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Risk Assessment Form – Part A

Reference:

None required

Sign-off status

Blank Template

[planning/approved etc]

Assessment summary details
Assessment title *
(Simple name for reference
purposes)

Sweet Encounters opening sequence

Division:*

Production

Department:*

Series/ Prod/Unit:

Opening Sequence

Programme/Area:

Responsible Manager:

Mariel Racaza

Contact office:

Patricia Dacasin
Address/Tel:

10 Long Reach Road

Address/Tel:

CB4 1UH

Media

Netherhall School and Sixth
Form Centre
Queen Edith’s Way
CB1 8NN
01223242931

54 Wulfstan Way
CB1 8QH

Date assessment created

20/11/13

Assessment Outline
(Summary of what is
proposed)

The filming of an opening sequence of a film, to check that the location is safe to use.

Assessment start date

20/11/13

Country location

England

Location details

•

54 Wulfstan Way

CB1 8QH

•

59 Regent Street

CB2 1AB

•

Cherry Hinton Road

CB1 8DW
Crew / team
(Roles, responsibilities,
competencies)
Attachments
(Detail supporting
documents)

[* mandatory fields]

Mariel Racaza – Camerawoman
Patricia Dacasin - Director

Confidential risk
assessment?

Review / End date
Hostile / travel
advisory?

NO

30/11/13
NO

NB: If the country location selected is ‘Hostile’ you are
required to: complete the BBC Overseas High Risk
Assessment Form
Risk Assessment Form – Part A

*

Mariel Racaza

Assessor safety
competence

Authoriser(s) *
(Person responsible for
sign-off)

Mr Sheppard/Mr Day

Date signed-off *

Distribution
(Who gets a copy of the
assessment)

Blank Template

Production Crew

Assessor(s)

(Person drafting risk
assessment)

Medium

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
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 in the living room

Cast and Crew

Tripping over wires and
knocking over the tripod.

LOW

Filming in Café Sicilia

Cast, crew and bystanders

Bystanders could kick the
tripod and damage it.

MEDIUM

Comments log
Who by

Date / time
received

Comments

Assessor response

Date/ time
responded

Risk Assessment
Form – Part B
Reference:

None required

6

ACTIVITIES:
What are you doing, where, for how long and who will be involved?
Complete the fields in the form below).

Sign-off status

HAZARDS & CONTROLS:
How co
are you going to prevent this from ha

Activity Title:*

Talking

Activity Description:

Two people talking in a living room with both of them sitting on the sofa.

List those managing
this Activity and their
competence:

Mariel Racaza – Camerawoman
Patricia Dacasin - Director

Who & how many are at
risk from this Activity?

Cast and crew

[* mandatory fields]
Hazards
How could someone become hurt or made ill

Control meas
How are you going to prevent this from happening?

Actors could trip over wires and knock the tripod down.

Put wires away to the side.

Risk Level*: After your controls have been applied what is your assessment of the risk level of this
activity?

Low

Risk Assessment
Form – Part B
Reference:

6

None required

Sign-off status

ACTIVITIES:
What are you doing, where, for how long and who will be involved?
Complete the fields in the form below).

HAZARDS & CONTROLS:
How co
are you going to prevent this from ha

Activity Title:*

Buying coffee and walking

Activity Description:

Actor buying coffee at the counter and turning around to walk away.

List those managing
this Activity and their
competence:

Mariel Racaza – Camerawoman
Patricia Dacasin - Director

Who & how many are at
risk from this Activity?

Cast and crew

Hazards
How could someone become hurt or made ill

Control meas
How are you going to prevent this from happening?

Bystanders could kick the tripod and damage it.

Keep a lookout for bystanders that are near and make su

Risk Level*: After your controls have been applied what is your assessment of the risk level of this
activity?

[* mandatory fields]

Low

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Risk Assessment Form

  • 1. Risk Assessment Form – Part A Reference: None required Sign-off status Blank Template [planning/approved etc] Assessment summary details Assessment title * (Simple name for reference purposes) Sweet Encounters opening sequence Division:* Production Department:* Series/ Prod/Unit: Opening Sequence Programme/Area: Responsible Manager: Mariel Racaza Contact office: Patricia Dacasin Address/Tel: 10 Long Reach Road Address/Tel: CB4 1UH Media Netherhall School and Sixth Form Centre Queen Edith’s Way CB1 8NN 01223242931 54 Wulfstan Way CB1 8QH Date assessment created 20/11/13 Assessment Outline (Summary of what is proposed) The filming of an opening sequence of a film, to check that the location is safe to use. Assessment start date 20/11/13 Country location England Location details • 54 Wulfstan Way CB1 8QH • 59 Regent Street CB2 1AB • Cherry Hinton Road CB1 8DW Crew / team (Roles, responsibilities, competencies) Attachments (Detail supporting documents) [* mandatory fields] Mariel Racaza – Camerawoman Patricia Dacasin - Director Confidential risk assessment? Review / End date Hostile / travel advisory? NO 30/11/13 NO NB: If the country location selected is ‘Hostile’ you are required to: complete the BBC Overseas High Risk Assessment Form
  • 2. Risk Assessment Form – Part A * Mariel Racaza Assessor safety competence Authoriser(s) * (Person responsible for sign-off) Mr Sheppard/Mr Day Date signed-off * Distribution (Who gets a copy of the assessment) Blank Template Production Crew Assessor(s) (Person drafting risk assessment) Medium 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 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 in the living room Cast and Crew Tripping over wires and knocking over the tripod. LOW Filming in Café Sicilia Cast, crew and bystanders Bystanders could kick the tripod and damage it. MEDIUM Comments log Who by Date / time received Comments Assessor response Date/ time responded Risk Assessment Form – Part B Reference: None required 6 ACTIVITIES: What are you doing, where, for how long and who will be involved? Complete the fields in the form below). Sign-off status HAZARDS & CONTROLS: How co are you going to prevent this from ha Activity Title:* Talking Activity Description: Two people talking in a living room with both of them sitting on the sofa. List those managing this Activity and their competence: Mariel Racaza – Camerawoman Patricia Dacasin - Director Who & how many are at risk from this Activity? Cast and crew [* mandatory fields]
  • 3. Hazards How could someone become hurt or made ill Control meas How are you going to prevent this from happening? Actors could trip over wires and knock the tripod down. Put wires away to the side. Risk Level*: After your controls have been applied what is your assessment of the risk level of this activity? Low Risk Assessment Form – Part B Reference: 6 None required Sign-off status ACTIVITIES: What are you doing, where, for how long and who will be involved? Complete the fields in the form below). HAZARDS & CONTROLS: How co are you going to prevent this from ha Activity Title:* Buying coffee and walking Activity Description: Actor buying coffee at the counter and turning around to walk away. List those managing this Activity and their competence: Mariel Racaza – Camerawoman Patricia Dacasin - Director Who & how many are at risk from this Activity? Cast and crew Hazards How could someone become hurt or made ill Control meas How are you going to prevent this from happening? Bystanders could kick the tripod and damage it. Keep a lookout for bystanders that are near and make su Risk Level*: After your controls have been applied what is your assessment of the risk level of this activity? [* mandatory fields] Low