1. Risk Assessment Form – Part A
Reference: Sign-off status
Assessment summary details
Assessment title * Hazards to cast & crew.
(Simple name for reference
purposes)
Division:* Production Department:* Urban Drama
Series/ Prod/Unit: Street Life Programme/Area:
Responsible Jack Knight Contact office: 01353 615960
Manager: Molly McDonnell
Cilla Kerigun
Address/Tel: Address/Tel: 8A Cambridge Rd, Ely
Date assessment created 13/02/13 Confidential risk NO
assessment?
Assessment Outline A young man trying to escape from gang members but ends up in a predicament.
(Summary of what is
proposed)
Assessment start 13/02/13 Review / End date
date
Country location England Hostile / travel No
advisory?
Location details NB: If the country location selected is ‘Hostile’ you are
required to: complete the BBC Overseas High Risk
Assessment Form
Crew / team
(Roles, responsibilities,
competencies)
Attachments
(Detail supporting
documents)
Assessor(s) * Jack Knight Assessor safety Medium
(Person drafting risk competence
assessment)
Brendan Sheppard Date signed-off *
Authoriser(s) *
(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
Running down stairs Jay and gang members. Trip down stairs. Crash Medium
into railings.
Comments log
Who by Date / time Comments Assessor response Date/ time
received responded
[* mandatory fields]

2. Risk Assessment Form – Part A
[* mandatory fields]

3. Risk Assessment Form – Part B
Reference:
6 Sign-off status
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:* Jay and Gang members running.
Activity Description: Actors running from housing balcony and running down a few flights of stairs.
List those managing Jack Knight
this Activity and their Molly McDonnell
competence: Cilla Kerigun
Who & how many are 4 Actors, 1 Camera man
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?
Running along council flat balcony with rubbish by doors could To prevent this we move the rubbish with the owners permission or ask them to hold onto it until we
causing in tripping e.g. bin bag, empty boxes. have finished filming.
Running down a flight of stairs. Could trip on the stair because Make them aware of the possibility of the hazard and make them do the scene as carefully as they can
running at pace.
Risk Level*: After your controls have been applied what is your assessment of the risk level of Medium
this activity?
[* mandatory fields]

4. Risk Assessment Form – Part B
Reference:
6 Sign-off status
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:* Running through a doorway.
Activity Description: The actors will be running through a doorway and will have to open the door which is quite heavy.
List those managing Jack Knight
this Activity and their Molly McDonnell
competence: Cilla Kerigun
Who & how many are 4 Actors
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?
The actor could not grip the door tight enough and the door Show them exactly how to grip the door and show them how heavy the door is.
could spring back and hit them in the face which could lead to
damage.
Once the main actor has gone through the same could apply to Look above.
the other 3 members.
Risk Level*: After your controls have been applied what is your assessment of the risk level of Medium
this activity?
[* mandatory fields]