Risk Assessment Form printable pdf download

Risk Assessment Form

This risk assessment form should be completed electronically and approved and signed by the appropriate responsible person: principal

investigator (PI), module leader, tutor, or dissertation mentor. Guidance on completing this form is provided on the University Safety Office

website and in the HSE guidance Five Steps to Risk Assessment, which can be downloaded from the HSE website or USO website. It is the

responsibility of the person in charge of the fieldwork that this risk assessment is made available to all participants of the fieldwork.

Title of project and/or module:

Person conducting

Other people involved

fieldwork (PI or student):

in this fieldwork:

(If needed attach

separate sheet)

Supervisor/Module Leader

(for student fieldwork):

Date(s) of fieldwork

Location(s) of fieldwork

Field activity outline: (brief synopsis)

Hazards, Risks and Controls

It is important to understand the difference between hazard and risk. The hazard of a substance/activity/condition is the intrinsic

property of the substance/activity/condition to cause harm. The risk in relation to exposure to a hazard means the likelihood that the

potential for harm will be expressed under the conditions of use and the severity of that harm. The main purpose of your risk assessment

is to identify the hazards, decide who is at risk (Bear in mind that as a result of your activities, members of the public might be at risk),

assess the level of risks to people, and decide on suitable controls to ensure that the work can be done safely.

List the potential Hazards. Assess the level of risk (E = Extreme: needs immediate action, H = High, M = Moderate, L = Low, N =

Negligible). Outline the control measures put in place (‘so far as is reasonably practicable’) to reduce the risk. Then assess the level of risk

with the control measures in place.

Reduced

Level of

Potential Hazard

Level

Control measures to reduce the Risk

Risk

of Risk

Travel

How are you getting to your field work?

Think of vehicles, roads, flights, visas, FCO advice

Dealing with other people

Think of home/office environment, safety in public

places, culture, landowners, authorities, interviewees,

lone working etc.

Risk Assessment Form