1. This document provides examples of how to complete a risk assessment check sheet. It includes information on identifying hazards, those at risk, current control measures, the likelihood of risks occurring, and reviewing risk assessments. 2. The document lists the key elements to include in a risk assessment such as the location, activity, task, hazards, persons at risk, current controls, likelihood of risks, and review date. It also notes that additional control actions may be required. 3. Instructions are provided on filling out a risk assessment form, including attaching additional documents like a manual handling assessment if required. Overall approval of the risk assessment is also part of the process.

1. 1 CHEP. Info
Risk Assessment Check Sheet Examples
UK Security Information
Hierarchy of RISK control … How to complete process …
Onechep.inf RISK ASSESSMENT Check Sheet
1 CHEP. Info
Elimination o. Info – Must be used when training new
HOW TO CREATE A BROCHURE Employees
Substitution Zone Location – For location
Using this template, you can create a
Changing number, see plan of plant
professional brochure. Here’s how : Risk Assessment
Work methods/patterns
Number – In BASIC RISK ASSESSING
Insert your words in place of these running order for Zone Activity – An example By Clive Burgess© 2005
1.
words, using and/or re-arranging the preset
Location Z4RBW1 would be ‘Bench Repair An assessment is,
Reduce or limited time of
paragraph Styles.
exposure
Task – This Work’ fundamentally a fact-finding
would be a work Risk
Good
Print pages 1 and 2 back-to-back onto methods involved in Assessors “Picture” fonts, like Wingdings, are gaining is
exercise where information
2. Engineering
sturdy, letter sizeControls –
paper.
Housekeeping in order to carry out the Activity. 1 & 2 – Fill gathered and evaluated so
popularity. Consider using other symbol fonts
An example would be ‘Use of in the names tothat you can make reliable
create highly customized “Icons.”
Isolation,
Large Nail Gun’ of employees
Fold theInsulation and to create a
Consider printingabout risks to
decisions your brochure on colorful,
3. paper like a letter carrying out
Ventilation
three-fold brochure (positioning the panel Hazards which could result in
with the large picture on the front). significant harm – List all hazards in the risk health and any measures
preprinted brochure paper—available from
relationship to the task, (ignore minor hazards). assessment on many paper suppliers.
Put them in numerical order. An example would behalf of the
required to control such risks.
WHAT ELSE SHOULD I KNOW?
Safe Systems of Work Employer
be ‘1. WRULDS’ ‘2. Weight of equipment’ AT FEES YOU CAN AFFORD
To change the Style of any paragraph, select ‘3. Compressed air’ ‘4. Hydraulic oil ‘5. Slips, We can often save you more than the cost of
the text by positioning your cursor anywhere
Training and Information trips and fall’ and so on … Those persons at risk –
our service alone. So why not subscribe today?
in the paragraph. With your cursor blinking in Is a manual handling
List all persons who could be
the paragraph, choose Styles and Formatting at risk in relationship to
risk assessment
from the Format window. Finally, from the carrying out the task involved
Styles and Formatting work pane, choose a
required? – If the
within the activity you are risk Call 555-0000
Personal Protective answer is yes, cross
new Style. Equipment assessing
reference and attach
With no control measures in place – The References: The general principles of prevention set out
To change the picture, first click on it. Then, likelihood of occurrence – Indicate the in Article 6(2) of Council Directive 89/391(EEC).
chance of this happening, high, medium or low S.I . 1997/1840 as amended by S.I. 1999/1877,
point to Picture on the Insert menu and
Statutory Instrument number 1999/1877. Page 40
choose From File. Select a new picture, and
Welfare Current control measures – List all control Management of Health and Safety Regulations 1999.
click Insert. measure used, indicate where these are located or can be Approved Code of Practice and Guidance (ACOP),
Monitoring
Approved by – Plant
found. An example would be 1. ‘Duty of care’ HSWA Page 48/49 Manual Handling of Loads Regulations
and Supervision
operations manager to
74, – Safety policy and persons responsible, 1992 (ACOP), Health risk management – a practical
Occupational health service, MHSR 99, PUWER 98, guide for managers in small and medium sized enterprises
verify, if agreed
MHoLR 92, , LOLER 98 PPER 92, W (HSW)R HSG 137 ISBN 0 7176 0905 7
97 Vibration risk assessment file 10a, Safe system of
work, Induction training, WRULDS booklet and
Review . information video etc. See Plant Library
With control measures in place Likelihood – Review
Re-assess the risk Date
Raise CAR if required

2. Risk Assessment Procedure’s –Flow Chart
1 CHEP. A Suitable and Sufficient Key Words and Meanings
Info
Risk Assessment as Hazard Is anything source or situation that has potential to 1. HAZARD Identification
recommended by the HSE cause harm
2. Persons at
Identify the Significant RISKS Risk The chance it is that a hazard will cause actual 3. Evaluate the level of
RISK
harm, based on the degree of exposure, the likelihood RISK
And Ignore the of the hazard-event and the severity of the
Trivial Ones … consequences
Identify and Priorities the 4. RISK Controls
Measures required complying Harm When harm is defined in terms of human injury or ill
with - health, damage to property, damage to the environment, (Existing and Additional)
Any Relevant Statutory business loss etc or a combination
Provisions 5. Record RISK
Hazard- The interaction of a person with a hazard that could Assessment
Remain appropriate to the nature event start an accident sequence findings
of work
Accident The sequence of events that begins with a person
6. Monitor and Review
And valid over a reasonable
sequence interacting with a hazard a subsequent loss of control,
period of time
and ends with the consequences of an accident.
Regulations Requiring Risk How to use the ‘Risk Nomogram’ Principles of Prevention …
Assessments [H.A.S.A.W.Act
1974] Managemen
t of H&SAW Regulations 1999 Step One ~ Assess the Probability of occurrence
1. Avoid the ™
Noise at Work Regulations 1989 (2005)
Step Two ~ Assess the Exposure Time RISK
PUWER 1998, H&S 2. Evaluating the RISKS
(DSE) Regulations 1992, Fire which cannot be avoided
Precautions Regulations 1997 (as amended), COSHH Step Three ~ At the intersection of the two lines draw
a left diagonal line, parallel with the guidelines, up until 3. Combating
Regulations 2002, Manual the RISK at source
it meets the edge of the grid.
Handling Regulations 1992
4. Adapting
Other Regulations under the Enabling Act
Step Four ~ Draw a horizontal line parallel with the the work to 5. Adapting to technical
include – Health and Safety (Consultation with Employees) guidelines until it intersects at the degree of injury line process
the
Regulations 1996, Safety Representatives and Safety that you have established. Individual
Committees Regulations 1977, Workplace (Health, Safety and
Welfare) Regulations 1992, The Health and Safety (Safety Step Five ~ Draw a right diagonal line from the injury 6. Replacing the dangerous by
Signs & Signals )Regulation 1998, Personal Protective line, parallel with the guidelines, until you arrive at your non-dangerous or less
Equipment Regulations 1992, Lifting Operations and Lifting 7. Developing
degree of risk. Step Five dangerous
Equipment Regulations 1998, Electricity at Work a coherent
8. Giving collective
Regulations 1989, Supply of Machinery Safety Regulations overall
Step One Risk line protective measures
1992 (as amended 1994), Confined Spaces Regulations 1997, prevention
priority over
Pressure Systems Safety Regulations 2000, Dangerous policy
Step Four individual
Substances and Explosive Atmospheres Regulations 2002, protective measures appropriate
9. Giving
Reporting of Injuries and Dangerous Occurrences Regulations Step Two Step Three instruction to employees Info
1 CHEP.
1995 – These can also be applied as controlling measures …