*

RED (High Risk)

General Risk Assessment Risk Assessment Amber (Moderate

Outcome Risk)
Reference number:

Reference number = initials of assessor / School or Professional Service Dept / date of assessment Green (Low Risk)
dd/mm/yr

Description of Work Activity:

MMus Performance Assessment. Three 10 year old children to perform for 15 minutes with MMus student Ha My Pham on 25 th January at 12 noon.

Persons involved in the work: Persons likely to be affected by the work: Location of work:

Ha My Pham, NAMES OF STUDENTS Vestry Hall

How frequently is the work undertaken? Please tick () appropriate box
Hourly Daily  Weekly Monthly Annually One off X

Name of assessor: Position/Job title: Signature: Date:

Name of Manager if Counter-signed

 LIKELIHOOD: 1 = highly unlikely; 2 = Unlikely; 3 = Likely SEVERITY: 1 = slightly harmful; 2 = harmful; 3 = extremely harmful
RISK RATING: 1 = Trivial; 2 = Tolerable; 3 to 4 = Moderate; 6 = Substantial; 9 = Intolerable

different from assessor: by Manager:

Target date Date of Changes required? (If yes, a revised assessment should be recorded)

for 1st review…………. or earlier as Review: Yes

and when Legislation Changes

Reviewed Position/ Signature:

by Job title:

Target date Date of Changes required? (If yes, a new assessment should be recorded)

Review: Yes

Reviewed Position/ Signature:

by

References: other documents that result from or are related to this risk assessment e.g. previous assessments, safe systems of work, other UWL Risk Assessments (e.g.
COSHH, PPE, DSE, manual handling, work at height), fire & first aid procedures, UWL policies & procedures, etc.

REMEMBER: use the controls from your risk assessments in your Safe Systems of Work and other recorded processes / procedures.
 LIKELIHOOD: 1 = highly unlikely; 2 = Unlikely; 3 = Likely SEVERITY: 1 = slightly harmful; 2 = harmful; 3 = extremely harmful
RISK RATING: 1 = Trivial; 2 = Tolerable; 3 to 4 = Moderate; 6 = Substantial; 9 = Intolerable

Hazard Evaluation Control measures: what is required to reduce the risk to an Evaluation of Action plan
of Hazard acceptable level? Controls

Describe the hazard, and Describe measures in place for safe working. If further Person

Target completion

Date completed
how harm might arise measures are required, detail these as well. These could responsible for

Remaining Risk
Risk Rating
include controls to make the process safe (e.g. enclosure, existing controls

date
guarding), organisational controls (e.g. job rotation), and or implementing
controls to protect individuals (e.g. training, supervision, new measures
first aid, PPE)

Children may trip or fall
1 1 1 Children will be with a guardian and supervised at all times 1 1 1 Vestry Hall is on
the ground floor
with easy access
and no obstacles.
There is very little
risk.