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RISK ASSESSMENT RECORDING FORM

Location or
Address: 3 Cross Lane, Grappenhall
Activity or
Situation: Photoshoot
(1)

Hazard

Date Assessment
Undertaken: 09/01/2017
Review
Date:
Risk

(2) Who might be harmed and how?

Assessment undertaken
By: Emily Ball
Signature

(3) What controls exist to reduce


risk
Ensure all items e.g. props etc are put
away or stored nicely.

(4) What action can be taken


to further reduce risk?
Models shoe laces are also tied to
reduce the risk of further falls.

Tripping over

Cast &/Crew

Rain doing damage to the equipment

Crew

Look up weather forecast to make sure


there will be no damage done.

Use waterproof equipment for the


camera.

Tripping over equipment

Cast &Crew

Ensure all equipment is easily visible


and also put away nicely.

Keep the equipment in one place, and


is not misplaced somewhere else.

Cast&Crew

Ensure all cast and crew are aware of


oncoming traffic.

Make the crew wear hi vis jackets to


be able to be seen by oncoming
traffic.

Hit by a car

1.

2.
3.
4.

(1)

List hazards something with the potential to cause harm h


ere:
Seek to quantify the level of risk the likelihood of harm arising b
ased on the number of persons affected, how often they are exposed to the hazard and the severity
of any consequence.
List groups of people who are especially at risk from the significant hazards which you have identified
List existing controls here or note where the information may be found
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.

Hazard

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce


risk
Ensure all items e.g. props etc are put
away or stored nicely.

(5) What action can be taken


to further reduce risk?
Models shoe laces are also tied to
reduce the risk of further falls.

Tripping over (Level 1-2)

Cast &/Crew

Rain doing damage to the equipment

Crew

Look up weather forecast to make sure


there will be no damage done.

Use waterproof equipment for the


camera.

Tripping over equipment (Level 3-5)

Cast &Crew

Ensure all equipment is easily visible


and also put away nicely.

Keep the equipment in one place, and


is not misplaced somewhere else.

Cast&Crew

Ensure all cast and crew are aware of


oncoming traffic.

Make the crew wear hi vis jackets to


be able to be seen by oncoming
traffic.

Hit by a car (Level 6-9)

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
Tripping - Minor injury such as a bruise of graze, no further action required.
Tripping over equipment - Will need medical attention, tighten up the controls and make a plan to
do something about the risk.
Hit by a car - Serious injury/long term illness, tighten up the controls and make a plan to do
something about the risk.

Responsible Person

Emily Ball
Emily Ball
Emily Ball

Date for Completion

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