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RISK ASSESSMENT FORM
Five Ways old Edwardians football club
Venue:
Name and position of person doing check:
Date of check:
Playing/training area
Check that the area and surroundings are safe and free from obstacles.
Is the area fit and appropriate for activity? Yes c No c
(e.g. check floor, roof leaks, lighting, heating, security and welfare arrangements). If no, please outline the hazard, who may be at risk and action taken, if any.)
Equipment
Check that it is fit and sound for activity and suitable for age group/ability. Is the equipment safe and appropriate for activity? Yes c No c
(e.g. check there is no equipment left from other activities or obstructions left in the sporting area. If no, please outline unsafe equipment, who may be at risk and action taken, if any.)
Participants
Check that the attendance register is up to date with medical information and contact details. Check that performers are appropriately attired for the activity.
Is/are the register(s) in order? Yes c No c
(If no, please outline current state and action taken, if any.)
Are performers appropriately attired and safe for activity? Yes c No c
(If no, please outline unsafe equipment/attire and action taken, if any.)
Emergency points
Check that emergency vehicles can access facilities, and that a working telephone is available with access to emergency numbers.
Are emergency access points checked and operational? Yes c No c
(If no, please outline the issues and action taken, if any.)
Is a working telephone available? Yes c No c
(If no, please outline the issues and action taken, if any.)
Safety information
Check that evacuation procedures are published and posted somewhere for all to see. Ensure that volunteers and staff have access to information relating to health and safety.
Are emergency procedures published and accessible to those with responsibility for sessions in the club? Yes c No c
(If no, please outline what information is missing and action taken, if any.)
Does the club need to take any further action? (If yes, please specify.)
SIGNED: DATE:
NAME:
N.B. A new risk assessment form should be completed at the start of each season, to ensure you cover the club should the incident happen again and any resultant changes made to the club’s code of practice.
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