1. APPENDICES
EEIEI General Risk Assessment Form
- Part A
April 2007- DC
Efctnclon
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Business Unit / Production
Address
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H ect1rr Pc*rtt
Producer,/ Editor
Tel:
Mobile:
Erc^-ncgn l'rLQottS
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Period covered assessment Version number
Outline of risk assessment
Sunmary of what is proposed
Team members / experts /
contractors / etc.
List those involved
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lt^a.'
q.:d
Site/Office/Location
Autline site/ locations involved 5l , €...n.u,". frrxn u''e-
Assessor Name
Signature 5,U*u"v 5.il"}^t+
Authoriser
(if not Assessor)
Name
Signature tr Date authorised
It lQ711
Hazard list-selectyourhazardsfromthelistbelowandusethesetocompletePaftB(addotherswhereapprcpiate)
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Asbestos Contacl with @ld liquid / vapour Disease €usative agenI
Assault by person Contact with cold surface lnfection
Attacked by animal Contact with hot liquid / vapour Lack of food / water
Breathing compressed gas Contact with hot surface Lack of oxygen
Cold environment Electric shock Physi€l fatigue
Crush by load Explosive blasl Repetitive action
Drowning Explosive release of stored pressure Static body posture
Entanglement in moving machinery 4te Stress
Hot environment Hazardous substance
lntimidation lonizing radiation
Lifling Equipmenl Laser light Environmental hazards
Manual handling Lightning strike Litter
Object falling, moving or flying Noise Nuisance noise / vibration
Obstruclion / exposed feature Non-ionizing radialion Physi€l damage
Sharp object / material Stroboscopic light Waste substance released into air
Slippery surface Vibration Waste substance released into soil / water
Trap in moving machinery
Trip hazard Other
Vehicle impact / collision
Working at heighl
RiSk matfix - ase this to detenine tisk fot
each hazatd i.e. 'how bad and how likely' Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Unlikely
e-9. 1 in 200 chance
Possible
e.g.linilchance
Likely
e.g. 1 in 10 chance
Probable
e.g. >1 in 3 charc
Negligible e.g. small bruise
Slight e.9. small cut, deep bruise Medium
Moderate e.g. deep cut, ton muscle Medium Medium
Severe e.g- fracture, /oss ofconsclousness Low Medium Extremely high
Very Severe e.9. death, permanent disability Medium Extremely high Extremely high
NUJ Commission on multi-media working 2007 53
B.HEALTH AND SAFETY:
THE BBC RISK ASSESSN4ENT FORN/l
Division / Studio Department / Series
Date completed
Hish Hish
High