MOD Form 5010a - Ch-change.com

MoD Health & Safety Handbook JSP 375 Vol 2Activity/Process: Use of the inflatable assault course.Specific Generic Record of DynamicAssessmentAssessor Line Manager Acceptance (See Note 2)Name: G Dunning Name: TJ SmalleyRank/Grade: Capt Rank/Grade: MajorSignature:Signature:Hazards(Include Hazard Surveynumber where applicable)Muscular injuriesFire hazardWho is atRisk?Office staffand publicOffice staffand publicOffice staffand publicOffice staffand publicOffice staffand publicOffice staffand publicControl Measures(Specific existing ControlMeasures)a. Trained personnel only tomonitor participants.b. Participants to bemonitored at all times..c. A warm up to be given toparticipants..Risk Rating(Likelihood XConsequence)(See Note 3)AdditionalControls(Each ControlMeasure is to bespecificand managed)1 x 1 = 1 Controlsadequate1 x 1 = 1 Controlsadequate1 x 1 = 1 Controlsadequated. Staff fire trained. 1 x 2 = 2 Controlsadequatee. Fire extinguisher on hand. 1 x 2 = 2 Controlsadequatef. First aid trained personnelon hand.1 x 2 = 2 ControlsadequateResidualRiskRating(See Note 4)Owner1 x 1 = 1 ART 1CaptOC1 x 1 = 1 ART 1CaptOC1 x 1 = 1 ART 1CaptOC1 x 2 = 2 ART 1CaptOC1 x 2 = 2 ART 1CaptOC1 x 2 = 2 ART 1CaptManagement PlanTargetDate06 May200906 May200906 May200906 May200906 May200906 May2009CompDate06 May200906 May200906 May200906 May200906 May200906 May2009MOD Risk Assessment FormLeaflet 39MOD Form 5010a