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Risk Assessment Form –
Part A
Production Name: LGBT IN THE NE Organisation
Production Address: Bede Campus


Durham Road


SR3 4AH
Producer / Editor


Tel:
Fern Gallagher


07950438525
Start date End date
Distribution


Who gets a copy of the assessment
Lucy Martin, Lucy Baker, Neil Wilson, Emma Leslie Boddy
Outline of risk assessment


Summary of what is proposed in
terms of sequences and set ups.
Team members / experts /
contractors / contributors etc.


List those involved
Lucy Martin


Lucy Baker


Locations


Outline locations involved – indicate
any which are hostile environments
Sunderland College Bede Campus
Assessor
	
Name


	
	
Signature
Date completed
Authoriser
	
Name


(if not Assessor)
	
Signature
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
Assault by person x Contact with cold liquid / vapour Disease causative agent
Attack by animal Contact with cold surface Infection
Breathing compressed gas Contact with hot liquid / vapour Allergic reaction X
Cold environment Contact with hot surface X Lack of food / water
Crush by load Electric shock X Lack of oxygen
Drowning Explosive blast Physical fatigue X
Entanglement in moving machinery Explosive release of stored pressure Repetitive action
High atmospheric pressure Fire X Static body posture
Hot environment X Hazardous substance Stress / anxiety X
Manual handling Ionizing radiation Venom poisoning
Object falling, moving or flying X Laser light
Obstruction / exposed feature Lightning strike Environmental hazards
Sharp object / material X Noise X Litter
Shot by firearm Non-ionizing radiation Nuisance noise / vibration
Slippery surface Stroboscopic light Physical damage
Trap in moving machinery Vibration Waste substance released into air
Trip hazard X Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls from height Management factors (lack of communication,
co-operation, co-ordination and competence)

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Risk Assessment .pdf

  • 1. Risk Assessment Form – Part A Production Name: LGBT IN THE NE Organisation Production Address: Bede Campus Durham Road SR3 4AH Producer / Editor Tel: Fern Gallagher 07950438525 Start date End date Distribution Who gets a copy of the assessment Lucy Martin, Lucy Baker, Neil Wilson, Emma Leslie Boddy Outline of risk assessment Summary of what is proposed in terms of sequences and set ups. Team members / experts / contractors / contributors etc. List those involved Lucy Martin Lucy Baker Locations Outline locations involved – indicate any which are hostile environments Sunderland College Bede Campus Assessor Name Signature Date completed Authoriser Name (if not Assessor) Signature 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 Assault by person x Contact with cold liquid / vapour Disease causative agent Attack by animal Contact with cold surface Infection Breathing compressed gas Contact with hot liquid / vapour Allergic reaction X Cold environment Contact with hot surface X Lack of food / water Crush by load Electric shock X Lack of oxygen Drowning Explosive blast Physical fatigue X Entanglement in moving machinery Explosive release of stored pressure Repetitive action High atmospheric pressure Fire X Static body posture Hot environment X Hazardous substance Stress / anxiety X Manual handling Ionizing radiation Venom poisoning Object falling, moving or flying X Laser light Obstruction / exposed feature Lightning strike Environmental hazards Sharp object / material X Noise X Litter Shot by firearm Non-ionizing radiation Nuisance noise / vibration Slippery surface Stroboscopic light Physical damage Trap in moving machinery Vibration Waste substance released into air Trip hazard X Waste substance released into soil / water Vehicle impact / collision Managerial / organisational hazards Falls from height Management factors (lack of communication, co-operation, co-ordination and competence)