RISK ASSESSMENT           ZONE LOCATION               RISK ASSESSMENT
    The dynamics                 Check sheet Proposal by                               Number
                                 Clive Burgess© 2005

1   Activity:                                              Task involved:




    Hazards which could result in significant harm:        Those persons at risk:              Is a Manual
                                                                                               Handling
                                                                                               Risk
                                                                                               Assessment
                                                                                               required?
                                                                                                 Reference:




2   With no control     Risk        Probability:                                    Risk       Assessor 1:
    measures in place   Calculation Exposure:                                       Rating
    Likelihood of       Potential
    occurrence:         Outcome – Injury:
                                                                                               Assessor 2:
    CURRENT CONTROL MEASURES:

                                                                                               DATE Assessed

3


                                                                                               Approved by:



                                                                                               Date
    With current        Risk        Probability:                                    Risk
    control measures    Calculation Exposure:                                       Rating
    in place            Potential                                                              Review Date
    Likelihood:         Outcome – Injury:

Uks risk assessment check sheet 2010 master copy 2a

  • 1.
    RISK ASSESSMENT ZONE LOCATION RISK ASSESSMENT The dynamics Check sheet Proposal by Number Clive Burgess© 2005 1 Activity: Task involved: Hazards which could result in significant harm: Those persons at risk: Is a Manual Handling Risk Assessment required? Reference: 2 With no control Risk Probability: Risk Assessor 1: measures in place Calculation Exposure: Rating Likelihood of Potential occurrence: Outcome – Injury: Assessor 2: CURRENT CONTROL MEASURES: DATE Assessed 3 Approved by: Date With current Risk Probability: Risk control measures Calculation Exposure: Rating in place Potential Review Date Likelihood: Outcome – Injury: