You are on page 1of 5

Location Risk Assessment Form- Part A: Basic Information & Hazard list

Production Name: Countryfile Organisation Carlisle College


The Old Manse
Production Address: Producer Alice Dunt
Greystoke
CA11 0UJ Email: alicehdunt@gmail.com
Mobile: 07938100709

Start date 30/10/17 End date 16/11/17

Distribution Carlisle College, Victoria Place, Carlisle

Outline of risk assessment Countryfile project on seedsense ltd

Team members / experts / contractors / Alice Dunt, Jasmine Denney, Dean Whitehead, Alex herring
contributors etc.
Jasmines Garden, Glass House and Fields
Locations

Assessor Name Jasmine Denney Date completed 09/11/17


Signature Jasmine Denney

Authoriser Name Jasmine Denney Date authorised 09/11/17


(if not Assessor) Signature Jasmine Denney

Hazard list select your hazards from the list below and use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person Contact with cold liquid / vapour Disease causative agent
Attack by animal / Contact with cold surface Infection
Breathing compressed gas Contact with hot liquid / vapour Allergic reaction
Cold environment / Contact with hot surface Lack of food / water
Crush by load Electric shock Lack of oxygen
Drowning Explosive blast Physical fatigue
Entanglement in moving machinery Explosive release of stored pressure Repetitive action
High atmospheric pressure Fire Static body posture
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 / Waste substance released into soil / water

Vehicle impact / collision Managerial / organisational hazards


Falls from height Management factors (lack of communication, co- /
operation, co-ordination and competence)

Risk matrix use this to determine risk for each


hazard i.e. how bad and how likely Likelihood of Harm
Remote Very unlikely Unlikely Possible Likely
Severity of Harm 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
Risk Assessment Form Part B: Hazards & Control Measures

Hazards Who exposed Risk Control measures Risk

Attack By Animal Everone Bitten or scratched Dont stroke the animals if the look angry Low

Cold Environment Everyone Catch Cold Wear warm clothes and suitable shoes High

Object falling, Moving or Flying Everyone Hit by fallen branch Be aware since the whole space is enclosed by trees Medium

Slippery Surface Everyone Slips on wet leaves/ Be aware and walk carefully Medium
grass/ marshes

Trip Hazard Everyone Trip over branches, Look where youre going Medium
stones, plant pots

Noise Everyone Horses making noise or Shoot interview scenes in the glass house where we can block out the noise Low
cats

Management Factors Everyone Mix up in time Keep in contact and plan thoroughly Low
Risk Assessment Form Part C: Emergency Contact information

Job Title Name Phone No. Email Emergency Contact/Relationship


Director Jasmine Denney 07495601818 jasminedenney2000@gmail.com 07515853660 (mother)
Director of Photography Dean Whitehead

Producer Alice Dunt 07938100709 alicehdunt@gmail.com 079261322002 (mother)


Sound/ Editor Alex Herring 07983276754 alexherring@icloud.com

Cast Peter Denney 07540061212 seedsenseltd@btinternet.co.uk 07515853660

Address
Emergency Service CUMBRIA (101) ask for Carlisle City Carlisle City Centre, Civic Centre, Rickergate Carlisle CARLISLE COLLEGE MAIN RECEPTION CAN BE
CONSTABULARY Centre NPT CA3 8QG
REACHED ON
Emergency Service CUMBERLAND 01228 523444 Newtown Rd, Carlisle
INFIRMARY CA2 7HY 01228 822700
Emergency Service FIRE 01228 221689 Eastern Way, Carlisle
SERVICE CA1 3RA IN AN EMERGANCY ALWAYS CALL 999

You might also like