You are required by law to make an assessment of significant risks in your workplace. What are the risks of injury and ill health identified in this risk assessment?
Are there any specific risks, eg working with:
If so, give a brief description
Are there parts of your establishment where different levels of risk can be identified (eg in a University with research laboratories)? *
Please select -> Yes No
If Yes, give a brief description of the various work areas
What is your record of accidents and cases of ill health? What type are they and where did they happen? *
How many people are employed on site? *
Please select -> 1 - 10 11 - 30 31 - 50 51 - 100 over 100
Are there inexperienced workers on site, or employees with disabilities or special health problems? *
Please select -> Yes No
If Yes, give a brief description
Are the premises spread out, eg are there several buildings on the site or multi-floor buildings? *
Please select -> Yes No
If Yes, give a brief description
Is there shiftwork or out-of-hours working? *
Please select -> Yes No
If Yes, give a brief description
Is your workplace remote from emergency medical services? *
Please select -> Yes No
If Yes, how far is it to the nearest A&E.
Please select -> 1 - 3 miles 4 - 10 miles Over 10 miles
Do you have employees who travel a lot or work alone? *
Please select -> Yes No
If Yes, how many
Please select -> 1 - 10 11 - 30 31 - 50 51 - 100 over 100
Do any of your employees work at sites occupied by other employers? *
Please select -> Yes No
If Yes, give a brief description
Do you have any work experience trainees? *
Please select -> Yes No
If Yes, give a brief description
Do members of the public visit your premises? *
Please select -> Yes No
If Yes, give a brief description
Your name *
Contact telephone *
Contact email address *
