INDIVIDUAL/RETURN TO WORK RISK ASSESSMENT RISK ASSESSMENT FOR: Name: School: Assessment by: Date of Assessment: 1st Review Date Due : Medical Conditions Job Role: Hours of Work: known: Describe the details of the employee’s ill Risk assessment to health which are relevant to the risk be completed in assessment. Consider: conjunction with Job Physical ability Description. Fitness levels Effects of prescribed medication Emotional/psychological issues Hazard / Risk Who is at How can the hazards Normal Control Measures Are Control Measures Temporary or Risk? cause harm? Y/N/NA Permanent adjustment In Place Adequate Staff Employed duties: Aggravating / Existing risk assessments (for employed duties) Consider if the exacerbating Workers own knowledge, experience and Pupils employed duties existing condition training of employed duties. Visitors present increased Physical Injury risk e.g. Stress Recommendations by / referral to Occupational Fatigue Health – Manual handling, Muscular skeletal Driving, disorders Restriction on duties employee not to – Poor or prolonged Sprains / strains undertake tasks which are more hazardous to working postures, Cuts / abrasions, them due to their health e.g. no significant Lone working, and other physical manual handling of loads member of staff to Long working injuries request assistance / support available. hours,
INDIVIDUAL/RETURN TO WORK RISK ASSESSMENT RISK ASSESSMENT FOR: Name: School: Assessment by: Date of Assessment: 1st Review Date Due : Medical Conditions known: Job Role: Hours of Work: Describe the details of the employee’s ill health which are relevant to the risk assessment. Consider: Physical ability Fitness levels Effects of prescribed medication Emotional/psychological issues Risk assessment to be completed in conjunction with Job Description. Hazard / Risk Who is at Risk? How can the hazards cause harm? Normal Control Measures Are Control Measures Y/N/NA Temporary or Permanent adjustment In Place Adequate Employed duties: Consider if the employed duties present increased risk e.g. Manual handling, Driving, Poor or prolonged working postures, Lone working, Long working hours, Staff Pupils Visitors Aggravating / exacerbating existing condition Physical Injury Stress Fatigue Muscular skeletal disorders Sprains / strains Cuts / abrasions, and other physical injuries Existing risk assessments (for employed duties) Workers own knowledge, experience and training of employed duties. Recommendations by / referral to Occupational Health – Restriction on duties – employee not to undertake tasks which are more hazardous to them due to their health e.g. no significant manual handling of loads member of staff to request assistance / support available.
Indiviudal%20Work%20Risk%20Assessment.docx