Risk Assessment form template by HC12062106403

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									DATE ~ …………………… Assessor names …………………………………………………………   ………………………………………………………………….




                                 RISK ASSESSMENT for




           ………………………………………………………………………………………………………………….

                                    DATE COMPLETED

                                    ………………………………..
                                      Revised 12 monthly




 Date & Signatures of Risk assessors ………………………………………                  ……………….
                                    …………………………………………                  ……………....
DATE ~ …………………… Assessor names …………………………………………………………            ………………………………………………………………….



AREA                   RISK Identified      Action needed to reduce or      Who will Action     Completion date
                                            remove risk.                    this
PLAYROOM




AREA                   RISK Identified      Action needed to reduce or      Who will Action   Completion date
                                            remove risk.                    this              Or frequency of
Corridors & Hallways                                                                          assessment
Fire doors             Not knowing how to   Training                        ??                DD.MM.year
                       use.

Gerbils tank            Tipping            Check on ties & stand that      ??                Ongoing ~ daily
                                            secure the tank.
                        Sharp edges        Check all edges are masked &    ??                Ongoing ~ daily
                                            taped.
                        Allergies          A. Ensure everyone is aware     ??                Immediately on
                                            there are children with a Hay                     notification of an allergy
                                            allergy enrolled ~                                diagnosis.
                                            B. Gerbil bedding will be
DATE ~ …………………… Assessor names …………………………………………………………                  ………………………………………………………………….



                                                  changed to shredded paper




Risks are examples .. please delete & add your own 

Add an additional table for each ‘Area you have in your immediate & local environment.
Include separate individual Risk assessments that you may make for Outings & Visits etc.
DATE ~ …………………… Assessor names …………………………………………………………   ………………………………………………………………….

								
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