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Department of Computer Science and Technology

 

Group/location:

[Group name], [Room]

Description of activity/workplace:

[What]

Identified hazards:

  1. Hazard 1
  2. Hazard 2

Who those hazards affect:

[Who]

Reasonably foreseeable outcome:

  1. Outcome 1
  2. Outcome 2

Safe working procedure:

[. . .]

Additional actions to be taken:

[. . .]

Assessment carried out by [Who]

Date: [YYYY-MM-DD]