Appendix 8: Risk Assessment Health, Safety and Environment Section RISK ASSESSMENT FORM Risk Assessment For Assessment Undertaken By Assessment Reviewed Service / Faculty / Dept: Name: Liam Hurley Name: SBNE Location of Activity: Freeport, Fleetwood Date: 01/02/2013 Date: Activity: Conducting a questionnaire Signed by Head of Dept / equivalent REF: Date List significant List groups of List existing controls, or refer to For risks, which are not adequately Remaining level of hazards here: people who are safety procedures etc. controlled, list the action needed. risk: high, med or at risk: low Liam Hurley low Keeping mobile phone on me, A1 Leaving Campus to ensuring in a fit state to drive. Be I’m conduct survey aware when crossing any roads A2 Lone Working Liam Hurley Avoid lone working where possible, low take a third party to assist with the survey. Always carry a mobile phone in case of emergencies. Make sure someone always know my whereabouts and the time I am due back.
Health, Safety and Environment Section RISK ASSESSMENT FORM Appendix 8: Risk Assessment Risk Assessment For Assessment Undertaken By Assessment Reviewed Service / Faculty / Dept: SBNE Name: Liam Hurley Name: Location of Activity: Freeport, Fleetwood Date: 01/02/2013 Date: Activity: Conducting a questionnaire Signed by Head of Dept / equivalent REF: Date List significant hazards here: List groups of people who are at risk: List existing controls, or refer to safety procedures etc. For risks, which are not adequately controlled, list the action needed. Remaining level of risk: high, med or low A1 Leaving Campus to conduct survey Liam Hurley Keeping mobile phone on me, ensuring I’m in a fit state to drive. Be aware when crossing any roads low A2 Lone Working Liam Hurley Avoid lone working where possible, take a third party to assist with the survey. Always carry a mobile phone in case of emergencies. Make sure someone always know my whereabouts and the time I am due back. low