FORM OV 4
RISK ASSESSMENT FORM
(Focus on the things over which you have control)
Establishment:
ACTIVITY:
Cuffley Village Study
Assessment by:
Simon Richards
Approved by:
Simon Richards
Significant Hazards
and Associated Risks
Those who might
be harmed
Those hazards which may
result in serious harm or
affect several people
Persons at risk from
the significant
hazards identified
Group Leader:
Date:
Position:
Control Measures(CM’s):
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Disembarking from
coach in Maynard’s
Place
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Confrontation with a
member of public
All group
members,
including leaders
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Target Date for review:
Date:
Controls, including relevant sources of guidance
(e.g. Generic Risk Assessment, etc.). Specific CM’s not included
in the generic RA (e.g. briefings, actions by leaders /
participants, qualifications / experience of supervisors)
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Stranger Danger
27/2/13
Centre Staff
1 adult to accompany each small group ( e.g. 6
students)
Clear instructions on Field work areas
Clarity of staying safe with group for safety
Clarity of any meeting points at designated times
Allocate one staff member to stand by and check
doorway as young people enter / leave
Brief group to enter and leave in an orderly
manner.
Another adult to be at a safe waiting place to
marshal children so they are safe from traffic
Third adult to control any passing traffic.
Young people will remain in pairs, groups or
buddy systems at all times, including visits to
toilets, restaurants etc.
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Additional CM’s required?
If existing CM’s cannot be met or
circumstances have changed
Residual
Risk
Rating
(H / M / L)
Whilst on activity:
Inappropriate behaviour
→
party members, or
passers-by
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Animals, insects,
poisonous plants etc
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All Incidents, Accidents
or Emergencies
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Staffing supervision is within LA recommended
ratios, sufficient to meet pastoral needs and
maintain good behaviour
Overall party divided into smaller groups for more
effective supervision by staff
Young people appropriately briefed to include the
following: o Purpose and duration of activity
o Expected standards of behaviour and
pertinent safety rules – follow instructions /
directions from provider’s staff where
applicable
o Emergency procedures - what to do if there is
an incident or they become lost or separated
from group
Avoid known high risk situations
Take necessary avoidance action if encountered
Ensure those with known allergies carry
medication
The establishment has an emergency plan for
dealing with an incident on an offsite visit, and
knows how to contact sources of help
Ensure sufficient supervisors to deal with an
incident and take charge of the rest of the group
At least one leader will carry a mobile phone
(with ready charged battery and call credits if
“pay as you go” ) N.B. Mobile phones may not
work in some areas due to weak signal
Leaders will have an appropriate level of first aid
training as determined by the nature of the visit
and accessibility of the venue for paramedics
A complete first aid kit (and travel sickness
equipment) will be checked and taken with group
The first aid kit will be easily accessed by all
leaders
Any personal medication to be kept secure and
accessible only to leaders
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Young people lost or
separated from group,
inadequate supervision

Leaders will have prepared a contingency plan in
the event of an incident or other cause for a
change to the original plan
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Ensure supervising staff are competent and
understand their roles and are aware of any risk
assessments
Staffing ratios will be in line with LA guidance
Leaders to use suitable group control measures
(e.g. buddy systems, large groups split in small
groups each with named leaders)
Staff will discuss itinerary and arrangements with
young people
Young people will be briefed as what to do if
separated from group e.g. meeting points
Leaders to conduct regular head counts,
particularly at arrival/departure points, and when
separating and reforming groups
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All accidents
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This generic risk assessment will be read and
completed in addition to the generic risk
assessment “ Travel - General” which gives
general safety guidance applicable to all journeys
Where possible, prior inspection of the intended
journey will be undertaken by at least one group
leader to identify potential hazards and choose
safe walking route
The route will be planned to avoid fast or
dangerous junctions or sections of road
Staff will be fully briefed with respect to
supervisory responsibilities
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Collision with vehicular
traffic (roads with
pavements)
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Collision with vehicular
traffic (roads with no
pavements)- ( Carbone
Hill)
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Young people given appropriate briefing
regarding hazards and required behaviour e.g.
remain on pavements unless instructed
otherwise, courtesy to public, etc
The planned route utilizes wide pavements
where possible.
No roads without pavements within Cuffley to be
used - see section on Carbone Hill.
The planned route will cross roads only at
designated crossing points or at specified
locations which are considered to be low risk
The High street in Cuffley only to be crossed at
pelican crossing
All journeys, especially road crossings, will be
closely supervised by staff
Young people will be briefed not to cross roads,
unless and until specifically instructed to do so by
staff
One supervisor (or appropriate group member)
will be at the front of the group, one at the back,
with the others positioning themselves alongside
the group between the young people and the
road itself
Walking beside roads with no pavements will be
kept to a minimum, and only undertaken if the
risk is considered reasonable, and there is no
suitable alternative (consideration will be given to
factors such as speed and business of traffic,
and widths of road and verge)
Where possible the walk up Carbone Hill will be
minimised by using the foot-path up Carbone Hill
in Home Wood. And then crossing through wood
to a point opposite the Centres entrance to cross
road.
If Carbone Hill is used, then:
Young people given appropriate briefing
regarding required behaviour i.e. –
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to stay together as one group, on one side of
the road only
o to walk in a single file close to roadside
o to walk off the road and on the verge, if at all
possible
The group will normally walk on the side of the
road facing oncoming traffic, but the group leader
will choose the safest side according to road
conditions, width of verge, and visibility of traffic)
Particular care will be taken around corners,
when oncoming traffic may not be visible
Leaders will be positioned at the front and back
of the group. N.B. It will not normally be safe for
staff members to walk alongside the group
If visibility is poor, leaders at the front and rear of
the group will be positioned at an appropriate
distance ahead and behind the group to give
prior warning to oncoming vehicles (wear bright
clothing - fluorescent, if possible; flags or signs
might be used if appropriate to signal to drivers
to slow down)
Leaders will warn group members of oncoming
traffic and give instructions to the group to move
onto the verge if appropriate
Roads will be crossed only at safe locations
where visibility is clear and sufficient time is
available to cross
Young people given appropriate briefing
regarding required behaviour when crossing
roads e.g. walk, cross in waves/small groups,
leave clear exit at far side
Young people only to cross roads when
specifically directed to do so by staff
Staff will be appropriately positioned and clearly
visible to signal traffic to stop and guide group
safely across
The High street in Cuffley only to be crossed at
pelican crossing
o
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Collision with vehicular
traffic when crossing
roads
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Cuffley village- such as
crossing Maynard’s
Place
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Crossings of connecting roads on Tolmers
Avenue to be closely supervised by staff ,
children not to cross without supervision
REVIEWS:
DATE OF REVIEW:
17/04/2015
DATE OF REVIEW:
REVIEWED BY:
Mark Falkingham
REVIEWED BY:
COMMENTS:
DATE OF REVIEW:
REVIEWED BY:
COMMENTS:
COMMENTS:
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