EXAMPLE OF RISK ASSESSMENT FORM by 6cZrt5I

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									RISK ASSESSMENT FORM. Activity: Sponsored walk
If you are carrying out a walk with more than a handful of people, you should carry out a risk assessment. You may also be asked to
provide one by the local council, your university / school or insurance company. Follow these instructions to complete your form:

Instructions
 Walk the route before the day of the event. Note down any hazards, who is exposed to them, the level of risk, how they will be
   controlled, if any extra action is needed, who by and when. An example has been provided for you to follow.
 Complete both parts of this form, generic risks (applicable to all walks) and specific risks (your walk only).

Generic risks
 Most walks carry similar risks (e.g. adverse weather conditions, vehicles on route). These have been listed in italics on the
  Generic Risks form.
 Check each line and make any amendments you need to for your walk.

Specific risks
 When you walk the route prior to the event, note down any specific hazards on your route (e.g. busy road crossing at 7km).
 If these hazards are likely to constitute a medium level risk or above (see Risk Matrix), you should amend the route.
 If the risks are trivial or low, then ensure walk leaders know about them prior to the event so they can ensure their group avoids
  the hazard.

Risk Matrix
You need to determine a risk level for each activity / hazard. Use the matrix below to help you. If medium, high or extremely high are
selected, you should amend the route to eliminate the risk. Examples of typical risk levels can be found on the Generic Risk form.

                                                                                     Likelihood of Harm
                                                     Remote         Very unlikely           Unlikely         Possible          Likely
            Severity of Harm                      e.g. <1 in 1000    e.g. 1 in 200         e.g. 1 in 50     e.g. 1 in 10     e.g. >1 in 3
                                                      chance            chance               chance           chance           chance
                Negligible e.g. small bruise          Trivial           Trivial              Trivial           Low              Low
          Slight e.g. small cut, deep bruise          Trivial           Trivial               Low              Low            Medium
       Moderate e.g. deep cut, torn muscle            Trivial            Low                Medium           Medium             High
Severe e.g. fracture, loss of consciousness            Low             Medium                 High             High        Extremely high
Very Severe e.g. death, permanent disability           Low             Medium                 High        Extremely high   Extremely high

                                               If you need any help or advice to complete this form please email walk@learnasone.org
Risk Assessment: Event details
Fill in your event details below. The risk assessor is the person carrying out the assessment. The section on the right is included in case someone in your
organisation needs to authorise your event (e.g. a Health & Safety Officer). Also check if anyone needs a copy (e.g. the local council or police).




Event: _________________________________________                                 Date:     _________________________________________


Start: _________________________________________                                 Finish: _________________________________________


Risk assessor:                                                                   Risk authoriser:
Name __________________________________________                                  Name __________________________________________

Phone __________________________________________                                 Phone __________________________________________

Email    __________________________________________                              Email     __________________________________________

Date completed ___________________________________                               Date completed ___________________________________

Signed __________________________________________                                Signed __________________________________________


Distribution:
(who needs a copy?) ___________________________________________________________________________________




                                    If you need any help or advice to complete this form please email walk@learnasone.org
Generic risks
These risks are applicable to all sponsored walks. To make it easier we’ve added generic examples in italics. Check each line and make any amendments to fit
your walk. If you come across any other risks then add them to the list as well.

Hazard                          Who is       Risk      How is it controlled?                               Actions      Who by?     When?           Completed
                                exposed?     level                                                         needed                                   (date)
Traffic (accident with          Walkers &    Low       Walk route before event. Avoid busy roads           Brief walk   Walk        Event day
vehicle)                        volunteers             where possible. Note any major                      leaders      Organiser
                                                       crossings/roads on specific risk form.
Theft/assault                   Walkers &    Trivial   Stick together as a group. Daytime event.           Brief walk   Walk        Event day
                                volunteers                                                                 leaders      Organiser
Trip, slip, fall (e.g. steps,   Walkers &    Low       Walk route before event. Record anything of         Brief walk   Walk        Event day
slippery surfaces, potholes)    volunteers             note on specific risk form.                         leaders      Organiser
Electric shock (e.g. electric   Walkers &    Low       Brief walkers before event. Note location on        Brief walk   Walk        Event day
fence)                          volunteers             specific risk form.                                 leaders      Organiser
Adverse weather conditions      Walkers &              Distribute Walker Information Sheet. Cover in       Email        Walk        3 days
(e.g. rain, wind, flood)        volunteers             email/announcement in days leading up to the                     Organiser   before walk
                                                       walk.
Sunstroke                       Walkers &              Distribute Walker Information Sheet. Cover in       Email        Walk        3 days
                                volunteers             email/announcement in days leading up to the                     Organiser   before walk
                                                       walk.
Fire                            Walkers &    Low       Brief walkers before event if appropriate.          Briefing     Walk        Event day
                                volunteers                                                                              Organiser
Lightening strike               Walkers &    Low       Check weather forecast before walk.                 Brief        Walk        Event day
                                volunteers                                                                 Walkers      Organiser
Physical fatigue                Walkers &    Low       Advise walkers to carry food and water prior        Email and    Walk        Email (before
                                volunteers             to event. Plan a refreshment stop on route.         briefing     Organiser   event). Brief
                                                       Brief walkers to tell a group leader if they or a                            (event day)
                                                       fellow walker is in difficulty.
Water (e.g. falling into        Walkers &    Low       Walk route before event. Record water risks         Brief walk   Walk        Pre event
ponds and rivers)               volunteers             on specific risk form.                              leaders      Organiser   briefing
Children                        Walkers      Low       Children under the age of 16 must be                Brief        Walk        Pre event
                                                       accompanied by an adult.                            Walkers      Organiser   briefing
Lost children                   Walkers      Low       If a child is lost on the walk the group should     Brief walk   Walk        Pre event
                                                       stop and wait while one of the group leaders        leaders      Organiser   briefing
                                                       organises a search and calls the police if
                                                       necessary.




                                     If you need any help or advice to complete this form please email walk@learnasone.org
Walk specific risks
This part of the form covers risks specific to your walk. When you walk the route prior to the day, you should note down any specific hazards (e.g. busy road
crossing) and the distance into the walk they occur. If any risk is rated as medium, high or extremely high an alternative route should be found.

Once any major risks have been removed, each walk leader should be provided a copy of this list so they can ensure the group they are leading is safe as each
hazard is passed. The group leaders should brief the walkers of any hazards before they are reached.

Distance    Hazard                           Risk     How controlled?                     Actions need                     Who by?       When?     Completed
                                             level
Example:    Electric fence                   low      Walk leaders (WL) inform            Walk Organiser to Inform         Walk
4km                                                   walkers when approaching the        Walk Leaders. Walk Leader to     Leaders
                                                      fence                               inform walkers when nearby.
Example:    Cross busy A-road                low      Change route and use bridge         Change route to remove risk.     Walk          ASAP
7km                                                   500m to the south.                  Then amend on this form.         Organiser




Note:
LearnAsOne cannot accept any liability for any loss, damage or injury from your walk. Our insurance does not cover your property, or the property of your
helpers or participants. It does not cover personal liability for any injury you suffer, or anyone else’s as a result of taking part in the walk.




                                    If you need any help or advice to complete this form please email walk@learnasone.org

								
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