Example Risk Assessment Form
TASK/ACTIVITY VENUE/ROOM/
AREA
Jubilee Square
DATE REVIEW DATE
ASSESSOR SIGNATURE
DESCRIPTION
OF HAZARD
CONSEQUENCE
OF HAZARD
PERSONS
AT RISK
CURRENT
CONTROL MEASURES
RISK
L X S =
H,M,OR L
1. Vehicle movement on site, risk of
collision with person or object
Broken bones
Death
Staff,
Performers
Public
Vehicle to be guided by stewards in high res
jackets.
Vehicle to not exceed 5mph.
Hazard lights to be turned on whilst moving.
Any vehicles remaining on the Square to have
a drip tray underneath
2x4=8 Low
2. Construction / Dismantling of
staging, risk of falling objects,
collapsing structure, slips and trips,
Sprains, broken
bones, back
strain
Staff,
Performers
Public
Staff experienced in handling equipment.
Staff to look for potential hazards and report
them to the production manager
2x3=Low
3. Electricity / PA / DJ equipment, risk
of fire / electrocution, slips and trips
from leads
Burns, sprains,
death
Staff
Performers
Public
All electrical equipment will be checked for damage,
abrasion before use.
Cables routed away from pedestrian /vehicle routes
Cables to be covered to reduce risk of slipping
Event will be cancelled if it rains
All equipment PAT tested
2x4=Low
EXAMPLE RISK ASSESSMENT FORM
Likelihood x Severity
Very Unlikely 1 Minor injury, No time off
Unlikely 2 Injury and up to three days off
Likely 3 Reportable Condition
Very Likely 4 Major injury/Long term absence
Certain 5 Death
Select the Likelihood and multiply by selected Severity to give the
Risk Rating.
Risk Rating
High =16-25, Medium = 9-15, Low = 1-8
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