FORM A: RISK ASSESSMENT (Please attach map or other notes if this helps) SHEET NUMBER e.g. 1 1 of1 of 3 This form is for staff or volunteers responsible for a Trust site or a Trust activity. You have a responsibility to assess the risks and undertake precautions which reduce significant risks. This form is to help with your assessment and is designed to show how your precautions reduce any risks. Name of site …Schools Outreach………………... Date of assessment 23/1/12Assessed by …Laura Harvey Are you undertaking this assessment for a whole site or a particular activity? Please specify …Indoor activities…….…… Risk of injury Description of hazard Who is at risk? Severity Likelihood: of injury: high/med/ high/med/ low low Precautions needed to reduce risks Leaf litter – bacteria & viruses, Anyone who puts sharp stick & thorns their hands in the leaf bushes & not in places where dogs may litter. have access. Provide gardening gloves Low Low Risk of injury with precautions Severity Likelihood: of injury: high/med high/med/ / low low Low Low Low Low Collect leaf litter away from thorny and paint brushes for searching through leaf litter. Give warning and tell pupils to keep hands away from mouths & wash hands at end of session Snails – E. coli Anyone who touches Low Low a snail Provide plastic gloves and paint brushes for searching through leaf litter. Give warning and tell pupils to keep hands away from mouths & wash hands at end of session Beetles jaws – sharp centipedes jaws Anyone who picks up Low Use brushes to put creatures into bug Low a beetle or centipede. boxes for viewing. Give warning about sharp jaws and clear instructions on handling and viewing. Leaf litter flicked in eyes Anyone present Low Low Give warning to keep litter in trays and Low Low to use paint brushes carefully, not to flick – give only 3 brushes per tray Please copy blank forms as needed. Please return completed forms to your Line Manager. A copy will be sent back to you with any comments.