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Risk Assessment Form 2019
Please complete this form for every workshop
64
Questions
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1
I am
*
This field is required.
facilitator
volunteer
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2
I am happy to complete this assessment on behalf of Visioning You Visioning Me
*
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Yes
No
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3
Name of Workshop
*
This field is required.
please be specific
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4
Date of Workshop
*
This field is required.
-
Date
Year
Month
Day
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5
Name & Address of Venue
*
This field is required.
please provide postcode
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6
Is the venue suitable for our purpose?
YES
NO
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7
Can the venue hold the participant number for the workshops?
YES
NO
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8
Does the Venue have . . .?
*
This field is required.
Employers Liability Insurance
Health & Safety Law Poster
First Aider
Fire Notice (information on evacuation)
Clear Exit Signs
Appropriate Facilities (toilets)
Accessibility for wheelchair users
Other Safety Notices (e.g hot water)
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9
Hazard
*
This field is required.
describe the hazard clearly
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10
What could happen?
*
This field is required.
describe in detail
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11
Who could be hurt?
*
This field is required.
describe in detail
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12
Action taken to minimise risk
*
This field is required.
describe in detail
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13
Is this the only hazard?
*
This field is required.
Yes
No
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14
Hazard
*
This field is required.
describe the hazard clearly
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15
What could happen?
*
This field is required.
describe in detail
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16
Who could be hurt?
*
This field is required.
describe in detail
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17
Action taken to minimise risk
*
This field is required.
describe in detail
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18
Have you listed all hazards?
*
This field is required.
Yes
No
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19
Hazard
*
This field is required.
describe the hazard clearly
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20
What could happen?
*
This field is required.
describe in detail
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21
Who could be hurt?
*
This field is required.
describe in detail
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22
Action taken to minimise risk
*
This field is required.
describe in detail
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23
Have you listed all hazards?
*
This field is required.
Yes
No
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24
Hazard
*
This field is required.
describe the hazard clearly
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25
What could happen?
*
This field is required.
describe in detail
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26
Who could be hurt?
*
This field is required.
describe in detail
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27
Action taken to minimise risk
*
This field is required.
describe in detail
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Enter
28
Have you listed all hazards?
*
This field is required.
Yes
No
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29
Hazard
*
This field is required.
describe the hazard clearly
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30
What could happen?
*
This field is required.
describe in detail
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31
Who could be hurt?
*
This field is required.
describe in detail
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32
Action taken to minimise risk
*
This field is required.
describe in detail
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33
Have you listed all hazards?
Yes
No
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34
What could happen?
*
This field is required.
describe in detail
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35
Who could be hurt?
*
This field is required.
describe in detail
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36
Action taken to minimise risk
*
This field is required.
describe in detail
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37
Have you listed all hazards?
*
This field is required.
Yes
No
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38
Hazard
*
This field is required.
describe the hazard clealry
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39
Hazard
*
This field is required.
describe the hazard clearly
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40
What could happen?
*
This field is required.
describe in detail
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41
Who could be hurt?
*
This field is required.
describe in detail
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42
Action taken to minimise risk
*
This field is required.
describe in detail
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43
Have you listed all hazards?
*
This field is required.
Yes
No
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44
Hazard
*
This field is required.
describe the hazard clearly
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45
What could happen?
*
This field is required.
describe in detail
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46
Who could be hurt?
*
This field is required.
describe in detail
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47
Action taken to minimise risk
*
This field is required.
describe in detail
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Submit
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Enter
48
Have you listed all hazards?
*
This field is required.
Yes
No
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49
Hazard
*
This field is required.
describe the hazard clearly
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50
What could happen?
*
This field is required.
describe in detail
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51
Who could be hurt?
*
This field is required.
describe in detail
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52
Action taken to minimise risk
*
This field is required.
describe in detail
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53
Have you listed all hazards?
*
This field is required.
Yes
No
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54
Hazard
*
This field is required.
describe the hazard clearly
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55
What could happen?
*
This field is required.
describe in detail
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56
Who could be hurt?
*
This field is required.
describe in detail
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57
Action taken to minimise risk
*
This field is required.
describe in detail
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58
Have you listed all hazards?
*
This field is required.
Yes
No
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59
Hazard
*
This field is required.
describe the hazard clearly
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60
What could happen?
*
This field is required.
describe in detail
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61
Who could be hurt?
*
This field is required.
describe in detail
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62
Action taken to minimise risk
*
This field is required.
describe in detail
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63
Name
*
This field is required.
First Name
Last Name
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64
Is there anything else for us to consider or discuss with the venue?
*
This field is required.
Huge
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Normal
Small
Ok
quote
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Ok
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65
Tags
Todo
In Progress
Done
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Risk Assessment Form 2019
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