Risk Assessment Template: For Student Work Experience Placements

Risk assessment template
For student work experience placements

This template is used to document a risk assessment to manage health and safety hazards and risks associated with the
placement of a student in an organisation/business/location for the purposes of undertaking work experience.
It may be completed by the work experience coordinator or the work experience provider in consultation with the work
experience coordinator, with a copy retained on file with the Work experience placements for school students agreement
completed for this placement.
For more details on the risk management process refer to the Managing Health and Safety Risks factsheet.
Completion of this template may be informed by Curriculum Activity Risk Assessment (CARA) guidelines.
Description of workplace activities (as outlined on the agreement form): Click or tap here to enter text.
Conducted by: Click or tap here to enter text. Date: Click or tap
here to enter text.
Step 1: Identify the hazards

Biological (e.g. hygiene, disease, infection)
☐ Blood/bodily fluid ☐ Virus/disease ☐ Food handling
Other/details: Click or tap here to enter text.
Chemicals (note: refer to the label and safety data sheet (SDS) for the classification and management of all
chemicals)
☐ Non-hazardous chemical(s) ☐ Hazardous chemical (refer to a completed hazardous chemical risk
assessment)
Name of chemical(s)/details: Click or tap here to enter text.
Critical incident – resulting in:
☐ Lockdown ☐ Evacuation ☐ Disruption
Energy systems – incident/issues involving:
☐ Electricity (incl. mains and solar) ☐ LPG gas ☐ Gas/pressurised containers
Environment
☐ Sun exposure ☐ Water (creek, river, beach, dam) ☐ Sound/noise
☐ Animals/insects ☐ Storms/weather ☐ Temperature (heat, cold)
Facilities/built environment
☐ Buildings and fixtures ☐ Driveway/paths ☐ Workshops/factories/work rooms
☐ Playground equipment ☐ Furniture ☐ Swimming pool
Others/details: Click or tap here to enter text.
Machinery, plant and equipment
☐ Machinery (fixed plant) ☐ Machinery (portable) ☐ Hand tools ☐ Vehicles/trailers
Others/details: Click or tap here to enter text.
Manual tasks/ergonomics
☐ Manual tasks (repetitive, heavy) ☐ Working at heights ☐ Restricted space
Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
https://ppr.qed.qld.gov.au/pp/work-experience-placements-for-school-students-procedure to ensure
you have the most current version of this document.
People
☐ Students ☐ Workplace employees ☐ Customers/clients
☐ Physical ☐ Psychological/stress
Other hazards/details:
Click or tap here to enter text.
Step 2: Assess the level of risk

Consider the hazards identified in Step One and use the risk assessment matrix below as a guide to assess the
risk level.
DoE Risk Management Matrix
Consequence
Likelihood
Insignificant Minor Moderate Major Critical
Almost certain Medium Medium High Extreme Extreme
Likely Low Medium High High Extreme
Possible Low Medium Medium High High
Unlikely Low Low Medium Medium High
Rare Low Low Low Low Medium
Consequence Description of consequence Likelihood Description of likelihood

Will only occur in exceptional
1. Insignificant No treatment required. 1. Rare
circumstances.
Minor injury requiring first aid treatment Not likely to occur within the foreseeable
2. Minor 2. Unlikely
(e.g. minor cuts, bruises, bumps). future, or within the project lifecycle.
Injury requiring medical treatment or lost May occur within the foreseeable future,
3. Moderate 3. Possible
time. or within the project lifecycle.
Serious injury (injuries) requiring specialist Likely to occur within the foreseeable
4. Major 4. Likely
medical treatment or hospitalisation. future, or within the project lifecycle.
Almost certain to occur within the
Loss of life, permanent disability or multiple
5. Critical 5. Almost certain foreseeable future or within the project
serious injuries.
lifecycle.
Assessed risk level Description of risk level Actions

If an incident were to occur, there would be little Undertake the activity with the existing controls
☐ Low
likelihood that an injury would result. in place.
If an incident were to occur, there would be some
☐ Medium Additional controls may be needed.
chance that an injury requiring first aid would result.
If an incident were to occur, it would be likely that Controls will need to be in place before the
☐ High
an injury requiring medical treatment would result. activity is undertaken.
Consider alternatives to doing the activity.
If an incident were to occur, it would be likely that a
☐ Extreme Significant control measures will need to be
permanent, debilitating injury or death would result.
implemented to ensure safety.
Step 3: Control the risk

In the table below:
1. List the hazards/risks you identified in Step One.
2. Rate their risk level (refer to information contained in Step two to assist with this).
3. Detail the control measures you will implement to eliminate or minimise the risk.
Note: control measures should be implemented in accordance with the preferred hierarchy of control. If
lower level controls (such as administration or PPE) are to be implemented without higher level controls, it
is important the reasons are explained.
Hierarchy of controls
Most effective Elimination: remove the hazard completely from the workplace or activity.
(High level)
Substitution: replace a hazard with a less dangerous one.
Redesign: changing a machine or work process to make it safer.
Isolation: separate people from the source of the hazard.
Administration: putting rules, signage or training in place to make a workplace safer.

Least effective
(Low level) Personal protective equipment (PPE): protective clothing and equipment.
Hazards/risks and control measures
1. Description of 2. Risk level 3. Control measures (Note: if only administration or PPE controls
hazards/risks are used, please explain why)
Click or tap here to enter Click or tap here Click or tap here to enter text.
text. to enter text.
Other details: Click or tap here to enter text.
Submission
This activity will be conducted in accordance with this risk assessment, implementing the control measures outlined in Step
Three. Changes will be made to the activity if required, to manage any emerging risks to ensure safety.
Contact person: Click or tap here to enter text. Date: Click or tap here to enter text.
Indicate those others involved in the preparation of this risk assessment:
Click or tap here to enter text.

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Risk assessment template

For student work experience placements

Step 1: Identify the hazards

Step 2: Assess the level of risk

DoE Risk Management Matrix

Almost certain Medium Medium High Extreme Extreme

Likely Low Medium High High Extreme

Possible Low Medium Medium High High

Unlikely Low Low Medium Medium High

Rare Low Low Low Low Medium

Consequence Description of consequence Likelihood Description of likelihood

Assessed risk level Description of risk level Actions

Step 3: Control the risk

Redesign: changing a machine or work process to make it safer.

Isolation: separate people from the source of the hazard.

Administration: putting rules, signage or training in place to make a workplace safer.

Hazards/risks and control measures

Other details: Click or tap here to enter text.

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