Anchor Church Risk Management Form

Leader Completing Risk Management Form
Leader Coordinating Event
Event
e.g. Anchor Youth
Location of Event
Date of Event
Description of the Activity

Risk #1
Hazard / Risk
Description of Risk. Example: Running game
Potential Harm
Brief Description. Example: Collision

Severity of Injury / Likelihood to happen

	Very unlikely to happen	Unlikely to happen	Possibly could happen	Likely to happen	Very likely to happen
Catastrophic
Major
Moderate
Minor
Superficial

Actions Taken to Manage Risk
(how can you minimise risk’s likelihood and/or severity)

Risk #2
Hazard / Risk
Description of Risk. Example: Running game
Potential Harm
Brief Description. Example: Collision

Severity of Injury / Likelihood to happen

	Very unlikely to happen	Unlikely to happen	Possibly could happen	Likely to happen	Very likely to happen
Catastrophic
Major
Moderate
Minor
Superficial

Actions Taken to Manage Risk
(how can you minimise risk’s likelihood and/or severity)

Risk #3
Hazard / Risk
Description of Risk. Example: Running game
Potential Harm
Brief Description. Example: Collision

Severity of Injury / Likelihood to happen

	Very unlikely to happen	Unlikely to happen	Possibly could happen	Likely to happen	Very likely to happen
Catastrophic
Major
Moderate
Minor
Superficial

Actions Taken to Manage Risk
(how can you minimise risk’s likelihood and/or severity)

Risk #4
Hazard / Risk
Description of Risk. Example: Running game
Potential Harm
Brief Description. Example: Collision

Severity of Injury / Likelihood to happen

	Very unlikely to happen	Unlikely to happen	Possibly could happen	Likely to happen	Very likely to happen
Catastrophic
Major
Moderate
Minor
Superficial

Actions Taken to Manage Risk
(how can you minimise risk’s likelihood and/or severity)

Risk #5
Hazard / Risk
Description of Risk. Example: Running game
Potential Harm
Brief Description. Example: Collision

Severity of Injury / Likelihood to happen

	Very unlikely to happen	Unlikely to happen	Possibly could happen	Likely to happen	Very likely to happen
Catastrophic
Major
Moderate
Minor
Superficial

Actions Taken to Manage Risk
(how can you minimise risk’s likelihood and/or severity)