Formal Risk Assessment: Vinyl Cutter

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template risk assessment form

Activity

Insert brief abstract of the activity to be assessed here

Hazard identification

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

  • Hazard 1
  • Hazard 2
  • Hazard 3

Persons at risk

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

  • Persons
  • Persons
  • Persons

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.

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:

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:

Example risk assessment table format

Columns:

  • Activity / equipment / space / etc
  • What are the hazards?
    • e.g. Hot tips on soldering iron
  • Who might be harmed and how?
    • e.g. Makespace member or member of the public using soldering iron could suffer minor burns if tool used incorrectly.
  • What are we doing already?
    • e.g. "Sign saying "danger hot" next to soldering iron station
  • What further action is required?
  • By who?
  • By when?
  • Has this been completed?