RISK ASSESSMENT RECORDING FORM

Location or
Address: Grosvenor Grange
Activity or
Situation: Photoshoot
(1)

Hazard

Date Assessment
Undertaken:
Review
Date:

Assessment undertaken
By:
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?

The busy road.

Getting hit by a moving

vehicle.

The person getting hit by the car

and the person in the car as they
could cause the driver to swerve
and crash.

Pavements on the sides of roads.

The hard curb

Falling over it and

getting injured by the
fall.

The person falling over could be

harmed because they could fall and
hit their head on the tall curb or hard
road.

There are slopes up on either end

of the curb however these ends are
far apart.

Taking the photoshoot on a

weekday between working times
so that its less likely for a car to
come down the road as most
people will be in work.
Using the path on the other side of
the road so that we dont need to
climb the curb.

The slippery
ground

Slipping on the ground

and getting injured by
the hard pavement or
the tall curb.

The person slipping and anyone

surrounding them could be harmed
because they could fall onto the
hard ground or onto another person.

There are paths that have a lot of

grip so that its hard to slip on them
such as concrete paths.

We use the concrete path on the

other side of the road as it has
more grip so we are less likely to
slip.

The branches.

Falling or walking into a

branch and it piercing
your skin or getting in
your eye.

The person falling or walking into

the branches could be harmed by
the branches going into their eye or
even through their skin.

The branches are usually trimmed

or cut at intervals throughout the
year.

By walking on the path on the

other side of the road as there are
less branches reaching out into
the path.

1. List hazards something with the potential to cause harm here:

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
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?

The busy road.

5x1=5 Fairly low

risk.

The person getting hit by the car

and the person in the car as they
could cause the driver to swerve
and crash.

Pavements on the sides of roads.

Taking the photoshoot on a

weekday between working times
so that its less likely for a car to
come down the road as most
people will be in work.

The hard curb

2x2=4 Fairly low

risk.

The person falling over could be

harmed because they could fall and
hit their head on the tall curb or hard
road.

There are slopes up on either end

of the curb however these ends are
far apart.

Using the path on the other side of

the road so that we dont need to
climb the curb.

The slippery ground

1x3=3 Fairly low

risk.

The person slipping and anyone

surrounding them could be harmed
because they could fall onto the
hard ground or onto another person.

There are paths that have a lot of

grip so that its hard to slip on them
such as concrete paths.

We use the concrete path on the

other side of the road as it has
more grip so we are less likely to
slip.

The branches.

2x2=4 Fairly low

risk.

The person falling or walking into

the branches could be harmed by
the branches going into their eye or
even through their skin.

The branches are usually trimmed

or cut at intervals throughout the
year.

By walking on the path on the

other side of the road as there are
less branches reaching out into
the path.

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