Form ‘B’ APPENDIX C: Example of Educational Risk Assessment Team Visit Description John Smith Year Group 7 - 9 Scuba Diving Leader Number of Date of Visit 8th 12th October 2002 Male Staff 2 Female Staff 1 19 – students / Initial risk Current Mitigating Action Net risk Persons Risk Risk Hazard Risk Description (Existing Controls Owner Impact/ Impact/ at Risk Level Level Likelihood /Precautions) Severity Severity Range of potential Using Licensed Contractor and Head Coach All injuries from minor Med High High following LA Code of Practice Low Med Low Teacher Accident cuts to death. for travelling by Coach / EVC Management procedure Students left requiring a register of Students Loss of without supervision and headcounts before Team students during Students Potential for injury Med Med Med departing stop. Low Low Low Leader rest in traffic accident. Ensure Mobile Phone Potential abduction communication between multiple coaches Ensure that participants of potential disembark away from passing Disembarkation Team All injuries from minor Med High High traffic Low Med Low on road Leader cuts to death. Warn Students of the dangers Student Code of Conduct. Range of injury Under Instructor or Dive Master Team diving All potential from minor to Med High High at all times. Low Med Low Leader / death Signed liability forms Instructor Cuts, bruising and Carriage of Team potentially fractures if Training is provided in care and scuba All Med High High Low Med Low Leader / equipment dropped on use of equipment equipment Instructor limbs etc. Assessed by (Print) John Signed Date assessed 7th July 2002 Approved by EVC Mel Jones Signed M. R. Jones Date 21st July 2002
Form ‘B’ APPENDIX C: Example of Educational Risk Assessment Visit Description Scuba Diving Team Leader John Smith Year Group 7 - 9 Date of Visit 8th – 12th October 2002 Male Staff 2 Female Staff 1 Number of students 19 Hazard Persons at Risk Risk Description / Initial risk Risk Level Current Mitigating Action (Existing Controls /Precautions) Net risk Risk Level Owner Likelihood Impact/ Severity Impact/ Severity Coach Accident All Range of potential injuries from minor cuts to death. Med High High Using Licensed Contractor and following LA Code of Practice for travelling by Coach Low Med Low Head Teacher / EVC Loss of students during rest Students Students left without supervision Potential for injury in traffic accident. Potential abduction Med Med Med Management procedure requiring a register of Students and headcounts before departing stop. Ensure Mobile Phone communication between multiple coaches Low Low Low Team Leader Disembarkation on road All of potential injuries from minor cuts to death. Med High High Ensure that participants disembark away from passing traffic Warn Students of the dangers Student Code of Conduct. Low Med Low Team Leader diving All Range of injury potential from minor to death Med High High Under Instructor or Dive Master at all times. Signed liability forms Low Med Low Team Leader / Instructor Carriage of scuba equipment All Cuts, bruising and potentially fractures if equipment dropped on limbs etc. Med High High Training is provided in care and use of equipment Low Med Low Team Leader / Instructor Assessed by (Print) John Signed Date assessed 7th July 2002 Approved by EVC Mel Jones Signed M. R. Jones Date 21st July 2002