Event Risk Assessment

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Event Risk Assessment

Assessment Number

Department

Departmental Manager

Date Prepared

Review Date

Describe the work activity undertaken and the place or site this is taking place (if different from above)

(check name not set)

HAZARD IDENTIFICATION AND ASSESSMENT OF RISK

Use this list and add any other items which are unique to this task or work area. Step back and consider if any other hazards involve the managers, staff and where necessary the safety department, when deciding what is to be included.

Hazard 1:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

Hazard 2:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

Hazard 3:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

Hazard 4:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

Hazard 5:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

Hazard 6:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

Hazard 7:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

Hazard 8:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

Hazard 9:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

Hazard 10:

LIKELIHOOD

SEVERITY

What Category is this Risk

Please Specify:

Describe the Existing Control System (to prevent accidents/incidents)

Further Actions Required?

(check name not set)

AFFECTED PERSONS

The presence of any of the following groups may affect the level of Risk (due to vulnerability, lack of knowledge etc) associated with the hazards identified above. Additional safety controls maybe necessary. Include all the groups relevant to this Risk assessment.

Affected Group 1:

Please specify how they are affected

Describe the Existing Control System (to prevent accidents/incidents)

(check name not set)

Affected Group 2:

Please specify how they are affected

Describe the Existing Control System (to prevent accidents/incidents)

(check name not set)

Affected Group 3:

Please specify how they are affected

Describe the Existing Control System (to prevent accidents/incidents)

(check name not set)

Affected Group 4:

Please specify how they are affected

Describe the Existing Control System (to prevent accidents/incidents)

(check name not set)

Affected Group 5:

Please specify how they are affected

Describe the Existing Control System (to prevent accidents/incidents)

(check name not set)

RISK LEVEL = LIKELIHOOD x SEVERITY

SEVERITY

LIKELIHOOD Slightly Harmful Harmful Extremely Harmful

Highly Unlikely Trivial Risk 1 Tolerable Risk 2 Moderate Risk 3

Unlikely Tolerable Risk 2 Moderate Risk 3 Substantial Risk 4

Likely Moderate Risk 3 Substantial Risk 4 Intolerable Risk 5

(check name not set)

ACTION DEFINITIONS

1. Trivial No Action is required and no documentary records need to be kept

2. Tolerable No additional controls are required. Consideration may be given to a more cost effective solution or improvement that imposes no additional cost burden. Monitoring is required to ensure that the controls are maintained.

3. Moderate Efforts should be made to reduce the risk, but the costs of prevention should be carefully measured and limited. Risk reduction measures should be implemented within a defined time period. Where the moderate risk is associated with extremely harmful consequences, further assessment may be necessary. This is to establish more precisely the likelihood of harm as a basis for determining the need for improved control measures.

4. Substantial Work should not be started or access permitted until the risk has been reduced. Considerable resources may have to be allocated to reduce the risk. Where the risk involves work in progress, urgent action should be taken

5. Intolerable Work should not be started, continued or access permitted until the risk has been reduced to an acceptable level. If it is not possible to reduce the risk even with unlimited resources, work has to remain prohibited

(check name not set)

ACTION PLAN

Risk (Particularly for High or Medium Risks)

Describe any Actions Required

Responsible Person

Target Completion Date

Actual Completion Date

What Further Actions Are Required? (Does the Risk Assessment need to be reviewed?)

(check name not set)

Risk (Particularly for High or Medium Risks)

Describe any Actions Required

Responsible Person

Target Completion Date

Actual Completion Date

What Further Actions Are Required? (Does the Risk Assessment need to be reviewed?)

(check name not set)

Risk (Particularly for High or Medium Risks)

Describe any Actions Required

Responsible Person

Target Completion Date

Actual Completion Date

What Further Actions Are Required? (Does the Risk Assessment need to be reviewed?)

(check name not set)

Risk (Particularly for High or Medium Risks)

Describe any Actions Required

Responsible Person

Target Completion Date

Actual Completion Date

What Further Actions Are Required? (Does the Risk Assessment need to be reviewed?)

(check name not set)

DEPARTMENT MANAGERS DECLARATION

To be signed off ONLY when the Risk Assessment has be completed.

Name of Assessor

Date

Dept/Site

Tel/Email

(check name not set)

THE DEPARTMENT HEAD SHOULD NOW CHOOSE AS APPROPRIATE AND SIGN THE FORM

Dept Head Action Plan (where applicable)

Signature of Manager

Date completed

Dept/Site

Tel/Email

(check name not set)

Reviewed by Health and Safety

(check name not set)

DISTRIBUTION OF SIGNIFICANT FINDINGS

Name

Department

Name

Department

Name

Department

Name

Department