This risk assessment document summarizes potential hazards at a boarding house location for a project. It identifies 4 hazards: a sharp shelf above the fireplace could cause cuts, a camera tripod could cause trips, the use of a moving vehicle/car could cause injury, and falling down the stairs could cause injury. For each hazard, the document lists the potential injuries, any preventative measures taken, the number of people at risk, additional required actions if needed, and who is responsible. It rates the likelihood of each hazard occurring and the potential severity of injury from 1 to 3.

1. Risk Assessment
Site Name
Project
Location
Date Assessed
Boarding House,
Andrew’s house
Escape
House, Boarding
House
6/12/13
Likelihood of occurrence: High, Medium, Unlikely
Risk-A
number
1
Name
Assistants
Lara Petersen
Mariana Leiferman,
Andrew Lovick,
Alejandro Larios

2. What hazards
have been
identified?
What are the
potential
injuries or
damage?
What measures
have been taken to
prevent injury or
damage?
Number
of people
at risk
What
additional
measures or
actions are
required?
Who is responsible
for action?
R
A
G
Severity (1, 2 or
3)
Shelf
above
fire
place
1
Make
everyone
aware of
sharp
edges.
7
None
All of us
G
Camera
tripod
1
Make
everyone
aware of
the tripod
and make
sure that
it is not in
the way.
Watch out
for
vehicles
and cars
7
None
Camera
man/woman
A
7
None
Two
assassins
A
Walk
carefully.
1
None
Victim
A
Use of a
moving
vehicle/
car
Fall
down
the
stairs
3
3
Likelihood of occurrence: High, Medium, Unlikely