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Young Persons at Work Risk Assessment Form

    ASSESSMENT

    Staff member Name:

    Age:

    Will any aspect of the work:

    Be beyond the person's physical capability?

    Be beyond the person's psychological capability?

    Involve harmful exposure to radiation?

    Involves risks to health from noise, vibration or extreme heat or cold?

    Involve harmful exposure to any agent that can chronically affect health, including those with toxic or carcinogenic effects or those that could cause genetic damage?

    Supervision

    Are arrangements in place to ensure that the young person works under proper supervision by a competent person?

    Are any additional precautions required to take account of:

    The person's lack of experience, immaturity and lack of awareness of potential risks?

    Any personal factors that may increase the risk of injury?

    The nature and layout of the work area?

    The types of equipment used and work activities to be undertaken?

    Exposure to harmful substances?

    Has information and instruction been provided to the young person on:

    Personal responsibilities.

    The importance of good housekeeping.

    Areas that are out of bounds and the reasons why they are out of bounds.

    The location of welfare facilities.

    The arrangements for first aid facilities, the locations of the facilities and how to contact a first aider.

    The fire evacuation procedure.

    The dangers of horseplay.

    Location of health and safety information and key health and safety personnel.

    Accident reporting procedure.

    Particular hazards associated with the work area.

    Safe working practices to be followed at all times.

    The correct equipment to use for moving and handling loads and the correct equipment to use for moving and handling loads.

    Those items of machinery and equipment that must not be operated and explanation as to why.

    Those items of equipment that may only be used after specific training or under close supervision.

    The importance of reporting equipment faults and the procedure for doing so.

    The substances that are in use within the workplace, their storage arrangements and the safety precautions to be followed when handling them.

    The PPE that is provided, how it is to be work and the arrangements for changing, cleaning, maintenance and storage.

    The safety equipment provided, what it is for and how it is used.

    Information for parents:

    Where a child is employed, have the findings of the risk assessment and details of the protective measures to be taken been communicated to their parents or guardians?




    Assessment Form

    You can add more hazards by checking the 'Add Another Hazard' box at the bottom of the form

    Hazard ref: 1

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:

    Severity:

    Risk Level:

    Residual Risk:
    Likelihood:

    Severity:

    Risk Level:

    Further Action Required?:

    Due (date):


    + Add: Add another Hazard


    Hazard ref: 2

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
    Severity:
    Risk Level:


    Due (date):

    + Add: Add another Hazard


    Hazard ref: 3

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Residual Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:


    Due (date):

    + Add: Add another Hazard


    Hazard ref: 4

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
    Severity:
    Risk Level:

    Due (date):

    + Add: Add another Hazard


    Hazard ref: 5

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
    Severity:
    Risk Level:

    Due (date):

    + Add: Add another Hazard


    Hazard ref: 6

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
    Severity:
    Risk Level:


    Due (date):

    + Add: Add another Hazard


    Hazard ref: 7

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
    Severity:
    Risk Level:


    Due (date):

    + Add: Add another Hazard


    Hazard ref: 8

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
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    Risk Level:

    Due (date):

    + Add: Add another Hazard


    Hazard ref: 9

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
    Severity:
    Risk Level:

    Due (date):

    + Add: Add another Hazard


    Hazard ref: 10

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
    Severity:
    Risk Level:

    Due (date):

    + Add: Add another Hazard


    Hazard ref: 11

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
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    Risk Level:

    Due (date):

    + Add: Add another Hazard


    Hazard ref: 12

    Hazard:

    Persons at risk:

    Control measures:

    Initial Risk:
    Likelihood:
    Severity:
    Risk Level:

    Further Action Required?:

    Residual Risk:
    Likelihood:
    Severity:
    Risk Level:

    Due (date):

    You cannot add any more items, please fill in another form

    Name:

    Date:

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