COVID-19 Return to Work Office Example Risk Assessment Form

This Example COVID-19 Return to Work Office 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 document should only be used as a guide/hints list when applying the COVID-19 Return to Work Blank Risk Assessment Form, and can assist the employer in how to see the workplace for the purposes of risk assessing it.

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.

This document has been updated in accordance with the Government's relaxation of coronavirus related restrictions from 19th July 2021 and the changes to this example form include:

• the removal of the NHS Test and Trace provisions; and 
• reduced references to social distancing.

This example risk assessment is designed to help small office based businesses complete reasonable and practicable measures and controls to enable employees to return to work safely. 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 contractors and visitors as appropriate) of being infected by the Coronavirus within the relevant location. The persons at risk in this example are the office staff, and the form also provides for a vulnerable person. Additional controls/measures are required for vulnerable persons and these should be recorded on the risk assessment.

The “Existing Controls”, “Further Measures” and “Action Required” details serve as hints only and may or may not apply to another office workplace. Such controls and measures will depend entirely on the relevant company’s / business’ current health & safety procedures and the steps they have taken (and some to be taken) in respect of managing the risk of coronavirus infection in their particular workplace.

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