Health & Safety Assessment Form

Health & Safety Assessment Form


 

 

ROTARY CLUB OF CARDIFF BREAKFAST

 

RISK ASSESSMENT FORM

 

Event/Activity ____________________________________________________________________          Date _____________________________________

 

Venue ______________________________________________________ Person/Organisation Responsible

                                                                                                                        For Venue _____________________________________________________

 

Club Member Responsible ___________________________

 

Assessment Undertaken by ___________________________ Signature ____________________________             Date __________________________

 

Assessment Checked by H&S Advisor __________________  Signature ____________________________             Date __________________________

 

Assessment Review Date _____________________________

 

HAZARD

Look only for hazards which you could reasonably expect to result in significant harm under the conditions at your event

 

WHO MIGHT BE HARMED

 

IS THE RISK ADEQUATELY CONTROLLED

WHAT FURTHER ACTION IS NECESSARY TO CONTOL THE RISK?

 

LIST HAZARDS HERE

List groups of people who are especially at risk from the significant hazards, which you have identified

 

LIST EXISTING CONTROLS HERE

 

List the risks, which are not adequately controlled

 

 

 

 

 

HAZARD

Look only for hazards which you could reasonably expect to result in significant harm under the conditions at your event

 

WHO MIGHT BE HARMED

 

IS THE RISK ADEQUATELY CONTROLLED

WHAT FURTHER ACTION IS NECESSARY TO CONTOL THE RISK?

 

LIST HAZARDS HERE

List groups of people who are especially at risk from the significant hazards, which you have identified

 

LIST EXISTING CONTROLS HERE

 

List the risks, which are not adequately controlled

 

 

 

 

 

Related pages...

Health & Safety Statement of Resposibility

more Health & Safety: Notes for Guidance

Health & Safety Notes for Guidance

more Health & Safety Notes for Guidance

Health & Safety Risk Assessment Flowchart

more Health & Safety Risk Assessment Flowchart

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Health & Safety for RCCB

back Please see the sub-pages (right) for full details.