Title Page
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Site conducted
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Conducted on
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Prepared by
Zone 1
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Zone Name:
Identify, Control and Record.
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Identify a Hazard: Look around your workplace and think about what may cause harm.
Consider:
• How people work and how plant and equipment are used
• What chemicals and substances are used
• What safe or unsafe work practices exist
• The general state of your premises
• Vulnerable workers, such-as expectant mothers.
Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
For each hazard, think about how employees, contractors, visitors or members of the public might be harmed. -
What is the Hazard?
-
What is the activity, plant or material in question?
-
Where is the hazard?
-
Who is at risk?
- Staff
- Customers
- Venerable workers
- Visiting Contractors
- Building and Contents
- Specific Staff members
-
Who is this staff member?
-
Are there measures in place to control the risk?
-
What measures are in place?
-
Can anything further be done to control the risk?
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
Zone 2
-
Zone Name:
Identify, Control and Record.
-
Identify a Hazard: Look around your workplace and think about what may cause harm.
Consider:
• How people work and how plant and equipment are used
• What chemicals and substances are used
• What safe or unsafe work practices exist
• The general state of your premises
• Vulnerable workers, such-as expectant mothers.
Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
For each hazard, think about how employees, contractors, visitors or members of the public might be harmed. -
What is the Hazard?
-
What is the activity, plant or material in question?
-
Where is the hazard?
-
Who is at risk?
- Staff
- Customers
- Venerable workers
- Visiting Contractors
- Building and Contents
- Specific Staff members
-
Who is this staff member?
-
Are there measures in place to control the risk?
-
What measures are in place?
-
Can anything further be done to control the risk?
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
Zone 3
-
Zone Name:
Identify, Control and Record.
-
Identify a Hazard: Look around your workplace and think about what may cause harm.
Consider:
• How people work and how plant and equipment are used
• What chemicals and substances are used
• What safe or unsafe work practices exist
• The general state of your premises
• Vulnerable workers, such-as expectant mothers.
Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
For each hazard, think about how employees, contractors, visitors or members of the public might be harmed. -
What is the Hazard?
-
What is the activity, plant or material in question?
-
Where is the hazard?
-
Who is at risk?
- Staff
- Customers
- Venerable workers
- Visiting Contractors
- Building and Contents
- Specific Staff members
-
Who is this staff member?
-
Are there measures in place to control the risk?
-
What measures are in place?
-
Can anything further be done to control the risk?
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
Zone 4
-
Zone Name:
Identify, Control and Record.
-
Identify a Hazard: Look around your workplace and think about what may cause harm.
Consider:
• How people work and how plant and equipment are used
• What chemicals and substances are used
• What safe or unsafe work practices exist
• The general state of your premises
• Vulnerable workers, such-as expectant mothers.
Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
For each hazard, think about how employees, contractors, visitors or members of the public might be harmed. -
What is the Hazard?
-
What is the activity, plant or material in question?
-
Where is the hazard?
-
Who is at risk?
- Staff
- Customers
- Venerable workers
- Visiting Contractors
- Building and Contents
- Specific Staff members
-
Who is this staff member?
-
Are there measures in place to control the risk?
-
What measures are in place?
-
Can anything further be done to control the risk?
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
Zone 5
-
Zone Name:
Identify, Control and Record.
-
Identify a Hazard: Look around your workplace and think about what may cause harm.
Consider:
• How people work and how plant and equipment are used
• What chemicals and substances are used
• What safe or unsafe work practices exist
• The general state of your premises
• Vulnerable workers, such-as expectant mothers.
Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
For each hazard, think about how employees, contractors, visitors or members of the public might be harmed. -
What is the Hazard?
-
What is the activity, plant or material in question?
-
Where is the hazard?
-
Who is at risk?
- Staff
- Customers
- Venerable workers
- Visiting Contractors
- Building and Contents
- Specific Staff members
-
Who is this staff member?
-
Are there measures in place to control the risk?
-
What measures are in place?
-
Can anything further be done to control the risk?
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
Zone 6
-
Zone Name:
Identify, Control and Record.
-
Identify a Hazard: Look around your workplace and think about what may cause harm.
Consider:
• How people work and how plant and equipment are used
• What chemicals and substances are used
• What safe or unsafe work practices exist
• The general state of your premises
• Vulnerable workers, such-as expectant mothers.
Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
For each hazard, think about how employees, contractors, visitors or members of the public might be harmed. -
What is the Hazard?
-
What is the activity, plant or material in question?
-
Where is the hazard?
-
Who is at risk?
- Staff
- Customers
- Venerable workers
- Visiting Contractors
- Building and Contents
- Specific Staff members
-
Who is this staff member?
-
Are there measures in place to control the risk?
-
What measures are in place?
-
Can anything further be done to control the risk?
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
-
Please action what can be done to further control the risk using the matrix below:
-
What is the likelihood of the hazard becoming a risk?
-
What would the severity be?
-
What score does this give you? (Likelihood x Severity)
- 1 - 8 - Action to be completed within 3 months.
- 9 - 12 - Action to be completed within 1 month.
- 12 - 20 - Action to be completed within 1 week.
- 20 - 25 - Action NOW.
