Risk Assessment Form Part A

Reference:

[enter reference number]]

Sign-off status

Blank Template

[planning/approved etc]

Assessment summary details

Assessment title *
(Simple name for reference
purposes)

Student Thriller Short Film

Netherhall School

Division:*
Series/ Prod/Unit:

Department:*
Programme/Area:

Responsible
Manager:

Brendan Sheppard

Address/Tel:

01223 242931

Address/Tel:

Date assessment created

10th November 2016

Confidential risk
assessment?

Assessment Outline
(Summary of what is
proposed)

Recording in police prison cell.

Assessment start
date

14th November 2016

Country location

UK

Location details

Haverhill Police Station

Crew / team
(Roles, responsibilities,
competencies)

Media

Contact office:

Review / End date

Helen Davis
01223 242931

NO

14th November 2016

Hostile / travel
advisory?
NB: If the country location selected is Hostile you are
required to: complete the BBC Overseas High Risk
Assessment Form

Alex Madej Director Of Photography, Camera Operator, Mollie Gillard Director/Producer, Laura
Zimkute Lighting/Sound/Costume, Larry Nelson Producer/Editor

Attachments
(Detail supporting
documents)
Assessor(s)

Larry Nelson

(Person drafting risk

assessment)

Mollie Gillard

Assessor safety
competence

Authoriser(s) *
(Person responsible for
sign-off)

Brendan Sheppard

Date signed-off *

Distribution
(Who gets a copy of the
assessment)

All cast and crew.

11th November 2016

Data Protection Act: Personal information collected for the purposes of risk assessment will be used to identify those at risk, and
those involved in controlling risk, from this or similar activities and to fulfil the BBC's obligations under Health and Safety policy and
legislation. It will be retained for up to 6 years after the expiry of the activity. It may be shared with other organisations, including
our agents and contractors, with whom the risk or the control of risk is shared.

Activity and Hazard Summary

[This is a summary of the activities listed in part B of the risk assessment.]

Activity

Who Exposed

Hazards{hazard titles

Use of razor to shave face, sitting on

top of bunkbed, use of lighting,
tripods and cameras.

All cast and crew.

Razor
Camera
Tripod
Light
Bed
Chair

[* mandatory fields]

Activity Risk Rating

Low

Risk Assessment Form Part B

Reference:

Sign-off status

[enter reference number]]

ACTIVITIES:
What are you doing, where, for how long and who will be
involved? Complete the fields in the form below).
Activity Title:*

Short Film recording.

Activity Description:

Recording short thriller film in a police cell.

List those managing

this Activity and their
competence:

All crew.

Who & how many are

at risk from this
Activity?

All crew.

[planning/approved etc]

HAZARDS & CONTROLS:

How could someone become hurt or made ill and
how are you going to prevent this from happening?

Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from happening?

Use of razor could slice face open and cause mild bleeding.

Use razor carefully, do not remove protective case covering blades.

Bunkbed could collapse on top of actors or fall over.

Ask actors to be responsible when using the bunkbed and not make any sudden actions.

If hands are not away from cell door when shutting, could
become trapped causing injury.

Ask actors and crew to use all hazardous equipment responsibly.

[* mandatory fields]

Blank Template

Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from happening?

Police arrests could be brought to station and if mishandled,

disrupt the production.

Police should control any arrests brought to the station so not to interfere with the production.

Risk Level*: After your controls have been applied what is your assessment of the risk level of
this activity?

Add additional activities as required by copying this section and pasting below

[* mandatory fields]

Low