ActiveConnections Outside Area Risk Assessment Form

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

The Location

• Is the area Suitable for all activities? Please note those which may not be suitable.

  Yes

  No

  N/A

• Is the area suitable for activities during the evening? If yes please state why.

  Yes

  No

  N/A

• Does the area pose any risks to coaches delivering activities? If yes, please state what they are, how these issues have been addressed and the outcome.

  Yes

  No

  N/A

Delivery

• Can anyone be injured due to hazards associated with the delivery of sport and physical activity in the location?

  Safe

  At Risk

  N/A

• Have people been inducted into the safe delivery of sport and physical activity?

  Yes

  No

  N/A

Slips, Trips, Falls

• Can anyone be injured by Slips, Trips or Falls in the designated area?

  Yes

  No

  N/A

• Can anyone be injured by slips, trips or falls outside the designated area, within reasonable distance?

  Yes

  No

  N/A

Acess and Egress

• Are all emgerency and disabled exits clear and free of obstruction?

  Yes

  No

  N/A

• Are there appropriate emergency access points to the location? And are all staff aware of them?

  Yes

  No

  N/A

• Is the location with reasonable distance from nearest vehicle parking space in relation to moving equipment?

  Yes

  No

  N/A

Noise

• Are noise levels related to the activities (including bump in and out) excessive?

  Yes

  No

  N/A

Entanglement

• Can anyone's hair, clothing or other materials become entangled with any equipment, apparatus or part of the facility?

  Yes

  No

  N/A

Crushing

• Can anyone be crushed due to: Falling Materials?

  Yes

  No

  N/A

• Normal or unexpected movement of the facility?

  Yes

  No

  N/A

Cut, Stab or Puncture

• Due to becoming in contact with sharps or flying objects?

  Safe

  At Risk

  N/A

• Due to coming in contact with moving parts of the location?

  Safe

  At Risk

  N/A

Friction

• Can anybody be burnt due to contact with moving parts or surfaces of the location?

  Yes

  No

  N/A

Strike Impact

• Can anyone be struck by moving objects due to uncontrolled or unexpected or uncontrolled movement of equipment or area?

  Yes

  No

  N/A

Ergonomic

• Can none be injured due to poorly designed seating, repetitive movement, poor lighting, poor lighting, poor body posture and the need for excessive effort?

  Yes

  No

  N/A