[Insert name of parish]

Risk assessment form

Name of church………………………………………………………………………..

Potential hazard / Existing Controls / Likelihood / Severity / Risk Rating / Controls/Actions
/ Doors
/ Perimeter security
/ Travel
/ Fire
/ Equipment left out
/ Physical features of work space e.g. trip hazards
/ Lone working
/ Vulnerability of worker
/ Medical issues or emergencies
/ Child protection
/ Vulnerable adult protection
/ Other activities (specify separately)
Guidance notes
  1. Doors: check that children or vulnerable adults cannot wander out.
  1. Perimeter security: for outdoor activities ensure supervision and check that children or vulnerable adults cannot wander off-site.
  1. Travel: check that access to and from the building or activity is without hazards, is signed if necessary and at night is lit. If children or vulnerable adults need transport to or from the activity see the Safeguarding Handbook page 34.
  1. A fire drill should be held at least once a year and the fire alarm tested regularly. Ensure that those attending know how to leave the building safely and where to assemble. Those in charge need to maintain a register to check no one is missing.
  1. Equipment left out: if equipment has to be left out consider whether it might present a hazard, e.g. kitchen knives, and take appropriate precautions.
  1. Physical features of workspace: awkwardly sites fixtures or furniture, barriers to easy exit.
  1. Lone working: see separate guidance on Lone working and record decisions here.
  1. Vulnerability of worker: if any particular worker is vulnerable, e.g. due to a medical condition, the necessary measures (though not the condition itself) should be recorded here.
  1. Medical issues or emergencies: note position of First Aid box, details of qualified First Aiders if available, check whether any children or vulnerable adults have any specific needs or issues and that contact details of parents or carers are being maintained.
  1. Child protection: know details of parish safeguarding officer in case a child protection issue is known or suspected and how to contact local authority.
  1. Vulnerable adult protection: know details of parish safeguarding officer in case a vulnerable adult issue is known or suspected and how to contact local authority.
  1. Other activities: if activities are being arranged off-site a more detailed risk assessment will be needed. See the Safeguarding Handbook, pages 50-3 for children, 74-6 for vulnerable adults.

Completed by (name)………………………………………………………………..

Role………………………………………………………………………………………….

Date…………………………………………………………………………………………

Issued June 2014