RISK ASSESSMENT FORM
Who can be Harmed?
And how?
5 10 15 20 25 Unacceptable Stop
4 8 12 16 20 High Urgent Action
3 6 9 12 15 Medium Action Required
2 4 6 8 10 Low Monitor
1 2 3 4 5 Trivial No action
*If the risk is trivial (see below) then there is no need to do anything further. If the risk is low, monitor and seek to improve at the next review or if there is a significant change.
AN/members of the public 3 1 1 3 1 1
AN 1 1 1 1 1 1
Workplace /Location: Cemetery
Names: Alan Nicholson
Hazards
East Bergholt Parish Council
Risk Rating
(without controls)
Severity
E.G. Employees, Volunteers,
Contractors, Service Users, Public,
Neighbours. Are there any
vulnerable groups e.g. disabled, young
people etc. Likelihood
Risk*
(Existing) Control Measures
Assessment Date: December 2024 Review Date: December 2025
Risk Assessment for: East Bergholt Parish Council Cemetery Groundsperson
Further Control Measures
Residual Risk
Rating
(without controls)
Severity
Likelihood
Risk*
Lone Working AN
AN to ensure that someone is aware of his
working hours/shift pattern. AN also has a
mobile phone, which he is happy to use in the
event of an emergency. Ongoing
Use of loud and hazardous equiment
AN to ensure that he is wearing the appropriate
protective equipment. AN to request any
additional equipment from the Parish Council
who will purchase. AN to also ensure ‘works in
progress’ sign is used whilist using equipment in
the cemetery or church yard. Ongoing
3 1 1 3 1 1
Health issues
AN has no current health conditions that
interfere with his role.
AN to feedback any changes to
the Parish Council
Page 1

Who can be Harmed?
And how?
5 10 15 20 25 Unacceptable Stop
4 8 12 16 20 High Urgent Action
3 6 9 12 15 Medium Action Required
2 4 6 8 10 Low Monitor
1 2 3 4 5 Trivial No action
Hazards
Risk Rating
(without controls)
(Existing) Control Measures
Residual Risk
Rating
Risk*
E.G. Employees, Volunteers,
Contractors, Service Users, Public,
Neighbours. Are there any
vulnerable groups e.g. disabled, young
people etc.
Severity
Likelihood
Risk*
Severity
Likelihood
Further Control Measures
Page 2