This Example COVID-19 Return to Work Shop Risk Assessment Form template can
be used to help assessors get started when they carry out a risk assessment
for their particular workplace, environment and facilities. This example
risk assessment form is looking at a specific shop set-up; this medium
sized shop has a front entrance and exit, a back office, a storeroom, a
small kitchen and a toilet. This document should only be used as a
guide/hints list when applying the COVID-19 Return to Work Blank Risk
Assessment Form to your own retail premises, and can assist the employer in
how to see their own shop for the purposes of risk assessing it.
This example form has been updated to include the requirements of the
NHS Test and Trace Service effective from 18th September
2020. From this date shops must keep records of all staff and
contractors for 21 days. It also provides for additional use of face
It is imperative that any risk assessment is specific to each business,
location and department and that all measures and controls are carried out
and not just recorded on the form. It is important to make sure that “you
have done enough” in your risk assessment.
This example risk assessment is designed to help a retail shop business
complete reasonable and practicable measures and controls to enable
employees to return to work safely and customers to return to shop. The
application of the COVID-19 risk assessment forms presume that the hazard
in respect of all these forms is the risk to employees and shoppers (and
contractors and visitors as appropriate) of being infected by the
Coronavirus within the relevant location. The persons at risk in this
example are the staff, shoppers and delivery drivers. This document has
recently been updated to provide for the government guidance on face
The “Existing Controls”, “Further Measures” and “Action Required” details
serve as hints only and may or may not apply to your retail environment.
Such controls and measures will depend entirely on your company’s /
business’ current health & safety procedures and the steps that you
have taken (and will take) in respect of managing the risk of coronavirus
infection in your particular workplace.
This document is locked and is not editable.