blank risk assessment form
DESCRIPTION
Risk Assessment FormTRANSCRIPT
University of Bristol Students’ UnionStudent Activities Risk Assessment Form
Purpose of AssessmentTask/Activity/Event/Trip/
Group Name: Person completing assessment:
Original assessment date: Date last reviewed:
Hazard Persons affected
Existing controls
Risk RatingAdditional controls
Person responsible
DateA.Likely severit
y of injury (1 to
3)
B.Likely Occurrence (1 to
3)
C.Risk
Rating(A) x (B)
Hazard Persons affected
Existing controls
Risk RatingAdditional controls
Person responsible
DateA.Likely severit
y of injury (1 to
3)
B.Likely Occurrence (1 to
3)
C.Risk
Rating(A) x (B)
Hazard Persons affected
Existing controls
Risk RatingAdditional controls
Person responsible
DateA.Likely severit
y of injury (1 to
3)
B.Likely Occurrence (1 to
3)
C.Risk
Rating(A) x (B)
Score 3 2 1Column A: Severity of Injury:
Major Injury or death Injury requiring medical treatment Minor or no injury
Column B: Likely Occurrence:
Regular exposure of several people to hazard.
Occasional exposure of few people. Exposure to hazard very rare.