SlideShare a Scribd company logo
1 of 2
Risk Assessment Form – Part A
ProductionName: Tw inz Organisation Vision Productions
ProductionAddress: Unit 25
Blakelock Rd,
Hartlepool
TS25 5PF
Producer / Editor
Tel:
Mobile:
Jordan Painter
01429 573391
07463 437654
Start date 21/3/16 End date 15/4/16
Distribution
Who gets a copyof the assessment
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Team members / experts /
contractors / contributors etc.
List those involved
Ben Saunders, Jordan Painter, Luke Hester, Chantel Watterson, Adam Hester
Locations
Outline locationsinvolved – indicate
any which are hostile environments
Ward Jackson Park. The Lodge.
Assessor Name
Signature
Date completed
Authoriser Name
(if not Assessor) Signature
Date authorised
Hazard list – select your hazards from the list belowand use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person Contact with cold liquid / v apour Disease causativ e agent
Attack by animal x Contact with cold surf ace Inf ection
Breathing compressed gas Contact with hot liquid / v apour Allergic reaction
Cold env ironment x Contact with hot surf ace Lack of f ood / water
Crush by load Electric shock Lack of oxy gen
Drowning Explosiv e blast Phy sical f atigue
Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action
High atmospheric pressure Fire x Static body posture
Hot env ironment Hazardous substance Stress / anxiety
Manual handling Ionizing radiation Venom poisoning
Object f alling, mov ing or f ly ing x Laser light
Obstruction / exposed f eature Lightning strike Environmental hazards
Sharp object / material Noise x Litter x
Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration
Slippery surf ace x Stroboscopic light Phy sical damage
Trap in mov ing machinery Vibration Waste substance released into air
Trip hazard Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls f rom height Management f actors (lack of communication,
co-operation, co-ordination and competence)
Risk matrix – use this to determine risk for
each hazard i.e. ‘how bad and how likely’ Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Very unlikely
e.g. 1 in 200 chance
Unlikely
e.g. 1 in 50 chance
Possible
e.g. 1 in 10 chance
Likely
e.g. >1 in 3 chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium
Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High
Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high
Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high
Risk Assessment Form – Part B
Activity1
– Each individual activity you are proposing: Location – w here this activity willtake place: Bomber w oods Dates / times:
Hazards2
List what could cause harm f rom this activ ity
e.g. falls from height, trip hazard, fire, etc.
Who exposed
List who might be harmed
f rom this activ ity
e.g. staff, contractors,
contributors, public, etc.
Risk3
For each hazard, decide
lev el of risk as if y ou were to
do the activ ity without y our
controls
Control measures
For each hazard, list the measures y ou will be taking to minimise the risk identif ied
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.
Risk3
For each hazard,
decide lev el of risk
once all y our controls
are in place
Noise Cast & Crew . Likely Make sure there isn’t any noise before filming. Unlikely
Attackby animal Cast & Crew . Unlikely Use locations that are unlikely for animal to visit. Remote
Cold Environment Cast & Crew . Likely Bring a coat or jumper to avoid being cold. Portable heaters Unlikely
Slippery surface Cast & Crew . Possible Check for slippery surfaces before using for filming. Unlikely
Fire Cast & Crew . Unlikely Check area for any flammable material and hazards. Fire extinguishers nearby. Very unlikely
Litter Cast & Crew . Possible Pick up litter and put it in a bin bag before filming. Remote
Continue on separate sheet if necessary
1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A

More Related Content

What's hot

Risk assessment VFX
Risk assessment VFXRisk assessment VFX
Risk assessment VFXChrisIvanov4
 
Risk Assessment Template 99.docx
Risk Assessment Template 99.docxRisk Assessment Template 99.docx
Risk Assessment Template 99.docxLukeWilson21
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment templateNathanLukeman
 
Risk assessment Documentary
Risk assessment DocumentaryRisk assessment Documentary
Risk assessment DocumentaryChrisIvanov4
 
Risk assessment form
Risk assessment formRisk assessment form
Risk assessment formJ_Scott01
 
Risk Assessment
Risk AssessmentRisk Assessment
Risk Assessmentbc10482
 
Tfm risk assessment!
Tfm risk assessment!Tfm risk assessment!
Tfm risk assessment!TamannaAli
 
Risk assessment template completed
Risk assessment template completedRisk assessment template completed
Risk assessment template completedChrisIvanov4
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template17000461
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment templateholliejoice
 
Print ad risk assesment
Print ad risk assesmentPrint ad risk assesment
Print ad risk assesmentChrisIvanov4
 
Risk assessment for pitch
Risk assessment for pitchRisk assessment for pitch
Risk assessment for pitchBethPotter4
 
Film Day Risk Assessment
Film Day Risk AssessmentFilm Day Risk Assessment
Film Day Risk AssessmentStrudwick
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment templateMayankKumar398
 

What's hot (20)

Risk assessment
Risk assessment Risk assessment
Risk assessment
 
Risk assessment VFX
Risk assessment VFXRisk assessment VFX
Risk assessment VFX
 
Risk Assessment Template 99.docx
Risk Assessment Template 99.docxRisk Assessment Template 99.docx
Risk Assessment Template 99.docx
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 
Risk assessment Documentary
Risk assessment DocumentaryRisk assessment Documentary
Risk assessment Documentary
 
Risk assessment form
Risk assessment formRisk assessment form
Risk assessment form
 
Risk Assessment
Risk AssessmentRisk Assessment
Risk Assessment
 
Tfm risk assessment!
Tfm risk assessment!Tfm risk assessment!
Tfm risk assessment!
 
Risk assessment template completed
Risk assessment template completedRisk assessment template completed
Risk assessment template completed
 
Risk assessment
Risk assessmentRisk assessment
Risk assessment
 
Risk assessment
Risk assessmentRisk assessment
Risk assessment
 
Barbering risk assessment
Barbering risk assessment Barbering risk assessment
Barbering risk assessment
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 
Print ad risk assesment
Print ad risk assesmentPrint ad risk assesment
Print ad risk assesment
 
Risk assessment for pitch
Risk assessment for pitchRisk assessment for pitch
Risk assessment for pitch
 
Film Day Risk Assessment
Film Day Risk AssessmentFilm Day Risk Assessment
Film Day Risk Assessment
 
Risk assessment
Risk assessmentRisk assessment
Risk assessment
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 

Similar to Risk assessment

Risk assesment drew
Risk assesment drewRisk assesment drew
Risk assesment drewLucyBurton13
 
Risk Assessment Template.doc.docx
Risk Assessment Template.doc.docxRisk Assessment Template.doc.docx
Risk Assessment Template.doc.docxChrisIvanov4
 
Risk assessment for Drew
Risk assessment for Drew Risk assessment for Drew
Risk assessment for Drew EllisConlon
 
Risk Assessment Template.doc
Risk Assessment Template.docRisk Assessment Template.doc
Risk Assessment Template.docElliotDaroczy
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment templateJakeRose8
 
Risk Assessment.docx
Risk Assessment.docxRisk Assessment.docx
Risk Assessment.docxfaithsowerby
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment templateElliotDaroczy
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment templateDanmordew64
 
Risk assessment 1
Risk assessment 1 Risk assessment 1
Risk assessment 1 samtodd10
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment templateLukeWilson21
 
Bb crisk assessment
Bb crisk assessment  Bb crisk assessment
Bb crisk assessment maddisonallin
 
Risk assessment
Risk assessment Risk assessment
Risk assessment seyitgedik
 

Similar to Risk assessment (20)

Risk assessment
Risk assessment Risk assessment
Risk assessment
 
Risk assesment drew
Risk assesment drewRisk assesment drew
Risk assesment drew
 
Risk Assessment Template.doc.docx
Risk Assessment Template.doc.docxRisk Assessment Template.doc.docx
Risk Assessment Template.doc.docx
 
Risk assessment
Risk assessmentRisk assessment
Risk assessment
 
Risk assessment for Drew
Risk assessment for Drew Risk assessment for Drew
Risk assessment for Drew
 
Risk Assessment Template.doc
Risk Assessment Template.docRisk Assessment Template.doc
Risk Assessment Template.doc
 
Risk assessment 1
Risk assessment 1Risk assessment 1
Risk assessment 1
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 
Risk assesment
Risk assesmentRisk assesment
Risk assesment
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 
Risk Culture.docx
Risk Culture.docxRisk Culture.docx
Risk Culture.docx
 
Risk Assessment.docx
Risk Assessment.docxRisk Assessment.docx
Risk Assessment.docx
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 
Risk assessment
Risk assessmentRisk assessment
Risk assessment
 
Risk assessment 1
Risk assessment 1 Risk assessment 1
Risk assessment 1
 
Risk assessment
Risk assessment Risk assessment
Risk assessment
 
Risk assessment template
Risk assessment templateRisk assessment template
Risk assessment template
 
Bb crisk assessment
Bb crisk assessment  Bb crisk assessment
Bb crisk assessment
 
Risk assessment
Risk assessment Risk assessment
Risk assessment
 

More from AhesterMedia

More from AhesterMedia (20)

Narrative Structures
Narrative StructuresNarrative Structures
Narrative Structures
 
Unit 16 part 2 workbook
Unit 16 part 2 workbookUnit 16 part 2 workbook
Unit 16 part 2 workbook
 
Cyberbully - Powerpoint
Cyberbully - PowerpointCyberbully - Powerpoint
Cyberbully - Powerpoint
 
The Missing - Powerpoint
The Missing - PowerpointThe Missing - Powerpoint
The Missing - Powerpoint
 
This Is England 90 - Powerpoint
This Is England 90 - PowerpointThis Is England 90 - Powerpoint
This Is England 90 - Powerpoint
 
Production Booklet
Production BookletProduction Booklet
Production Booklet
 
Production Report
Production ReportProduction Report
Production Report
 
Actor Release Form
Actor Release FormActor Release Form
Actor Release Form
 
Rushes log twinz
Rushes log twinzRushes log twinz
Rushes log twinz
 
Market research
Market researchMarket research
Market research
 
Call sheet
Call sheetCall sheet
Call sheet
 
Self Evaluation
Self EvaluationSelf Evaluation
Self Evaluation
 
Time
Time Time
Time
 
Locations
LocationsLocations
Locations
 
Market research
Market researchMarket research
Market research
 
Contributors
ContributorsContributors
Contributors
 
Materials for film
Materials for filmMaterials for film
Materials for film
 
Facilities final
Facilities finalFacilities final
Facilities final
 
Personnel
PersonnelPersonnel
Personnel
 
Film short proposal
Film short proposalFilm short proposal
Film short proposal
 

Recently uploaded

Understanding Accommodations and Modifications
Understanding  Accommodations and ModificationsUnderstanding  Accommodations and Modifications
Understanding Accommodations and ModificationsMJDuyan
 
Sensory_Experience_and_Emotional_Resonance_in_Gabriel_Okaras_The_Piano_and_Th...
Sensory_Experience_and_Emotional_Resonance_in_Gabriel_Okaras_The_Piano_and_Th...Sensory_Experience_and_Emotional_Resonance_in_Gabriel_Okaras_The_Piano_and_Th...
Sensory_Experience_and_Emotional_Resonance_in_Gabriel_Okaras_The_Piano_and_Th...Pooja Bhuva
 
UGC NET Paper 1 Unit 7 DATA INTERPRETATION.pdf
UGC NET Paper 1 Unit 7 DATA INTERPRETATION.pdfUGC NET Paper 1 Unit 7 DATA INTERPRETATION.pdf
UGC NET Paper 1 Unit 7 DATA INTERPRETATION.pdfNirmal Dwivedi
 
What is 3 Way Matching Process in Odoo 17.pptx
What is 3 Way Matching Process in Odoo 17.pptxWhat is 3 Way Matching Process in Odoo 17.pptx
What is 3 Way Matching Process in Odoo 17.pptxCeline George
 
Model Attribute _rec_name in the Odoo 17
Model Attribute _rec_name in the Odoo 17Model Attribute _rec_name in the Odoo 17
Model Attribute _rec_name in the Odoo 17Celine George
 
How to Add a Tool Tip to a Field in Odoo 17
How to Add a Tool Tip to a Field in Odoo 17How to Add a Tool Tip to a Field in Odoo 17
How to Add a Tool Tip to a Field in Odoo 17Celine George
 
Simple, Complex, and Compound Sentences Exercises.pdf
Simple, Complex, and Compound Sentences Exercises.pdfSimple, Complex, and Compound Sentences Exercises.pdf
Simple, Complex, and Compound Sentences Exercises.pdfstareducators107
 
How to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptxHow to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptxCeline George
 
Tatlong Kwento ni Lola basyang-1.pdf arts
Tatlong Kwento ni Lola basyang-1.pdf artsTatlong Kwento ni Lola basyang-1.pdf arts
Tatlong Kwento ni Lola basyang-1.pdf artsNbelano25
 
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptxExploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptxPooja Bhuva
 
How to Manage Call for Tendor in Odoo 17
How to Manage Call for Tendor in Odoo 17How to Manage Call for Tendor in Odoo 17
How to Manage Call for Tendor in Odoo 17Celine George
 
Details on CBSE Compartment Exam.pptx1111
Details on CBSE Compartment Exam.pptx1111Details on CBSE Compartment Exam.pptx1111
Details on CBSE Compartment Exam.pptx1111GangaMaiya1
 
PANDITA RAMABAI- Indian political thought GENDER.pptx
PANDITA RAMABAI- Indian political thought GENDER.pptxPANDITA RAMABAI- Indian political thought GENDER.pptx
PANDITA RAMABAI- Indian political thought GENDER.pptxakanksha16arora
 
Towards a code of practice for AI in AT.pptx
Towards a code of practice for AI in AT.pptxTowards a code of practice for AI in AT.pptx
Towards a code of practice for AI in AT.pptxJisc
 
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...Nguyen Thanh Tu Collection
 
Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...
Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...
Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...Pooja Bhuva
 
The basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxThe basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxheathfieldcps1
 
Graduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - EnglishGraduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - Englishneillewis46
 
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...Amil baba
 

Recently uploaded (20)

Understanding Accommodations and Modifications
Understanding  Accommodations and ModificationsUnderstanding  Accommodations and Modifications
Understanding Accommodations and Modifications
 
Sensory_Experience_and_Emotional_Resonance_in_Gabriel_Okaras_The_Piano_and_Th...
Sensory_Experience_and_Emotional_Resonance_in_Gabriel_Okaras_The_Piano_and_Th...Sensory_Experience_and_Emotional_Resonance_in_Gabriel_Okaras_The_Piano_and_Th...
Sensory_Experience_and_Emotional_Resonance_in_Gabriel_Okaras_The_Piano_and_Th...
 
UGC NET Paper 1 Unit 7 DATA INTERPRETATION.pdf
UGC NET Paper 1 Unit 7 DATA INTERPRETATION.pdfUGC NET Paper 1 Unit 7 DATA INTERPRETATION.pdf
UGC NET Paper 1 Unit 7 DATA INTERPRETATION.pdf
 
What is 3 Way Matching Process in Odoo 17.pptx
What is 3 Way Matching Process in Odoo 17.pptxWhat is 3 Way Matching Process in Odoo 17.pptx
What is 3 Way Matching Process in Odoo 17.pptx
 
Model Attribute _rec_name in the Odoo 17
Model Attribute _rec_name in the Odoo 17Model Attribute _rec_name in the Odoo 17
Model Attribute _rec_name in the Odoo 17
 
How to Add a Tool Tip to a Field in Odoo 17
How to Add a Tool Tip to a Field in Odoo 17How to Add a Tool Tip to a Field in Odoo 17
How to Add a Tool Tip to a Field in Odoo 17
 
Simple, Complex, and Compound Sentences Exercises.pdf
Simple, Complex, and Compound Sentences Exercises.pdfSimple, Complex, and Compound Sentences Exercises.pdf
Simple, Complex, and Compound Sentences Exercises.pdf
 
How to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptxHow to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptx
 
Tatlong Kwento ni Lola basyang-1.pdf arts
Tatlong Kwento ni Lola basyang-1.pdf artsTatlong Kwento ni Lola basyang-1.pdf arts
Tatlong Kwento ni Lola basyang-1.pdf arts
 
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptxExploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
 
Our Environment Class 10 Science Notes pdf
Our Environment Class 10 Science Notes pdfOur Environment Class 10 Science Notes pdf
Our Environment Class 10 Science Notes pdf
 
How to Manage Call for Tendor in Odoo 17
How to Manage Call for Tendor in Odoo 17How to Manage Call for Tendor in Odoo 17
How to Manage Call for Tendor in Odoo 17
 
Details on CBSE Compartment Exam.pptx1111
Details on CBSE Compartment Exam.pptx1111Details on CBSE Compartment Exam.pptx1111
Details on CBSE Compartment Exam.pptx1111
 
PANDITA RAMABAI- Indian political thought GENDER.pptx
PANDITA RAMABAI- Indian political thought GENDER.pptxPANDITA RAMABAI- Indian political thought GENDER.pptx
PANDITA RAMABAI- Indian political thought GENDER.pptx
 
Towards a code of practice for AI in AT.pptx
Towards a code of practice for AI in AT.pptxTowards a code of practice for AI in AT.pptx
Towards a code of practice for AI in AT.pptx
 
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
 
Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...
Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...
Beyond_Borders_Understanding_Anime_and_Manga_Fandom_A_Comprehensive_Audience_...
 
The basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxThe basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptx
 
Graduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - EnglishGraduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - English
 
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
 

Risk assessment

  • 1. Risk Assessment Form – Part A ProductionName: Tw inz Organisation Vision Productions ProductionAddress: Unit 25 Blakelock Rd, Hartlepool TS25 5PF Producer / Editor Tel: Mobile: Jordan Painter 01429 573391 07463 437654 Start date 21/3/16 End date 15/4/16 Distribution Who gets a copyof the assessment Outline of risk assessment Summary of what is proposed in terms of sequences and set ups. Team members / experts / contractors / contributors etc. List those involved Ben Saunders, Jordan Painter, Luke Hester, Chantel Watterson, Adam Hester Locations Outline locationsinvolved – indicate any which are hostile environments Ward Jackson Park. The Lodge. Assessor Name Signature Date completed Authoriser Name (if not Assessor) Signature Date authorised Hazard list – select your hazards from the list belowand use these to complete Part B Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick Assault by person Contact with cold liquid / v apour Disease causativ e agent Attack by animal x Contact with cold surf ace Inf ection Breathing compressed gas Contact with hot liquid / v apour Allergic reaction Cold env ironment x Contact with hot surf ace Lack of f ood / water Crush by load Electric shock Lack of oxy gen Drowning Explosiv e blast Phy sical f atigue Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action High atmospheric pressure Fire x Static body posture Hot env ironment Hazardous substance Stress / anxiety Manual handling Ionizing radiation Venom poisoning Object f alling, mov ing or f ly ing x Laser light Obstruction / exposed f eature Lightning strike Environmental hazards Sharp object / material Noise x Litter x Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration Slippery surf ace x Stroboscopic light Phy sical damage Trap in mov ing machinery Vibration Waste substance released into air Trip hazard Waste substance released into soil / water Vehicle impact / collision Managerial / organisational hazards Falls f rom height Management f actors (lack of communication, co-operation, co-ordination and competence) Risk matrix – use this to determine risk for each hazard i.e. ‘how bad and how likely’ Likelihood of Harm Severity of Harm Remote e.g. <1 in 1000 chance Very unlikely e.g. 1 in 200 chance Unlikely e.g. 1 in 50 chance Possible e.g. 1 in 10 chance Likely e.g. >1 in 3 chance Negligible e.g. small bruise Trivial Trivial Trivial Low Low Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high
  • 2. Risk Assessment Form – Part B Activity1 – Each individual activity you are proposing: Location – w here this activity willtake place: Bomber w oods Dates / times: Hazards2 List what could cause harm f rom this activ ity e.g. falls from height, trip hazard, fire, etc. Who exposed List who might be harmed f rom this activ ity e.g. staff, contractors, contributors, public, etc. Risk3 For each hazard, decide lev el of risk as if y ou were to do the activ ity without y our controls Control measures For each hazard, list the measures y ou will be taking to minimise the risk identif ied e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective equipment, provision of first aid, etc. Risk3 For each hazard, decide lev el of risk once all y our controls are in place Noise Cast & Crew . Likely Make sure there isn’t any noise before filming. Unlikely Attackby animal Cast & Crew . Unlikely Use locations that are unlikely for animal to visit. Remote Cold Environment Cast & Crew . Likely Bring a coat or jumper to avoid being cold. Portable heaters Unlikely Slippery surface Cast & Crew . Possible Check for slippery surfaces before using for filming. Unlikely Fire Cast & Crew . Unlikely Check area for any flammable material and hazards. Fire extinguishers nearby. Very unlikely Litter Cast & Crew . Possible Pick up litter and put it in a bin bag before filming. Remote Continue on separate sheet if necessary 1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A