Risk Assessment Matrix Example

Program/Event – Multi-County or District Food Challenge Workshop on Three Consecutive Days

Activities / Associated Risks
(medical emergency, allergic reaction, accident, injuries,
damage to reputation, etc.)
injury, illness, property damage, financial loss or negative publicity / Seriousness *
4 = minimal threat to safety, health and well-being of participants
3 = may cause minor injury, illness, property damage, financial loss or negative publicity
2 = may cause severe injury, illness, property damage, financial loss or negative publicity
1 = may result in death
/ Probability *
A = likely to occur immediately or in a short period of time, expected to occur frequently
B = Probably will come in time, likely to occur over the time of the event
C = May occur in time, probability is lower and there is equal chance of it not occurring
D = Unlikely to occur at any point during the event / Method to Manage Risk
(purchase of insurance, arranging for security, leader training, required directions and instruction from certified leaders, expectation for following rules or protocols, etc.)
Transportation to and from event / Vehicle accident
Negative publicity / 1 / D / Youth travel with parents, volunteer leaders or agents
Youth, leaders have blanket 4-H accidental medical insurance
Waiver, Indemnification and Medical Authorization Forms (WIMAF) collected
Activity at Fairgrounds / Environmental
Emergency
Negative publicity / 3 / D / Child Protection Guidelines are followed
Expectations for participation explained in youth and chaperone orientation
Chaperones monitor activities
Facility inspected for hazards prior to start of event
Emergency plan determined and followed if needed
Food preparation / Injuries from utensil, equipment use
Negative publicity / 3 / C / Youth receive ongoing training from leaders,
Project is explained in detail prior to beginning
Chaperones monitor activities
Recipe selection / Allergic reactions
Negative publicity / 1 / D / WIMAF reviewed prior to event
Registration includes self-reporting of food allergies and other medical issues

Risk Assessment Matrix Example

Program/Event – Multi-County Teen Leadership Overnight Retreat

Activities / Associated Risks
(medical emergency, allergic reaction, accident, injuries,
damage to reputation, etc.)
injury, illness, property damage, financial loss or negative publicity / Seriousness *
4 = minimal threat to safety, health and well-being of participants
3 = may cause minor injury, illness, property damage, financial loss or negative publicity
2 = may cause severe injury, illness, property damage, financial loss or negative publicity
1 = may result in death
/ Probability *
A = likely to occur immediately or in a short period of time, expected to occur frequently
B = Probably will come in time, likely to occur over the time of the event
C = May occur in time, probability is lower and there is equal chance of it not occurring
D = Unlikely to occur at any point during the event / Method to Manage Risk
(purchase of insurance, arranging for security, leader training, required directions and instruction from certified leaders, expectation for following rules or protocols, etc.)
Transportation to and from event / Vehicle accident
Negative publicity / 1 / D / Youth travel with parents, volunteer leaders or agents
Youth, leaders have blanket 4-H accidental medical insurance
Waiver, Indemnification and Medical Authorization Forms collected (WIMAF)
Overnight at Retreat Center / Inappropriate interactions, activity
Medical/Environmental emergency
Negative publicity / 3 / C / Child Protection Guidelines followed
WIMAF reviewed prior to start of event
Registration includes self-reporting of medical issues
Expectations for participation explained in orientation
Chaperones monitor activities
Facility inspected for hazards prior to start of event
Emergency plan determined and followed if needed
Leadership Breakout Sessions / Minor Injury
Negative publicity / 4 / D / Retreat team is trained in leading activities
Leadership team has well-planned and approved program
Chaperones monitor activities
High Ropes Team Building / Injury
Negative publicity / 3 / C / High Ropes led by certified instructors
WIMAF reviewed prior to activity
Chaperones monitor activities
Teen Dance / Injury
Negative Publicity / 4 / C / Playlist of songs approved ahead of time
Expectations for participation shared with youth
Chaperones monitor activities

Risk Assessment Matrix Example

Program/Event – Livestock Workshop on Three Consecutive Days

Activities / Associated Risks
(medical emergency, allergic reaction, accident, injuries,
damage to reputation, etc.)
injury, illness, property damage, financial loss or negative publicity / Seriousness *
4 = minimal threat to safety, health and well-being of participants
3 = may cause minor injury, illness, property damage, financial loss or negative publicity
2 = may cause severe injury, illness, property damage, financial loss or negative publicity
1 = may result in death
/ Probability *
A = likely to occur immediately or in a short period of time, expected to occur frequently
B = Probably will come in time, likely to occur over the time of the event
C = May occur in time, probability is lower and there is equal chance of it not occurring
D = Unlikely to occur at any point during the event / Method to Manage Risk
(purchase of insurance, arranging for security, leader training, required directions and instruction from certified leaders, expectation for following rules or protocols, etc.)
Transportation to and from event / Vehicle accident
Negative publicity / 1 / D / Youth travel with parents, volunteer leaders or agents
Youth, leaders have blanket 4-H accidental medical insurance
Waiver, Indemnification and Medical Authorization Forms (WIMAF) collected
Activity at local ranch / Environmental
Emergency
Negative publicity / 3 / D / Child Protection Guidelines are followed
Location inspected for hazards prior to start of event
Emergency plan determined and followed if needed
Youth participation / Personal Injury / 3 / C / Youth are enrolled in 4-H
Activities are age appropriate for youth
Chaperones monitor activities
Livestock handling / Injuries from improper equipment use, handling livestock
Negative publicity / 3 / C / Expectations for participation explained to youth and chaperones
Safety rules and guidelines explained and demonstrated
Youth receive ongoing training, instruction from leaders,
Chaperones monitor activities

Risk Assessment Matrix Example

Program/Event

Activities / Associated Risks
(medical emergency, allergic reaction, accident, injuries,
damage to reputation, etc.)
injury, illness, property damage, financial loss or negative publicity / Seriousness *
4 = minimal threat to safety, health and well-being of participants
3 = may cause minor injury, illness, property damage, financial loss or negative publicity
2 = may cause severe injury, illness, property damage, financial loss or negative publicity
1 = may result in death
/ Probability *
A = likely to occur immediately or in a short period of time, expected to occur frequently
B = Probably will come in time, likely to occur over the time of the event
C = May occur in time, probability is lower and there is equal chance of it not occurring
D = Unlikely to occur at any point during the event / Method to Manage Risk
(purchase of insurance, arranging for security, leader training, required directions and instruction from certified leaders, expectation for following rules or protocols, etc.)