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2. APPENDICES
B.HEALTH AND SAFETY:
THE BBC RISK ASSESSIVI ENT FORN/I
ETETET General Risk Assessment Form
- Part A
Apil 2007- DC
Division / Studio Department / Series
Business Unit / Production
Address
Producer / Editor
Tel
Mobile:
Arry6 *r,"/l
Period covered bY assessment Version number
Outline of risk assessment
Summary of what is ProPosed
fu"1'>
*
D^,a- 5{r*
Team members / exPerts /
contractors / etc,
List those involved TL oruw
Site/Office/Location
Outline site/ locations involved
5/.a,
Assessor Name
Signature /+/jea Po,//
Date completed
Authoriser Name
Signature(if not Assessor)
Date authorised
2{- f,uu- t I
Hazard list - se lect your hazards from the list below Pad B (add others where aPPrcPiate)and use these to comqlete
TickHealth haardsPhysical / chemical hazardsTickSituational hazards
Disease causative agenlContacl with cold liquid / vaPour
Asbestos
lnfectionContact wlth cold surfaceAssault person
Lack of food / waterContact with hot liquid /Attacked by animal
Lack of oxygenContact with hot surfaceBreathing comPressed
Physical fatigueElectric shockCo d environment
Repelilive actionExplosive blaslloadCrush
Siatic body posture
Explosive release of slored pressure
Drowning
StressFireEntanglement in machinery
Hazardous substanceHot envircnment
lonizing radiationlntimidation
Environmental hazardsLaser lightLiftlng Equipment
Litterstrikelllanual handling
Nuisance noise / vibrationNoiseObject falling, moving
PhysicalNon-ionrzing radialionObstruction / exposed feature
Waste subslance released into air
Stroboscopic light/ materialSharp
Waste substance released inlo soil / water
VibrationSlippery surface
Trap in moving machinery
OtherTrip hazard
Vehicle impact / collisPn
Working at height
RiSk matfix - ,"e this to detemine isk fot
each hazad i-e 'how bad and how Likelihood of Harm
of Harm
Rem ote
e-9. <1 in 1000 chance
UnlikelY
e.g 1 in 200 chance
Possible
e.g. 1 in 50 chance
Likely
e.g. 1 in 10 chance
Probable
e-9. >1 in 3 chance
Negligible e.g. smll btuise
Slight e.9 6hall cut, deeP btuise
Medium
Moderate e.g. deep cut, ton muscle Medium Medium
Severe e.g. fracfure, /oss ofcorsciousress Medium
Very Severe e.g. death, pemanent disability Medium Extremely high
NUI Commission on multi-media working 2007 53
2{-il*r-*tf
Tick
Hidh
Hl0h Hish Extremely hish
Itigh Extremely high