Department: Children & Young People’s MODEL RISK M34
Guidance on completing this form is available in the Health & Safety Management Arrangements for Risk Assessment
Location or Date assessment Assessment undertaken
address undertaken by
Activity or Review Signature
situation Use of manual wheelchairs date
1) Hazard (See appendix 2 2) Who can be harmed and 3) What controls exist to reduce the risk? 4) Any further action;
– H&S Management how? (See appendix 2 – Have you followed the hierarchy of controls (eliminate, substitute etc) Risk Score This should be included in
Arrangements for Risk H&S Management (See appendix 3 in H&S Management Arrangements for Risk Consequence
the action plan on overleaf
Assessment) Arrangements for Risk Assessment)
1. Manual Handling Employees – pushing, pulling, Employees receive appropriate manual handling training. 4X2=8
lifting Manual handling risk assessments completed.
Copy of user manual provided by service user
Inspections and checks carried out to ensure wheelchair is in good working
order prior to use.
Whenever possible the route is planned and assessed taking into account
access and distances wheeled
Employees wear appropriate clothing and footwear at all times.
2. Instability of the Employees and service users – Parents/Carers/Owners and council Employees ensure wheelchair is in good
wheelchair wheelchair tipping over working order prior to use. 4X2=8
Bags, holdalls, etc are not placed on the handles of wheelchair.
Service users not to be tipped back on level surfaces.
3. Persons falling out of Employee and service user Service users requested to wear lap straps and/or posture straps. 4X2=8
wheelchairs Individual risk assessments completed for service users who do not
understand the need to remain seated. Brakes applied when wheelchair not
4. Injury from inappropriately Employees and service users – Employees ensure wheelchair is in good working order prior to use. To
fitted accessories incorrect modification report defects immediately. 3X2=6
ISSUE 3 REVISION 2
1) Hazard (See appendix 2 - 2) Who can be harmed and 3) What controls exist to reduce the risk? 4) Any further action;
H&S Management how? (See appendix 2 -H&S Have you followed the hierarchy of controls (eliminate, substitute etc) Risk Score This should be included in
Arrangements for Risk Management Arrangements (See appendix 3 in H&S Management Arrangements for Risk Consequence
the action plan on overleaf
Assessment) for Risk Assessment) Assessment)
5. Crush and/or entrapment Employees and service users Employees wear appropriate clothing and footwear. 3X3=9
injuries Corridors and doorways kept free from obstructions.
6. Transportation Employees and service users – Transportation risk assessments carried out and procedure documented.
road traffic accidents, impact, Service user given guidance on safe use and transportation of wheelchair. 5X2=10
falls from vehicle Where possible vehicle with a tail-lift is used.
Use of ramps to be assessed and incline not to exceed 1:12, and use to be
within everyone’s capabilities. Ramps wide enough for safe use with
Where possible service user transferred to a fixed seat and wheelchair
Wheelchair and user securing systems used.
Gangways kept clear.
7. Environmental Hazards Employers and service users – Gangways and doorways kept free from obstructions 3X2=6
(slippery surfaces, slips, trips and falls. Care taken in wet and icy weather.
restricted space) Use dropped kerbs, access ramps, etc to assist with manual handling.
ISSUE 3 REVISION 2
Risk Rating Action Required
Unacceptable – stop activity and make immediate improvements
17 - 25
Tolerable – but look to improve within specified timescale
10 – 16
Adequate – but look to improve at review
Acceptable – no further action but ensure controls are maintained
(1) List hazards something with the potential to cause harm here
(2) List groups of people who are especially at risk from the significant hazards which you have identified
(3) List existing controls here or note where the information may be found. Then try to quantify the level of risk the
Likelihood: Consequence: likelihood of harm arising that remains when the existing controls are in place based on the number of
5 – Very likely 5 – Catastrophic persons affected, how often they are exposed to the hazard and the severity of any consequence. Use this
4 – Likely 4 – Major column to list the controls that you might take and develop all or some of that list into a workable action plan.
3 – Fairly likely 3 – Moderate Have regard for the level of risk, the cost of any action and the benefit you expect to gain. Agree the action
2 – Unlikely 2 – Minor plan with your team leader and make a note of it overleaf. If it is agreed that no further action is to be taken this
1 – Very unlikely 1 – Insignificant too should be noted.
(5) ACTION PLAN
Action required: Responsible person
Action plan agreed with (signature) Date