RISK ASSESSMENT RECORDING FORM

Location or
Address: locking stumps play area
Activity or
Situation
Photo-shoot
(1)

Hazard

Playground equipment:
Swings
Baby swings
Slide
Climbing frame
Public

Date Assessment
Undertaken:
2rd February 2015
Review
Date: 3rd February 2015

Assessment undertaken
By:
Zoe Gribben
Signature

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce

risk

(4) What action can be taken

to further reduce risk?

1a
1b

The models might be harmed if the

equipment is broken or damaged. I
might also be in harm as I will be
using it as well.

We should consider other area on

the playground if there is
equipment broken.

If there is a number of equipment

broken I should consider a
different place to do the photshoot.

The public might be harmed if they

are walking pass or using the park
with their children. They might be in
the background, so they might not
want to be in the image.

We should use the areas that are

not populated by the public and
children.

If the play area is too busy with the

public we could consider another
park that might be quieter.

1. List hazards something with the potential to cause harm here: play equipment might be broken
Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.

2. List groups of people who are especially at risk from the significant hazards which you have identified; models and zoe and public
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you expect to
gain.

(1)

Hazard

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce

risk

(5) What action can be taken

to further reduce risk?

RISK RATING
a SEVERITY

b LIKELIHOOD

c FINAL SCORE RATING: what needs to be done

Dying or being permanently disabled

Will almost certainly happen

Serious injury/long term illness

Highly likely to happen

Temporary disability/3 days off sick

Not so likely

Will need medical attention

Even less likely

Minor injury eg. Bruise, graze

Unlikely to happen at all

16-25 Stop! Do not start activity again until risk is

controlled
10-15 High risk level, High priority. Take action
straight away to control the risk
6-9
Medium risk level. Tighten up controls and
make a plan to do something about risk
3-5
Fairly low risk level. Low priority but keep
possible action in mind
1-2
Low or trivial risk. No further action
required.

SO: a x b = c
Action Required

Responsible Person

Date for Completion