery
X
45
Physical fatigue
25
Contact with urine/blood/faeces
26
Electric shock
X
46
Repetitive action
27
Chemicals and substances
47
Static body posture
48
Stress / anxiety
X
X
6
Crush by load
7
Drowning
8
Hot environment
28
Explosive blast
9
Entanglement in moving
machinery
29
Explosive release of stored pressure
10
Pressure systems/temperature
30
Fire
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
X
33
Laser light
51
Dog faeces
X
14
Slippery surface
X
52
Physical damage e.g. damage to
goal posts
15
Trap in moving machinery
53
Flood
16
Trip hazard
17
Vehicle impact / collision
18
Falls from height
19
Alcoholic Intoxication
39
20
Exposure
40
X
Managerial / organisational
hazards
49
Management factors (lack of
communication, co-operation, coordination and competence)
Environmental hazards
34
Lightning strike
X
35
Noise
X
X
36
Non-ionizing radiation
54
Rain/windy condition
X
X
37
Stroboscopic light
55
Pot holes
X
X
38
Vibration
56
Used needles
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 – Clear up project of the River Wye
Version 1
Location – The River Wye
Dates / times:
24/10/2012
13.00 – 16.00
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
low
Briefing on day
Briefing on day
Briefing on day
AD
AD
AD
What further action is
necessary?
Action by
who?
1
Assault by person
Staff, Students
2
Slips, trips and falls
Staff, Students
3
Manual handling/lifting
Staff, Students
Supervised activity taking place in daylight hours in public place.
Volunteers briefed before hand
Volunteers briefed before hand
7
Drowning
Staff, Students
Shallow stream, constant supervision
Low
Briefing on day
AD
low
Briefing on day
AD
11
Object falling, moving or
flying
Staff, Students
Volunteers briefed on health and safety measures beforehand
12
Obstruction / exposed
feature
Staff, Students
Volunteers briefed, area scanned before to minimize danger
low
Briefing on day
AD
13
Sharp object / material
Staff, Students
Volunteers briefed before hand
low
Briefing on day
AD
14
Slippery surface
Staff, Students
Volunteers briefed on health and safety measures beforehand
low
Briefing on day
AD
16
Trip hazard
Staff, Students
Volunteers briefed, area scanned before to minimize danger
low
Briefing on day
AD
Vehicle impact / collision
Staff, Students
Area away from roads and car parks
low
Briefing on day
AD
18
Falls from height
Staff, Students
Volunteers briefed on health and safety measures beforehand
low
Briefing on day
AD
Wellies, waders and warm clothes advised
low
Briefing on day
AD
21
Contact with cold
liquid/vapour
Contact with
urine/blood/faeces
Staff, Students
Volunteers briefed on health and safety measures beforehand
low
Briefing on day
AD
25
34
Lightning strike
Staff, Students
Weather check the day before
low
Weather check
AD
low
Briefing on day
AD
17
Staff, Students
35
Noise
Staff, Students
Area in rural location
41
Disease causative agent
Staff, Students
Stream very shallow, gloves and protective clothing provided
low
Briefing on day
AD
42
Infection
Staff, Students
Protective clothing provided
low
Briefing on day
AD
low
Briefing on day
AD
43
Allergic reaction
Staff, Students
Protective clothing provided
45
Physical fatigue
Staff, Students
Volunteers briefed before hand, activity duration just 3 hours
low
Briefing on day
AD
50
Litter, glass
Staff, Students
Volunteers briefed, area scanned before to minimize danger
low
Briefing on day
AD
51
Dog faeces
Staff, Students
Volunteers briefed, area scanned before to minimize danger
low
Briefing on day
AD
52
Physical damage e.g.
Staff, Students
Volunteers briefed, area scanned before to minimize danger
low
Briefing on day
AD
For help & advice, please call Tony Everett Health & Safety Manager - on x3047 or e-mail tony.everett@bucks.ac.uk
Action by
when?
Date
complet
ed
damage to goal posts
53
Flood
Staff, Students
Weather check the day before
low
Weather check
AD
54
Rain/windy condition
Staff, Students
Weather check the day before
low
Weather check
AD
low
Briefing on day
AD
low
Briefing on day
AD
55
Pot holes
Staff, Students
Volunteers briefed, area scanned before to minimize danger
56
Used needles
Staff, Students
Volunteers briefed, area scanned before to minimize danger
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