Equipment/VacuumFormer/RiskAssessment

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Activity

Insert brief abstract of the activity to be assessed here

[edit] Hazard identification

Consider the hazards involved in conducting this activity and list each hazard

Hazard 1 
Hazard 2 
Hazard 3 

[edit] Persons at risk

Consider who might be put at risk by the hazards listed above

Persons 
Persons 
Persons 

[edit] Initial assessment of risk


Hazard identified

Severity

Probability

Risk Factor

Hazard 1 1~5 1~5 Severity x probability Hazard 2 1~5 1~5 Severity x probability Hazard 3 1~5 1~5 Severity x probability

Categorising the risk level as 1-4(Low), 5-9(Moderate), 10-15(High) or 16-25 (Unacceptable) shows that the potential level of risk in this activity is ########. Further measures are needed/not needed to reduce the risk to an acceptable level.

[edit] Control measures

Necessary control measures arising from the hazard identified of ####### are: 
Necessary control measures arising from the hazard identified of ####### are: 
Necessary control measures arising from the hazard identified of ####### are: 

[edit] Final assessment of risk

The assessed risk taking into account the implementation of the control measures listed, and adherence to the SSOW (Safe System of Work) if applicable is as follows:


Hazard identified

Severity

Probability

Risk Factor

Hazard 1 1~5 1~5 Severity x probability Hazard 2 1~5 1~5 Severity x probability Hazard 3 1~5 1~5 Severity x probability

When completing Risk Assessment please consider the if First Aid assistance might be appropriate if the calculated Risk level (Severity x Probability) is greater than 5

The risk now falls into the category ####### and is considered to be acceptable.

Authorised by

Sign:

Print:

Date: