<p>APPENDIX 3 - Risk Assessment Template</p><p>Education, Learning & Leisure Risk Assessment Template</p><p>Establishment: Member of staff completing:</p><p>Date Completed: Completing Staff Signature and Date:</p><p>Description of Activity: Activity Location:</p><p>Head of Establishment: Head of Establishment Signature and Date:</p><p>Areas Covered in this template</p><p>Instructor / Supervisor competence Equipment Ability of the Group Weather Supervision Emergency Procedures Transportation Medication Environment / Location Electricity Activity Chemicals Security Insurance</p><p>1 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p> Staff  Staff competent to Instructor  Young people supervise the group competence  Helpers activities  Public  Activity provider has High Supervisor  Instructor provided evidence of their competence  Supervisor staff competence and a Medium  Others risk assessment for the activity.  Activity premises are inspected by the Local Low Authority so would not be required to provide a risk assessment  Staff PVG checked  Other relevant measures – note in the 5th column </p><p>2 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Insurance  Staff  All activities organised  Young people under Aberdeenshire  Council third  Helpers council will be covered party  Public third party by the council High  Personal  Instructor insurers. accident  Supervisor  Comprehensive cover can Medium  Overseas  Others be purchased from the cover Council Finance Dept  Litigation  Other relevant measures potential – note in the 5th Low column </p><p>3 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Ability of  Staff Group  Young people  Helpers  The ratio of staff to Young  Ability  Public people is set dependant High  Inclusion  Instructor on need  Individual  Supervisor  Individual pupil support Medium support plans  Others plans are available to available establish individuals /  Supervision group ability ratio  Identify, departure time, Low  Disabled/mob contact numbers, finishing ility problems time, pick up, set down  Medical location and instructions. needs, sick  Identify any specific bag, medical / dietary needs. disposable  If necessary obtain gloves, apron guardian advice /  First-aid permission (travelling kit)  Other relevant measures  Mobile phone – note in the 5th  Guardian column  information</p><p>4 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Supervision  Staff  The ratio of staff to Young  Young people people is set dependant  Ratios  Helpers on need High  Activities  Public  Supervision levels are set  Special  Instructor as required to undertake needs  Supervisor or support the activity Medium  Overnight  Others provider  Supervision levels are set as required for overnight Low stay  Supervisors “disclosure Scotland” checked  Other relevant measures – note in the 5th column </p><p>5 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Transportation  Staff  Ensure all staff,  Young people volunteers, have  Staff,  Helpers vehicle insurance and volunteer,  Public the cars are not High cars /  Instructor overloaded insurance  Supervisor  Ensure the bus Medium  Contact  Others company is approved number / by the Council PTU mobile phone  Ensure all loose number equipment is correctly Low  Departure / stored / secured arrival times  Ensure all are aware & guardian of the activity, information location, car park,  Insurance (map) etc  Competent  Have a head count bus list for each vehicle. contractor  Carry a fully charged  Bus suitable mobile phone ready for disabled for use.  Storage of  Ensure the base equipment / phone number is food available.  Lost client /  Supervision levels vehicle correct for group  Client, sick /  Other relevant soiled measures – note in the 5th column </p><p>6 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Environment /  Staff  Staff, where possible Location  Young people have undertaken a prior  Helpers visit to the area /  Location  Public location / activity High  Terrain  Instructor  An activity risk  Possible  Supervisor assessment is available Medium weather  Others from the activity provider if conditions required  Specific instructions are available to staff and Low Young people  Other relevant measures – note in the 5th column </p><p>7 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined  A risk assessment is Activity  Staff available for the  Young people activity  Activity  Helpers  An activity provider provider risk  Public risk assessment is High assessment  Instructor available  Activity  Supervisor  Activity provider Medium provider  Others informed of group / informed of individual ability group /  Identify who will individual provide the activity Low ability supervision  Who will  Where possible block provide the book the group for activity easier supervision supervision  Ensure suitable  Block booking disabled  Access arrangements  Emergency  Discuss emergency procedures arrangements where  Disabled the activity identifies facilities the necessity  Supervision  Identify where staff toilets will provide  Food assistance for example toileting  Food allergies identified to the food provider  Other relevant measures – note in the 5th column </p><p>8 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Chemicals  Staff  Allergies identified  Young people  COSHH identified  Cleaning /  Helpers  Other relevant washing  Public measures – note in the High  Activity  Instructor 5th column  related  Supervisor Medium  Others  Others</p><p>Low</p><p>9 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Electricity  Staff  Equipment tested /  Young people suitable  Electrical  Helpers  Other relevant equipment  Public measures – note in High  Instructor the 5th column   Supervisor Medium  Others</p><p>Low</p><p>10 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Medication  Staff  Information sought  Young people from parents  Permission  Helpers /guardians re parents  Staff  Public letter High available  Instructor  Staff competent and  Staff training  Supervisor willing to administer Medium  Storage  Others medication  First-aid  Suitable storage identified  Ensure the First-aid Low supervisory ratios are suitable. (In some situations competent persons may be a member of the group if trained / competent to operate the emergency arrangements)  A first-aid kit is available.  If Low hills, a HSE trained first-aid person is required  Other relevant measures – note in the 5th column </p><p>11 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Security  Staff  All Aberdeenshire  Young people vehicles locked when  Vehicle  Helpers not in use  Campsite  Public  Accommodation High  Accommodati  Instructor locked at appropriate on  Supervisor times Medium  Others  Local information taken into account re campsites  Aberdeenshire Low activity provider information sought re activity sites  Other relevant measures – note in the 5th column </p><p>12 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Equipment  Staff  Aberdeenshire  Young people equipment suitable  Suitability  Helpers for the activity, if not,  Trained staff  Public withdraw from the High to operate  Instructor activity  Supervisor  Activity providers Medium  Others equipment suitable for the activity, if not, withdraw from the activity Low  Other relevant measures – note in the 5th column </p><p>13 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Weather  Staff  Ensure the road /  Young people travel conditions are  Travel  Helpers suitable conditions  Public  Ensure that the group High suitable  Instructor has suitable clothing /  Clothing  Supervisor footwear for the Medium suitable for  Others activity. activity  Have an alternate  Alternative plan available and plan / based ensure the base is Low informed kept informed  Consider the effects of bright sun and exhaustion  Other relevant measures – note in the 5th column </p><p>14 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please Circle the bullet points of the measures in manage this risk ? and and risk tick. Control Measures to be put in place. completion areas place? date If High or Medium the controls need re- examined</p><p>Emergency  Staff  Have an emergency Procedures  Young people plan agreed with the  Helpers base  Plan  Public  Carry a mobile phone High available?  Instructor and have the base  Base contact  Supervisor number available if Medium available?  Others necessary use a land  Supervisory line ratios  Ensure the First-aid  Suitable supervisory ratios are Low contingency suitable. (In some plan situations competent  First-aid kit persons may be a and first member of the group aiders if trained / competent to operate the emergency arrangements)  A first-aid kit is available.  If Low hills a HSE trained first-aid person is required.  Other relevant measures – note in the 5th column </p><p>15 Circle the Risk Indicate anything else Action by Now Potential Who might be What are you already doing? level with control you need to do to Whom? done? hazard harmed? Please List the Control Measures to measures in manage this risk ? and and risk tick. be put in place? place. completion areas date If High or Medium the controls need re- examined</p><p>Other areas for  Staff consideration  Young people  Helpers  Public High  Instructor  Supervisor Medium  Others</p><p>Low</p><p>16</p>