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