RISK ASSESSMENT RECORDING FORM

Location or Date Assessment Assessment undertaken

Address: Station Road, Graffiti Bridge Undertaken: 14/02/2017 By: Emily Ball
Activity or Review Signature
Situation: Photoshoot Date:

(1) Hazard Risk (2) Who might be harmed and how? (3) What controls exist to reduce (4) What action can be taken
risk to further reduce risk?
Fall off of the bridge Cast &/Crew Ensure cast and crew are aware of Put bright cones on both sides to
where the steps down are. reduce the risk.

Injure self on smashed glass on site Cast & Crew Ensure the area is cleared before Control the area 24 hours prior to
shooting. shoot.

Ensure all equipment is easily visible

and also put away nicely. Keep the equipment in one place, and
Tripping over equipment Cast &Crew
is not misplaced somewhere else.

Area is securely is cordoned off and Pick a different location which is

Falling down steep hill into canal (risk of Cast and Crew
just the set needed is accessible. similar but safer.
drowning)
 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.
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.

(1) Hazard Risk (2) Who might be harmed and how? (3) What controls exist to reduce (5) What action can be taken
risk to further reduce risk?
Fall off of bridge (10-15) Cast &/Crew Ensure all items e.g. props etc are put Models shoe laces are also tied to
away or stored nicely. reduce the risk of further falls.

Injure self on smashed glass (3-5) Cast Ensure the chair the model will be Use a reclining chair which requires
sitting on is secure and will not less work.
collapse.

Tripping over equipment (3-5) Ensure all equipment is easily visible Keep the equipment in one place, and
Cast &Crew
and also put away nicely. is not misplaced somewhere else.
Falling down hill into canal (risk of Cast & Crew Area is securely is cordoned off and Pick a different location which is
drowning) (10-15) just the set needed is accessible. similar but safer.

RISK RATING

a SEVERITY b LIKELIHOOD c FINAL SCORE RATING: what needs to be done

5 Dying or being permanently disabled 5 Will almost certainly happen 16-25 Stop! Do not start activity again until risk is
controlled
4 Serious injury/long term illness 4 Highly likely to happen 10-15 High risk level, High priority. Take action
straight away to control the risk
3 Temporary disability/3 days off sick 3 Not so likely 6-9 Medium risk level. Tighten up controls and
make a plan to do something about risk
2 Will need medical attention 2 Even less likely 3-5 Fairly low risk level. Low priority but keep
possible action in mind
1 Minor injury eg. Bruise, graze 1 Unlikely to happen at all 1-2 Low or trivial risk. No further action
required.

SO: a x b = c

Action Required Responsible Person Date for Completion

Tripping over equipment - Will need medical attention, tighten up the controls and make a plan to Emily Ball
do something about the risk.

Falling off of bridge - Serious Injury/Long Term Illness, Take action straight away to control the risk.
Emily Ball

Injuring himself on broken glass - Will need medical attention, Low priority but keep possible action
in mind. Emily Ball
Falling down steep hill into canal (drowning risk) - Serious injury or long term illness, Take action Emily Ball
straight away to reduce the risk.