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Risk Assessment form A
1. ETEIEI Risk Assessment Form - Part A Blank Template
Reference: Sign-off status
Assessment summary details
18 A"""""-ent title x
(Simple name for reference
purposes)
Recording sound effects at Heath Park School
dl oirision,x Heath Park School $ Department:x fi*aaL* o
S Serles/ Prod/Unit: tI Progr"-me/Area:
O Responsible
Manager:
$ Contact office:
Address/Tel: Address/Tel:
Date assessment created 23/03.2016 Confidential risk
assessment?
YES/NO
O A"".""-ent Outline
(Summary of what is
oroposed)
*vc r Lt "b le.-rrrl,ft
O A"".""-ent start
date
|B nevlew / End date
e Country location United Kingdom lE nostile / trave!
advisory?
J Location details Heath Park School,
Prestwood road
WV11RD
NB: If the country location selected is 'Hostile' you are
required to: complete the BBC Overseas High Risk
Assessment Form
O cr.* / team
(Roles, responsibilities,
competencies)
Katie Field- creating and recording sound effects.
O Attachments
(Detail supporting
documents)
J Assessor(s)
(Person drafting risk
assessment)
Katie Field
E A"".""or safety
competence /P
E arthori"er(s) *
(Person responsible for
sign-off)
Adam Fletcher Date signed-off *
MC oi"t.ibution
(Who gets a copy of the
assessment)
Adam Fletcher
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 ind 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, incluiing
our agents and contractors, with whom the risk or the control of risk is shared.
Jactivity and Hazard Summary
Activity Who Exposed Hazards{hazard titles Activity Risk Rating
Creating and recording sound effects Katie Field Falling, and trapping
fingers
Low
Comments log
Who by Date / time
received
Comments Assessor response Date/ time
responded