Maternity Risk Assessment

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Assessment Details

• Company Name: American Golf Ltd

• Activity: New and expectant mothers

• Work Area: RSC/Stores

  RSC

  STORES

• RA No: 4

Hazards & Control Measures

• Pleas click on the below image for the Hazards and control measures in place aligned with this RA.

  

Likelihood x Severity

• Use the below image as guidance for correctly identifying the likelihood and severity of any risks identified

  
Identified Risks

• Hazards & People Exposed

• Risk Severity

• Risk Likelihood

• Total Risk

• Current Controls (measures already in place)

• Residual Risk Likelihood

• Residual Risk Severity

• Total Residual Risk

• Future controls to be implemented

• Transferred to risk reduction plan

  Yes

  No
Risk Reduction Plan

• Future Control Measure required

• Target Date

  Date

• Additional Comments

• Person Responsible

• Signature

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• Assessor Print

• Assessor Signature

  Sign

• Review Date

  Date

• Manager Print

• Manager Signature

  Sign