Risk Assessment

ACTIVITY	HAZARD	RISK H/M/L	PRECAUTIONS	IN PLACE	REVIEW DATE	REVIEWER
Rolling Marbles Dark room	Slipping Hitting someone Falling over Tripping Damage equipment/ themselves	H L M M L	Make sure the team know where the marbles are at all times. Make sure they stay away from the team. Be precautions where people are and what is where. Be precautions where people are and what is where. Make sure people know the location well before the lights go out.
Please leave this section blank: Risk Assessment checked by:   Name …………………………………………………..        Signed ………………………………………………….     Date ……………………

KEY:      Activity :                Describe the component part of your pursuit.

Hazard :                List the things you anticipate might cause harm or the things associated with your activity that have the potential to cause harm.  Consider the likely harm.    

Risk:                      Assess the risk as either H (High), M (Medium) or L (Low).  When concluding your assessment consider all of the circumstances.

Precautions:        Consider what you could do to minimise / negate the risk.

In Place:                Will the precautionary measures be in place at the time of the activity?

Review Date:      When would it be reasonable to review your assessment?  Remember it might be whilst you are undertaking the activity.

Reviewer:            Name of the person responsible for completing the risk assessment.

A copy of this form should be taken on the activity or visit by the Reviewer.