RISK ASSESSMENT FORM

 

Risk Assessment for all volunteer workers

 

Visit Title: _______________________________________________________________      Date: ____________________

 

Leader: ____________________________________________________                             Signed: ____________________________________________

 

Classification (please circle         Easy                 Moderate           Hard

 

First Aider present: __________________________________________________________________________________

 

Nearest public telephone: ________________________    Nearest Accident and Emergency Department: St Mary’s Hospital, Newport 524081

 

Group members present:

 

 

 

 

 

Tick Boxes

Hazard

Risk

Precautions

L

S

R

Priority

Action required

Group briefed

 

Uneven/unstable ground

Fallen trees

Falls/injury

Members asked to wear suitable footwear, e.g. steel toe-capped boots. Site inspection of all hazards identified before work commences

 

 

 

 

 

 

 

 

Slippery surfaces, e.g. wet/muddy

Falls/injury

 

 

 

 

 

 

 

Road traffic

Collisions

Members asked to be aware of the possibility of cars/vehicles using the roadway in the Cemetery

 

 

 

 

 

 

 

Weather, e.g. rain, heat, cold, high winds

 

Members asked to take sensible precautions, use appropriate clothing for the weather conditions, to wear sunscreen as necessary, and to take breaks as needed.

Supplies of drinking water provided

 

 

 

 

 

 

 

Hazardous flora, e.g. stinging nettles

Stings, allergic reactions

Take first aid kit. Ask members if they have known allergies.

 

 

 

 

 

 

 

Hazardous fauna, e.g. snakes, wasps

Stings, allergic reactions

 

 

 

 

 

 

 

Soil contact

Tetanus

Make sure previous cuts and abrasions are covered by plasters. Remind members to be up to date with immunisations.

 

 

 

 

 

 

 

Ticks

Lyme disease

Ask members to keep exposed skin to a minimum, and avoid brushing against vegetation. Get members to check their skin for any signs.

 

 

 

 

 

 

 

Rats

Weils disease

Avoid contaminated areas/contact with stagnant water

 

 

 

 

 

 

 

Toxic flora

Poisoning, rashes, blisters

Identify plants on site. Avoid areas where blue green algae occur on hot days; protect skin from bracken; warn members not to touch giant Hogweed.

 

 

 

 

 

 

 

Remote area

Out of reach of public phone

Take a mobile phone/inform neighbour/ask for permission to use neighbour’s phone in case of emergency.

 

 

 

 

 

 

 

Boggy areas

Getting wet/ill

Avoid boggy areas

 

 

 

 

 

 

 

Carrying equipment long distances

Aches/back injury

Advise members to carry equipment minimal distance. Use cart or other wheeled support if possible.

 

 

 

 

 

 

 

Fungi/fruits/berries

Poisoning/illness

Advise members not to eat any wild “food”.

 

 

 

 

 

 

 

Dog/other animal faeces

Illness/worms/toxicara canis

Inform members of risk. Wear protective clothing. Follow hand washing before eating.

 

 

 

 

 

 

 

Group separation

Potential danger

Ask members to inform group leader when they leave. Leader to do head count periodically.

 

 

 

 

 

 

 

Any other hazard: describe

 

 

 

 

 

 

 

 

 

Key

 

Hazard:                         Anything that can likely cause an accident or illness

Risk:                             Type of accident or illness the hazard could cause

Precaution:                    Action that can be taken in advance to prevent accident or illness.

 

L=        Likelihood          How likely is the accident or illness to happen

1 = low/seldom,             2 = medium/frequently,               3 = high/certain.             Use own judgement and experience

 

S=        Severity How much damage the accident could do to a person

                                    1 = slight/up to three days off work

                                    2 = serious/over three days off

                                    3 = major harm/death

 

R=        Risk rating         Likelihood multiplied by severity.

 

Priority                          Risk rating decides priority for action, e.g. 1 = no action    2 = low priority   3 or 4 = medium            6 = high                        9 = urgent

 

Action required/notes     Further precautionary measures that had to be taken on the day. Specific actions relating to the activity.

 

Group briefed                 It is the group Leader’s responsibility to brief the group about potential hazards and consequent precautions, initial the boxes when each hazard has been explained. You may want someone in the group to countersign that all hazards have been identified. Overall, members are responsible for their own safety, but Leaders should assess risks to avoid conflict and prepare better for the visit/activity. A completed risk assessment is proof that the Leader took reasonable steps to ensure the safety of he group.

 

NB Risk Assessments should be made available to members of the group on request. It is always advisable to keep a fully stocked First Aid kit. In some cases, the presence of a fully qualified First Aider is best. Be aware of any medical conditions/first aid requirements within the group.

 

Accident Log/Comments: include details of any accidents, first aid, external help, persons notified, time and place of accident