Master Risk Assessment Form

Master Risk Assessment Form
Business Unit: Location(s) of Activity: Risk Assessment Ref:
Activity Title:
Activity Outline:
Those at risk / affected parties:
Author (Produced original master risk assessment)

Name: Signature: Date:
Risk Assessor, (Has reviewed Master and adapted to local area as required)
Responsible Person / Line Manager Approval
Review Period: Related procedure references or links:
What are the List the harm Risk Evaluation What control measures are, or will be put, in place to control Risk Evaluation with
hazards? associated with the without controls in the risk before commencing the activity? controls in place
hazard place List all elimination, substitution, engineering and/or Likelihood (1-5) X
Likelihood (1-5) X administrative controls Consequences (1-5) =
Consequences (1-5) Risk Rating* (1-25)
= Risk Rating* (1-25)
Page 1 of 4 May 2019

SAF-FOR-MRA-Matrix Version 1 Refer to Health and Safety Office for latest version
Justification for selection of controls

Summarise justification for selecting control measures that are not to the highest, reasonably practicable standard or compliant with industry
standard (e.g. use of personal protective equipment rather than engineering means of control):
State N/A if not applicable.
Additional Requirements (if not recorded elsewhere)
First Aid
Waste handling
Emergency
Training, supervision and

competency
Other
Competency Record
Name of worker Measure of Assessor comments Competent to Signature (Worker) Signature (Assessor) Date
competency perform activity
Y/N?

Guidance on completing the form
This form may be used to record the risk assessment for any University activity whether that be lab or workshop-based, an event, on or off-site
working, etc. Separate templates exist for Biological work, Laser work and Fieldwork.
Only complete a risk assessment if you have a good understanding of the activity being assessed and you have been instructed in the principles
of carrying out a risk assessment (refer to your Business Unit arrangements on risk assessments).
 Responsible Person
The manager who is responsible for the activity should approve the risk assessment, this indicates they agree the risk assessment is
sufficiently detailed, they agree the control measures are appropriate and will be implemented and they authorise the work to commence.
The Responsible Person may be a PI in the academic setting or a local line manager or head of section in non-academic sections of
Schools/Faculties and Professional Services.
 Those at risk / affected parties

Identify individuals or groups of people who might be affected by the Hazard. Besides staff and students consider visitors, members of the
publics, volunteers and others who could be affected.
 What are the hazards?

The definition of a Hazard is the potential for something to cause harm, e.g. chemicals, radiation, lasers, fire. In the Hazards column, list the
hazards which could reasonably be expected to result in significant harm.
 List the harm associated with the hazard

For each hazard, there may be one or more types of harm that could occur. For example, working with cryogenic substances - harm may be
asphyxiation, cold burns or fire/explosion and each is likely to require different control measures to be implemented. It is recommended
each is given a separate line on the form.
 * Risk Evaluation – based upon Likelihood X Consequences = Risk Evaluation

This evaluation of risk uses a combination of likelihood of the hazard resulting in an incident and the severity of the typical consequences.
Each is numbered 1 to 5 based upon the definitions in the table below and then multiplied together to give a final Risk Rating. This is
subjective which is why you must have good knowledge of the activity in order to undertake the risk assessment. Hazards that remain high
risk once evaluated after control measures are put in place, must not proceed without further consideration.

Table: Risk Evaluation Definitions

Likeli- Definition Con- Definition Risk Rating Actions
hood sequences
1 Hazard is unlikely 1 No injury/ill-health 1-8 Low or Acceptable Progress actions that are straightforward and
to occur Risk cost effective
2 Hazard will occur 2 Minor injury/ill-health 9-15 Moderate Risk Effort required to reduce risk. Moderate
occasionally resource may be required
3 Hazard will occur 3 Injury/Ill-health required 16-25 High/ Work should stop until control measures have
sometimes first aid Substantial/ Intolerable been implemented. Considerable resource
Risk might be required to achieve this
4 Hazard will occur 4 Injury/Ill-health requiring
regularly medical treatment outside
the University
5 Hazard will occur 5 Severe – Death or major

frequently injury/ significant ill health
 What control measures are, or will be put, in place:

List what is, or will be put in place to reduce the likelihood of harm or make any harm less serious. These precautions should meet legal
standards, represent good practice and reduce risk as far as reasonably practicable. They should also take into account the hierarchy of
control and favour elimination, substitution, engineering methods over administrative controls. Fundamentally, ensure the risks are reduced
so far as is reasonably practicable.
 Review Period:
The University advises that all risk assessments are revised every two years to ensure validity. For activities undergoing change, consider a
shorter timeframe for review. For lower risk activities, you may consider a longer timeframe. Comply with your Business Unit arrangements.
 Justification for selection of controls

In brief, the hierarchy of control in terms of robustness is: (1) Elimination (2) Substitution (3) Engineering Control (4) Administrative Control.
If not implementing a higher level of control, justify the reasons why a low level is appropriate in the situation.
 Areas for additional consideration in your risk assessment or associated procedures

Consider training and supervision, manual handling, waste disposal, first aid, emergency situations such as spillage, access to medical
assistance. It may be more appropriate for these to be covered as part of a safe working procedure or standard operating procedure.


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Master Risk Assessment Form

Business Unit: Location(s) of Activity: Risk Assessment Ref:

Those at risk / affected parties:

Author (Produced original master risk assessment)

Page 1 of 4 May 2019

Justification for selection of controls

Additional Requirements (if not recorded elsewhere)

Training, supervision and

Page 2 of 4 May 2019

Guidance on completing the form

 Those at risk / affected parties

 What are the hazards?

 List the harm associated with the hazard

 * Risk Evaluation – based upon Likelihood X Consequences = Risk Evaluation

Page 3 of 4 May 2019

Table: Risk Evaluation Definitions

5 Hazard will occur 5 Severe – Death or major

 What control measures are, or will be put, in place:

 Justification for selection of controls

 Areas for additional consideration in your risk assessment or associated procedures

Page 4 of 4 May 2019

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