TEMPLATE : Risk Assessment Form (School Event_Activity within Campus).xlsx

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1	Risk Assessment Form (School Event/Activity within Campus)			Nexus International School (Singapore)				How to complete this form: 1) Enter information into the white boxes 2) Select the numerical values for Probability & Severity to calculate Risk Level. 3) Delete any unused rows below for each of printing.
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3	Event Details			Student / Staff Ratio Details				Risk Assessment Details
4	Title of Event:			Number of leaners:				Risk Assessment Reference Number:
5	Date of Event:			Number of staff:				Risk Assessment Last Reviewed:
6	Venue of Event:			Student / Staff Ratio:				Read in conjunction with: (Providers RA document)
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8	Originator Details			Endorsement Details				Approval Details
9	Written By:			Endorsed By - Head of School:				Approved - Principal/SLT-designee:
10	Signed:			Signed:				Signed:
11	Date (dd/mm/yyyy):			Date (dd/mm/yyyy):				Date (dd/mm/yyyy):
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14	Risk Assessment Methodology													Risk Levels			Probability
15	Risks for all activities outlined in this assessment should be quantified using the method of: o Probability of risk occurrence multiplied by the potential severity of said risk with impact on both the learners and/or the group as a whole. o The final value is used to categorise the level of risk associated with a specific activity - ‘low’, ‘medium’ and ‘high’. Risk Control details how the risk is managed and planned for. E.g. Risk of rock climbing injury: severity is initially high (4/5) but risk controls (helmet, secured harness, qualified instructors) reduce the severity (1/2) and probability (1/2).													1-4: Low Risk		Severity		1	2	3	4	5
16														1-4: Low Risk			1	1	2	3	4	5
17														5-11: Medium Risk			2	2	4	6	8	10
18														5-11: Medium Risk			3	3	6	9	12	15
19														12-25: High Risk			4	4	8	12	16	20
20														12-25: High Risk			5	5	10	15	20	25
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22	Hazard Identification				Risk Evaluation					Risk Control
23	Activity/Area of concern	Hazard Identification		1) Possible Accident, 2) Ill-health, 3) Persons at risk	Existing Risk Control (If Any)	Probability	Severity	Risk Level		Additional Actions to be taken to minimise each risk	Probability	Severity	Risk Level		Implementation Person (person who actions on minimising the risks)		Due Date (dd/mm/yyyy)			Implemented Date (dd/mm/yyyy)
24			Risk of obstruction			1	4	4	Low Risk		1	3	3	Low Risk
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