Risk Assessment Forms

Sample Completed Risk Assessment Form

Risk Assessment for       Example of Procedure – Meetings in Hall

 Carried out by:   B. J. O’Brien…………………… Date   …29 July 2021… Review Due?  29 July 2022.

What are the hazards?	Who might be harmed?	What are you doing to minimise the risks?	What further action needs to be taken?	Who is to do it?	Done by? on?
Fire	Parishioners Clergy Volunteers	Fire extinguishers in place & in date Fire Action signs in place Emergency lighting tested Fire exits unlocked & access clear Urn & Kettles safe to use	Fire warden training Fire drill annually Test emergency lighting On-going vigilance PAT testing of appliances	ME ME DR DR	In hand
Slips, trips, and falls	Parishioners Clergy Volunteers	Furniture safe and sturdy Walkways clear No trailing power leads Floors clean and dry	On-going vigilance Mop & bucket available	All staff All staff	In hand In hand
Manual handling	Parishioners Clergy Volunteers	Minimise furniture moving Two persons for table erection Two persons to erect ramp	Manual handling training Ensure two people available Train ramp erectors	ME BJOB TMOB	In hand
Covid transmission	Parishioners Clergy Volunteers	Sanitizing stations maintained Good ventilation when in use	Place sanitizer at doors Doors open when in use	BJOB All staff
General hygiene	Parishioners Clergy Volunteers	Dish washer to be used at 70o Surface contacts	Dish washer operator training Tables cleaned regularly	BJOB All staff	In hand

Blank Risk Assessment Form

Risk Assessment for ___________________________________________________________

Carried out by: -_________________________ Date ___________ Review Due? __________

What are the hazards?	Who might be harmed?	What are you doing to minimise the risks?	What further action needs to be taken?	Who is to do it?	Done by? on?