Risk Assessment Form
Activity to be Assessed
Dartmoor n Gold Award Expedition – non specific role –support
staff
Persons undertaking or affected by the activity
x
Employees
Contractor
Assessment Number
Public
Pupil
x
Service User
Other …………………………………………………………………………………………….
Identified Hazards and Associated Risks
1
2
3
4
5
6
Unsupervised access to participants
Travelling to destination
Emergency situation arising
Likelihood
Severity
Risk Level
1
2
2
2
2
3
4
4
6
Existing Control Measures / Additional Control Measures Required
1
Has a NPT specific CRB (current) for current employment in the education/service sector but non – Neath Port
Talbot Youth Service specific. Carol has been briefed extensively on her role and is aware of the usual precautions
and protocols that the Neath Open Gold Centre operates. Contract has also been signed of code of conduct re child
protection etc.
Carole will be travelling in a separate car with another staff memeber
2
3
Carol has contact numbers for all other staff to enable contact in the event of any emergency situation arising and
has taken part in training for emergency procedures
4
5
6
1
2
3
4
5
6
Unsupervised access to participants
Travelling to destination – in private vehicle
Emergency situation arising
Name Kate James
Signed
Position DeofE development
officer
KATIE JAMES
Reviews;
Review Date : 5/7//09
Reviewed by:
Review Date :
Reviewed by:
Review Date :
Reviewed by:
Review Date :
Reviewed by:
Key
Likelihood
Severity
1 very
unlikely
2 unlikely
3 likely
4 very likely
5 certainty
1 nuisance
2 minor
3 medical
treatment
4 major
5 fatal
Likelihood
Severity
Risk Level
1
2
1
2
2
2
4
2
2
Likelihood of
Injury
Reassessment of Activity Hazards
5
4
3
2
1
0
5Y
4
3
2
1
1
Low Risk
10R
15
20
25
8
12
16
20
6G
9
12
15
4
6Y
8
10Y
2
3
4
5G
2
3
4
5
Severity of Injury
Medium Risk
High Risk
CF/04/02 (bw)