Information
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RISK ASSESSMENT FOR:
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DATE OF ASSESSMENT:
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PREMISES:
- THE GATEWAY ACADEMY
- FREE SCHOOL (GPFS)
- LANSDOWNE ACADEMY
- HERRINGHAM ACADEMY
- PIONEER ACADEMY
- WORKSHOP / YARD
- ONE COMMUNITY
- THE GATEWAY LEARNING COMMUNITY
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ASSESSOR (s):
- Lee Spall
- Maggie Earey
- Tom Canaway
- Daniel Starns
- Daniel Pollard
- Jane Tyson
- Ernie Fraser
- Anne Fraser
- Kathryn Luckin
- Arthur Lawrence
- Brian Crowhurst
- Sarah Ventham
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ADDITIONAL PERSONNEL:
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RISK RELATED TO:
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DOCUMENT NO.
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WORK ACTIVITY / ITEM BEING ASSESSED:
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PERSON(S) AT RISK: (Person affected by activity)
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HAZARDS IDENTIFIED:
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OTHER APPLICABLE RISKS:
- DSE
- Manual handling
- Expectant mothers
- Young persons
- COSHH
- Fire
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PROPERTY AT RISK: (Equipment / personal belongings etc.)
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PROBLEMS IDENTIFIED: (That could possibly affect the risk assessment I.e. weather)
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CURRENT CONTROL MEASURES:
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SEVERITY SCORE:
- Very minor / property = 1
- Minor / first aid = 2
- Lost time 3 day injury = 3
- Hospitalised = 4
- Death, irreparable damage = 5
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LIKELIHOOD SCORE:
- Unlikely = 1
- Possible = 2
- Probable = 3
- Likely = 4
- Certain = 5
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TOTAL = SEVERITY X LIKELIHOOD: Before controls
- 0 - 6 LOW RISK
- 7 - 11 MEDIUM RISK
- 12 + HIGH RISK
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NEW CONTROL MEASURES:
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SEVERITY SCORE: CONTROLLED
- Very minor / property = 1
- Minor / first aid = 2
- Lost time 3 day injury = 3
- Hospitalised = 4
- Death, irreparable damage = 5
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LIKELIHOOD SCORE: CONTROLLED
- Unlikely = 1
- Possible = 2
- Probable = 3
- Likely = 4
- Certain = 5
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TOTAL = SEVERITY X LIKELIHOOD:
- 0 - 6 LOW RISK
- 7 - 11 MEDIUM RISK
- 12 + HIGH RISK
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SUPPORTING MEDIA - CONTROLLED
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ADDITIONAL NOTES:
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REVIEW DATE:
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Signature of assessor:
