SAO-F-034-(002)

St. Paul University Surigao

St. Paul University System
8400 Surigao City, Philippines
Office of the Student Affairs-Higher Education
CURRICULAR ACTIVITY RISKS ANALYSIS & EVALUATION FORM
Use this template to document a risk assessment to manage health and safety hazards and risks. Please attach the complete and approved ACTIVITY PLAN or
LETTER OF COMMUNICATION/INVITATION TO ACTIVITY upon conducting risk analysis and evaluation

I. CURRICULAR ACTIVITY RISK PLANNER

A planning portion to assist organizing team to identify the potential hazards associated with curricular activities and the inherent risk level of activities, and to determine those
activities that require further risk assessment:
THE PITFALLS OF THE DIGITIAL AGE IN
NAME OF ACTIVITY Department & Academic College of Business and Technology
(with indicated venue) BUSINESS AND TECHNOLOGY – A SYMPOSIUM Year 2021 - 2022
(via Zoom Conferencing)
Date & time of Risk May 19, 2023 Sponsoring department/
College of Business and Technology (CBT)
Analysis & Evaluation 8:00 AM – 12:00 AM organization

Teacher(s) in-charge: Dr. Eric M. Villamar Student(s) Involved All CBT students

Specific Activities Likelihoo Risk Level

Inclusive Date(s) Inclusive Time Identified Consequence
(What will the students d (Low, Medium, High,
No. of the activity Hazards/Risks 1-5
be doing?) 1-5 Extreme)
PEOPLE (Mischievous
1 April 21, 2021 7:30 AM - 8:00 AM Assembly Time Students, Bullying) 2 2 LOW

Via Zoom Conferencing:

The pitfalls of the digitial age in
Internet Connection/
8:00 AM - 11:00 AM business and technology – a 2 2 LOW
Connectivity Failure
symposium

Filling out Evaluation Google

3 11:00 AM-12:00 PM Forms and Checking of Electricity/Electronics 2 2 LOW
Attendance

Online privacy leak and

4 other online-related risks 2 1 LOW
(personal data leak, etc

5 Noise 4 1 LOW

6
  Incompatibility with attendees' computers, tablets or
Step 1: Identify Hazards phones Step 2: Assess the Level of Risk
This planner may be used by an individual or a group  A slow or weak internet connection Determine inherent level of risk of planned activities. To do
developing a unit of work together, or a whole department  Lost or intermittent connectivity this, consider planned activities in terms of:
developing its curriculum or activity.  Online privacy leak and other online-related risks 1. Which students will be involved (number, age,
Hazards come in many forms – some are common and (personal data leak, etc maturity, experience, special needs, etc)?
easily identifiable such as using machinery, falling from  Internet Connection/ Connectivity Failure 2. What will students be doing (running, jumping,
heights, javelin throwing and infectious diseases. swimming, cutting, cooking, etc)?
Others may be harder to identify, e.g. activities that would 3. What will students be using (equipment, tools,
normally be low risk are riskier when they are done in a machines, heat, hazardous materials etc)?
new or unusual way, with younger students, with large
groups, in unfamiliar settings, or for the first time. 4. Where will students be (kitchen, confined space, pool,
creek, beach, at height, etc)?
Hazards generally arise from the interaction between the:
 physical environment 5. Who will lead the activity (competence etc)?
 equipment used Risk assessments are best completed by more than one
 activity itself and its design person, involving all those planning and delivering the
 competence (knowledge/skills) of the activity.
participants Staff should be proactive and integrate the risk
 management of the activity. management process into routine lesson and curriculum
Below is a list of common hazards. This is not exhaustive. planning.
Consider any other hazards when determining risk . For further information, refer to the Managing Risks in
 Electricity or electricity facility Failure School Curriculum Activities procedure.
 Hazardous substances Risk level is assessed by considering the ‘likelihood’ of an
 Dust or fumes (e.g. sawdust, smoke, gases) incident occurring in combination with the ‘consequence’
 Sharp implements or objects (e.g. injury) if it did occur.
 Heat sources (e.g. cooking appliances, fires) The more likely an incident and/or the worse its
 Height/falling objects consequence, the higher the risk will be.
 Fast moving objects Refer to the risk matrix as a guide to estimate an activity’s
 Environmental conditions (e.g. isolation, rough terrain, risk.
sunexposure, badweather)
 Restricted spaces
 Water (e.g. risk of drowning)
Consequence of an incident occurring
Step 3: Determine the Control Measures
 High-risk tools or equipment
Your assessed inherent risk level of the activity will
 Biological material (e.g. food, specimens) Likelihood 1- 2- 3- 4- 5-
INSIGNIFI MINOR MODERATE MAJOR determine the minimum actions required.
 Student considerations (e.g. behaviours, medical of an CRITICAL
CANT First Aid Medical Serious injury
incident Multiple
conditions, special needs) No treatment treatment / specialist Risk
occurring treatment required medical serious Actions/Approval Required
 Pressurised containers (i.e. gas containers, required treatment / injuries/ Level
disability/
hydraulics, balloons) hospitalisatio
loss of life
n Undertake the activity with the existing
 Noise (loud, continuous) 5- Low
controls in place.
 Heavy body contact (e.g. contact sports) ALMOST Medium Medium High Extreme Extreme
CERTAIN
 Physical exertion Medium Additional controls may be needed.
 Vehicles 4 - LIKELY Low Medium High High Extreme
 Sleep-over (at school)
 Individual student considerations (e.g. behaviours,
3 - POSSIBLE Low Medium High High High
medical conditions, special needs)
 People (bullies, mischievous students, etc.)
2-
Low Low Medium Medium High
UNLIKELY

1 - RARE Low Low Low Low Medium

 1. Identify the ‘hazards’ associated with the
activity.
Controls will need to be in place before
2. Assess the levels of risks these hazards
the activity is undertaken as necessary. Consider alternatives to doing the present.
High
Consider also the Low and Medium level activity.
Extreme 3. Determine inherent risk levels of the activity.
risks actions if applicable. Significant control measures will need to
be implemented to ensure safety. 4. Apply all necessary control measures with
verification of the implementing personnel or students
with the immediate and concerning heads. Ensure to
verify the control measures with visible and physical
evidences or documents.
5. Document and safekeep all control measure
When planning any activity, complete the following
evidence (to applicable control measures only) during
steps:
and after the activity implementation

Likelihoo
Consequence Description of Consequence Description of Likelihood
d
Will only occur in exceptional
1. Insignificant No treatment required 1. Rare Assessed Risk Level Description of Risk Level Actions
circumstances
Minor injury requiring First If an incident were to occur,
Undertake the activity with the
Aid treatment 2. Not likely to occur within the foreseeable Low there would be little likelihood
existing controls in place.
2. Minor that an injury would result.
(e.g. minor cuts, bruises, Unlikely future, or within the project lifecycle
bumps) If an incident were to occur,
there would be some chance that Additional controls may be
Injury requiring medical May occur within the foreseeable future, or Medium an injury requiring First Aid needed.
3. Moderate 3. Possible
treatment or lost time within the project lifecycle would result.

Serious injury (injuries) Controls will need to be in place

Likely to occur within the foreseeable If an incident were to occur, it
4. Major requiring specialist medical 4. Likely before the activity is undertaken
future, or within the project lifecycle would be likely that an injury
treatment or hospitalization High requiring medical treatment
as necessary. Consider also the
Low and Medium level risks
would result.
Loss of life, permanent Almost certain to occur within the actions if applicable.
5. Almost
5. Critical disability or multiple serious foreseeable future or within the project Consider alternatives to doing the
Certain If an incident were to occur, it
injuries lifecycle activity.
would be likely that a
Extreme permanent, debilitating injury or Significant control measures will
death would result. need to be implemented to ensure
safety.
II. HAZARDS/RISKS AND CONTROL MEASURES
In the table below:
1. List below the hazards/risks you identified in Step One.
2. Rate their risk level (refer to information contained in Step Two to assist with this).
3. Detail the control measures you will implement to eliminate or minimize the risk.
Note: Control and preventive measures should be implemented in accordance with the preferred hierarchy of control. If lower level controls (such as Administration or PPE) are
to be implemented without higher level controls, it is important that the reasons are explained.
No. IDENTIFIED HAZARDS / RISKS RISK LEVEL CONTROL AND PREVENTIVE MEASURES/ ACTIVITIES/ INTERVENTIONS
1 Please check the applicable control & preventive measures to address your identified
PEOPLE (Mischievous Students, Bullying) LOW hazards and risks:
N/A Issuance of Activity Parental Consents N/A Provision of medical kits/facilities
2 Internet Connection and Electricity Failure
Assignment of Committee point persons (must be indicated in activity plan forms)
LOW N/A Assignment of teacher-coordinators per sub-activity (indicate in activity plan forms)
No. IDENTIFIED HAZARDS / RISKS RISK LEVEL CONTROL AND PREVENTIVE MEASURES/ ACTIVITIES/ INTERVENTIONS
3 Electricity/Electronics Hazards or Failure of Approved/verified activity plans (initiated activities) or communications (invitationals)
Facilities leading to injuries LOW Hall planning & dry run of activity flow
Orientation activities to participants
4 Online privacy leak and other online-related N/A Teacher-chaperon(s) to facilitate: (Name)
risks (personal data leak, etc) LOW Information dissemination system: CBT- CGU- Club & Org. Officers Meetings ,
5 Online Announcements via Group Chats (specify)
Noise N/A Vehicle Registration-Transportation (please attach copy)
LOW
N/A Driver’s Updated License-Transportation (please attach copy)
6 N/A Medical Clearances of attending participants (submit before attending activity)
Bookings & Requests of School Facilities/Transportation/Meals (underline the request)
7 N/A Putting up of direction signages (exit and entrance areas, etc)
Planned documentation, evaluation, & recording system (submit after the activity)
Evaluation form draft of the activity (for initiated activity)
8 PLEASE INDICATE OTHER NECESSARY CONTROL/PREVENTIVE MEASURES not
mentioned in this form:
Note: The planned activity shall be permitted to continue or start only if the MAJOR control &
preventive measure(s) indicated in this form will be implemented, evident, and fulfilled.
Furthermore, the planned or on-going approved activity may be forcibly stop or cancel if
conditions and measures indicated in this risk management tool will not be fulfilled completely
 HIERARCHY OF CONTROL
Most effective Elimination: remove the hazard completely from the workplace or activity
(High level)
Substitution: replace a hazard with a less dangerous one (e.g. a less hazardous chemical)
Redesign: making a machine or work process safer (e.g. raise a bench to reduce bending)
Isolation: separate people from the hazard (e.g. safety barrier)
Administration: putting rules, signage or training in place to make a workplace safer
(e.g. induction training, highlighting trip hazards)
Least effective
(Low level) Personal Protective Equipment (PPE): Protective clothing and equipment (e.g. gloves, hats)

III. MANAGING AND REVIEWING CONTROLS/INTERVENTIONS

Post Analysis/Evaluation Intervention
This portion shall be completed in accordance with this risk assessment, implementing the control measures outlined in Part II. Changes will be made to the
activity, if required, to manage any emerging risks to ensure safety.

Complete during and/or after the activity. (or even before the activity implementation if applicable) Yes No

1. Are the planned control measures sufficient and effective in minimizing the level of risk?
2. Have there been any changes to the planned control measures?
3. Are further control measures required in future?

Details:

We need risk protocols. 1

Date Submitted Prepared by: Noted & Endorsed by: Reviewed & Verified by: Accepted and Approved by:

4/121/23
ELIEZA S. UMPIL ANGEL CLARISSE JARIOL DR. ERIC M. VILLAMAR MR. GUILBERT R. MANTALA
SECRETARY (COLLEGE OF BUSINESS Governor (COLLEGE OF BUSINESS AND DEAN (COLLEGE OF BUSINESS AND Vice President for Student Services
AND TECHNOLOGY) TECHNOLOGY) TECHNOLOGY)