1. Risk Assessment Form – Part A Blank Template
Reference: [enter reference number]] Sign-off status [planning/approved etc]
Assessment summary details
Assessment title * Health and safety hazards to cast and crew
(Simple name for reference
purposes)
Division:* Production Department:* Drama
Series/ Prod/Unit: Rockabye Baby Programme/Area:
Responsible Bethany Saunders Contact office: 07805484838
Manager: Daniella Di paolo
Address/Tel: Address/Tel:
Date assessment created 17/2/13 Confidential risk NO (delete as applicable)
assessment?
Assessment Outline A young girl sitting in a hut playing with her doll and an older woman walking through a
(Summary of what is wood.
proposed)
Assessment start 17/2/13 Review / End date
date
Country location England Hostile / travel No
advisory?
Location details Wandlebury Country Park, NB: If the country location selected is ‘Hostile’ you are
Cambridge required to: complete the BBC Overseas High Risk
Assessment Form
Bethany Saunders- Producer
Crew / team
(Roles, responsibilities, Daniella Di Paolo- Director
competencies)
Attachments
(Detail supporting
documents)
Bethany Saunders Low
Assessor(s) * Assessor safety
(Person drafting risk competence
assessment)
Authoriser(s) * Brendan Sheppard Date signed-off *
(Person responsible for
sign-off)
Distribution
(Who gets a copy of the 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
assessment) 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 Activity Risk Rating
Filming inside Tadlow Granary Grace Old structured building Medium
Comments log
Who by Date / time Comments Assessor response Date/ time
received responded
[* mandatory fields]

2. Risk Assessment Form – Part B Blank Template
Reference:
6 [enter reference number]] Sign-off status [planning/approved etc]
ACTIVITIES: What are you doing, where, for how long and who will be HAZARDS & CONTROLS: How could someone become hurt or made ill and
involved? Complete the fields in the form below). how are you going to prevent this from happening?
Activity Title:* Filming inside an old building
Activity Description: We will be filming inside a 17th century building.
List those managing Bethany Saunders- Low Competence
this Activity and their Daniella Di paolo- Low Competence
competence:
Who & how many are One actor and the Crew
at risk from this
Activity?
Hazards Control measures
How could someone become hurt or made ill How are you going to prevent this from happening?
Old Structured building could be a risk due to the floorboards We will fully assess the area in which the cast and crew are to go and we will not allow filming in any
being possibly unstable as the last renewal of the building was in areas which pose this risk when filming the scenes.
1975. An actor or one of the crew members may trip and
possibly hurt themselves by tripping over this.
We will place glass covers over the candles if we are unable to find electric candles to use.
Candles could fall and cause a fire in the wooden building,
causing either the crew and cast to get hurt and also members
of the public.
Risk Level*: After your controls have been applied what is your assessment of the risk level of High
this activity?
Add additional activities as required – by copying this section and pasting below
[* mandatory fields]

3. Risk Assessment Form – Part B Blank Template
Reference:
6 [enter reference number]] Sign-off status [planning/approved etc]
ACTIVITIES: What are you doing, where, for how long and who will be HAZARDS & CONTROLS: How could someone become hurt or made ill and
involved? Complete the fields in the form below). how are you going to prevent this from happening?
Activity Title:* Actor walking along the woodland path.
Activity Description: The actor will walk slowly along the woodland path through many tree stumps and other obsticles.
List those managing Bethany Saunders- Low competence
this Activity and their Daniella Di Paolo- Low competence
competence:
Who & how many are The Actor is at main risk due to walking directly on the path, however the crew are also at slight risk when walking to the
at risk from this location to film.
Activity?
Hazards Control measures
How could someone become hurt or made ill How are you going to prevent this from happening?
Unstable ground could cause tripping over and injury from the Make sure that the Cast and Crew wear appropriate footwear and that the path is as clear as possible
items on the floor. for the actor to walk.
If it has rained recently then the floor could become slippery and Make sure of the weather and grounds condition beforehand and pre- assess the conditions for the
cause a fall or the breakage of trees above. ground.
Risk Level*: After your controls have been applied what is your assessment of the risk level of Low
this activity?
Add additional activities as required – by copying this section and pasting below
[* mandatory fields]