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EVENTEVENT NAMEDATE OF THIS ASSESSMENT
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LOCATIONLOCATION OF EVENTNAMEOverwrite this cell with the name of the person filling the form as your 'signature' that you have completed this form and understood it all
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Severity
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Physical / Safety1 – Trivial Injury – can be treated on site and does not prevent player continuing2 – Minor Injury – player stop playing that day3 – Serious Injury4 – Major Injury or Serious Injuries5 - Death
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Likelihood1– Extremely Improbable; an accident would only occur in freak conditions1 Low2 Low3 Low4 Low5 Low
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2 – Improbable; other factors would be required before an accident would occur but risk is minimal2 Low4 Low6 Medium8 Medium10 Medium
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3 – Possible; an accident may occur, particularly if another event takes place3 Low6 Medium9 Medium12 Medium15 High
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4 – Probable; an unsafe condition exists 4 Low8 Medium12 Medium16 High20 High
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5 – Highly Probable; an accident will almost certainly occur (a highly unsafe condition exists)5 Low10 Medium15 High20 High25 High
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