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RISK ASSESSMENT RECORDING FORM

Location or
Address: Pa.21
Activity or
Situation: Photoshoot
(1)

Hazard

Date Assessment
Undertaken:
Review
Date:
Risk

(2) Who might be harmed and how?

Assessment undertaken
By: James Shaw
Signature

(3) What controls exist to reduce


Risk?

(4) What action can be taken to


further reduce risk?

Tripping overs chairs

The model and crew could trip and


fall over with equipment.

Tuck all chairs into tables to avoid


falling over the chairs.

Before taking the photoshoot


make sure that all the chairs are
tucked into the tables.

Tripping over the equipment

The crew could trip over the loose


equipment and fall over.

Make sure that the equipment isnt


just lying about on the floor.

Make sure that all the equipment


is set up properly.

Liquids around equipment

The equipment could be ruined


because by the water spilling over
the equipment.

Make sure that no one has liquid


near the equipment.

Dont bring in any liquids into the


room.

Temperature of room

The people in the room could get


over heated or get too cold.

Make sure that there is a fan if the


room is too hot and if the room is
too cold make sure that the
windows are shut and turn the
heating up.

Have control of the heating in that


room.

Tripping over bags

The crew would be harmed as they


fall over by tripping over the bags
also the equipment could be
damages as they could be holding
the equipment and fall.

Dont leave the bags on the floor in


the middle of the room.

Either put the bags under the


tables or put them in a corner the
room so that they are not in the
way.

Tripping over any loose wires

The people in the room as they may


fall over the wires and break the
equipment.

Have caution when walking about


in the room.

Tuck all the wires away so that no


one in the room will fall over.

1. List hazards something with the potential to cause harm here:


Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.

2. List groups of people who are especially at risk from the significant hazards which you have identified
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you expect to
gain.

RISK RATING
a SEVERITY

b LIKELIHOOD

c FINAL SCORE RATING: what needs to be done

Dying or being permanently disabled

Will almost certainly happen

Serious injury/long term illness

Highly likely to happen

Temporary disability/3 days off sick

Not so likely

Will need medical attention

Even less likely

Minor injury eg. Bruise, graze

Unlikely to happen at all

16-25 Stop! Do not start activity again until risk is


controlled
10-15 High risk level, High priority. Take action
straight away to control the risk
6-9
Medium risk level. Tighten up controls and
make a plan to do something about risk
3-5
Fairly low risk level. Low priority but keep
possible action in mind
1-2
Low or trivial risk. No further action
required.

SO: a x b = c
Action Required

Responsible Person

Date for Completion

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