Risk Assessment Form Part A

Division / Studio

Department / Series

Business Unit / Production

Maidstone Studios

Producer / Editor

Sam Babington

Address

Victoria Park

Tel:

07*******

Maidstone

Mobile:

ME14 5NZ
Start date

26/11/14

Distribution

Reporters, interviewee & Cast

End date

30/11/14

Who gets a copy of the assessment

Outline of risk assessment

Cooking food in a kitchen.

Summary of what is proposed

Interviewing in a living room, with tungsten lights

Filming on a street.

Team members / experts / contractors /

contributors etc.

Sam Babington

List those involved

Sam Mckeown

Kate Sargent
Dave Chawner Reporter

Locations

Natasha Blick Reporter

Charlotte Rogers - Interviewee

Upper Fant Road, Maidstone.ME16

Outline locations involved indicate any which are

hostile environments

Assessor

Name

Date completed

Signature

Authoriser

Name

(if not Assessor)

Signature

Date authorised

Hazard list select your hazards from the list below and use these to complete Part B
Situational hazards

Tick

Assault by person

Physical / chemical hazards

Tick

Health hazards

Tick

Contact with cold liquid / vapour

Disease causative agent

Attack by animal

Contact with cold surface

Infection

Breathing compressed gas

Contact with hot liquid / vapour

Cold environment

Contact with hot surface

Crush by load

Electric shock

Lack of oxygen

Drowning

Explosive blast

Physical fatigue

Entanglement in moving machinery

Explosive release of stored pressure

High atmospheric pressure

Fire

Hot environment

Hazardous substance

Stress / anxiety

Manual handling

Ionizing radiation

Venom poisoning

Object falling, moving or flying

Laser light

Obstruction / exposed feature

Lightning strike

Environmental hazards

Sharp object / material

Noise

Litter

Shot by firearm

Non-ionizing radiation

Nuisance noise / vibration

Slippery surface

Stroboscopic light

Physical damage

Trap in moving machinery

Vibration

Waste substance released into air

Trip hazard

Allergic reaction
X

Lack of food / water

Repetitive action
X

Static body posture

Waste substance released into soil / water

Vehicle impact / collision

Managerial / organisational hazards

Falls from height

Management factors (lack of communication, co-operation, coordination and competence)

Risk matrix use this to determine risk for each hazard i.e. how

Likelihood of Harm

bad and how likely

Remote

Very unlikely

Unlikely

Possible

Likely

e.g. <1 in 1000 chance

e.g. 1 in 200 chance

e.g. 1 in 50 chance

e.g. 1 in 10 chance

e.g. >1 in 3 chance

Negligible e.g. small bruise

Trivial

Trivial

Trivial

Low

Low

Slight e.g. small cut, deep bruise

Trivial

Trivial

Low

Low

Medium

Moderate e.g. deep cut, torn muscle

Trivial

Low

Medium

Medium

High

Severe e.g. fracture, loss of consciousness

Low

Medium

High

High

Extremely high

Very Severe e.g. death, permanent disability

Low

Medium

High

Extremely high

Extremely high

Severity of Harm

Risk Assessment Form Part B

Activity1 Each individual activity you are proposing:
Filming our cooking story
Scenes outside student house
Filming our interview
Setting up our studio
Hazards2

Who exposed

Location where this activity will take place:

All same place. At student house on upper fant road, and on upper fant road.

Risk3

Control measures

Dates / times:
26/11/14, 10-4
28/11/14: 9-4
30/11/14: 12-5

Risk3

List what could cause harm from this activity

e.g. falls from height, trip hazard, fire, etc.

List who might be harmed

from this activity
e.g. staff, contractors,
contributors, public, etc.

For each hazard, decide

level of risk as if you were to
do the activity without your
controls

For each hazard, list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.

Trip Hazard

Staff & Cast

Moderate, likely

Keeping myself and crew aware of wires on floor. Looking when walking

Very unlikely

Assault by person

Staff & Cast

Moderate, remote

The slight chance someone may attack us whilst filming, maybe for our equipment. Keeping
aware and removing crew and staff if threatened

Remote

Contact with hot surface

Staff & Cast

Moderate/severe, very
unlikely

Wearing protective clothing. Keeping aware of hot surfaces.

Unlikely

Fire

Staff & Cast

Very severe, very

unlikely

Led crew and cast out first, through the closest entrance. Leaving all stuff. Use a fire blanked
or extinguisher to eliminate fire if small. Keeping high-flame items away from naked flame.

Very unlikely

Continue on separate sheet if necessary

1 complete separate table for each activity

2 - from hazard list in Part A

3 - from risk matrix in Part A

For each hazard,

decide level of risk
once all your controls
are in place