1. B.HEALTH AND SAFETY:
THE BBC RISK ASSESSMENT FORM
EI EI EI General Risk Assessment Form Apfl 2007- DC
- Part A
Division / Studio
F.alh P""k
Department / Series
Business Unit / Production
Address
Prsstrrccl Rd'
Hvrl lrD
Producer / Editor
Tel:
l4obile:
Period covered by assessment Vereion number
Outline of risk assessment
Summary of what is prcposed
(oJ.:n3 l^t1-' P,,- n5 [h'uJ6,2i*t
Team members / experts,/
contractors / etc.
List those involved
fu* $"^lr"l C^Ub knst-lor, B.aJor. r^roo,l rGtJMtlradl-
Site,/ Office / Location
Outline sitd l@ations involved
Assessor Name
Signature
f(bf*r D+nta
za,
Date completed
l't. a5 . b
Authoriser Name
(if not Assessor) Signature
g:ilto^ Cp0d$4,'4, Date authorised
@
Hazard list - setect you hazards frcn the list below and use these to complete Pafi B (add others where apprcpiate)
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Asbestos Contact with cold liquid / vapour Disease musative agent
Assault by pereon Contact with cold surface Infection
Attacked by animal Contact with hot liquid / vapour Lack of food /water
Breathing compressed gas Contact with hol surface Lack of oxygen
Cold environment Electric shock Physical fatigue
Crush by load Explosive blast Repetitive action
Drowning Explosive release of stored pressure Static body poslure
Entanglement in moving machinery Fire Stress
Hot environment Hazardous subslance
lntimidation lonizing radialion
Lifiing Equipment Laser light Environmental hazards
Manual h6ndling Lrghtning strike Litter
objectfalling, moving or flying Noise Nuisance noise / vibration
Obstruction / exposed feature Non-ionizing radiation Physical damsge
Sharp object / material Stroboscopic light Waste substance released inlo air
Slippery surface Vib.ation Wasie substance released inlo soil / water
Trap in moving machinery
Trip hazard Other
Vehicle impact / collision
g at height
RiSk matfix - use this to ctetetmine risk fot
each hazard i.e-'how bad and how likely' Likelihood of Harm
Severitv of Harm
Remote
e.g <1 in l00Achance
Unlikely
e.g. 1 in 200 chance
Possible
e.g. 1 in 50 chance
Likely
e.9. 1 in 10 chance
Probable
e.g. >1 in 3 chance
Negligible e.g. small bruise
Slight e.g. small cut, deep bruise Medium
Moderate e.g. deep cut, lorn muscle Medium Medium
Severe e.g. ,iacture, /oss ofconscDusress Medium Extremely high
Very Severe e-g. death, permanent disability Medium Extremely high Extremely high
NUJ Commission on multl-medla working 2007 53
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54 NU-lCommission on multi-media working 2007
3. B.HEALTH AN
THE BBC RISK
D SAFETY:
ASSESSMENT FORM
General Risk Assessment Form
- Part A
Pr'"rwoo,l RD
Llvrr tfl-S.
Outline of risk assessment
Summary of what is Proqosed
fl-ga, Do- I-eah bs^taTeam members,/ experts /
contractors / etc.
List those involved
Site/Office/Location
Outline site/ locations involved
Hazard list - setm t your hazards from the tist below and us" the"" to co*pt"t" Pan B (:dd
contactwith cold liquid / vaPour
Lack of food / water
Contact with hoi liquid / vapour
Explosive release of stored pressure
Waste substan@ released into air
Waste substan@ released into soil/ mter
Risk matfix - use this to determine risk for
eech hazatd i.e. 'how bad and how likely' Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Unlikely
e.g. I in 200 chance
Possible
e-9. 1 in 50 chance
LikelY
e-g- 1 in 10 chance
Probable
e.g. >1 in 3 chance
Negligible e.g. small btuise
Slight e.g. small cut, deeP bruise
Medium
Moderate e.g. dee? cut, ton muscle Medium Medium
Severe e.g- fracture, /oss of corscrcusress Medium
Extrcmely high
Very Severe e.9. death, pernanent disability Medium Extrerely high Extrerely high
NUI Commisslon on multi-media working 2007 53
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54 NUI Commission on multi-media working 2007
5. B.HEALTH AN
THE BBC RISK
D SAFETY:
ASSESSMENT FORM
EI GI EI General Risk Assessment Form Apnt 2007- DC
- Part A
Division / Studio
Hec"h A-i,l.
Department / Series
Business Unit / Production
Address P.trt
"oo
[d
LJV GD
Producer / Editor
Tel:
Mobile:
Period covered by assessment Version number
Outline of risk assessment
Summary af what is prcposed
6rl cn3ea tp r^'d'cs &' u enl3ae'"c
Team members / experts /
contractors / etc.
List those involved
Site/Office/Location
Outline sitd l@ations involved Hec^ P*U' / s,.rllo
Assessor Name
Signature
ftq.,',' Dc'-L^
J /2J)^/ta '
Date completed
l. 05. s
Authoriser Name
(if not Assessor) Signature
)i,iir ayaSet Date authorised
ffiHazard list - selmt your hazards lrcm the list below and use these to complete Part B (add othes where appropiate)
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Asbestos Contacl with cold liquid / vapour Dasease causative agent
Assault by person Contact with cold surface lnfection
Attacked by animal Contact with hot liquid / vapour Lack offood /water
Breathing compressed gas Contad with h01 surface Lack of oxygen
Cold environment Eleclric shock Physical fatigue
Crush by load Explosive blast Repelitive aclion
Dro$ Explosive release of stored pressure Static body posture
Entanglement in moving machinery Fire Stess
Hot envilonmenl Hazatdous substance
lntimidation Ionizing radiation
Lifting Equipment Laser light Environmental hazards
iranual handling Lightning strike Litter
Object falling, moving or flying Noise Nuisance noise / vibrution
Obskuction / exposed feature Non-ionizing radistion Physical damage
Sharp object/ material Stroboscopic light Waste subsiance released into air
Slippery surface Vibration Waste substance released into soil /water
Trap in moving machinery
Trip hazard Other
Vehicle impact / collision
Working at height
Risk matfix - use this to.tetetnine isk tot
each hazdd i.e. 'how bad and how likely' Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Unlikely
e.g. 1 in 200 chan@
Possible
e.g. 1 in 50 chance
Likely
e.g. 1 in 10 chance
Probable
e.g. >1 in 3 chance
Negligible e.g. small btuise
Slight e.g. small cut, deep bruise Medium
Moderale e.9- deep cut, toh fruscb Medium Medium
Severe e.g. fracture, loss of consciousness Medium Efrremely high
Very Severe e.g. death, permanent disability Medium Extremely high Extremely high
NUJ Commission on multi-media working 2007 53
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7. PROJECT TITLE rri^f i ., :, r.
i ("the project,,)
1 :.,'
DESCRIPTION OF CONTRIBUTION
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DATE OF FILMING/CONTRIBUTION
CONTRIBUTORS RELEASE FORM
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
("the Company")
ADDRESS OF CONTRIBUTOR
rtJk
TELEPHONE NUMBER OF CONTRIBUTOR
O I 9r,a :r:o3 ro
ln consideration of the Company agreeing that I contribute to and participate in the project,
the nature and the content of which has been fully explained to me, I heieby consent to the
filming and recording of my contribution to and participation in the Project suOlect to the
terms and conditions specified below.
NAME OF CONTRIBUTOR
8. CONTRIBUTORS RELEASE FORM
PROJECT rrrle Unpu$g*A (,,the project,,)
DESCRIPTION OF CONTRIBUT]ON
DATE OF FILMING/CONTRIBUTION
Ma, 2otI
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
ller.lh P*1.. ("the Company")
NAME OF CONTRIBUTOR
.1
i, i-.,ail 1'l',.-.u(r)
ADDRESS OF CONTRIBUTOR
,1 irj ,'l
t!..'''|'n , ,.rlilLL' i, ,ir
TELEPHONE NUMBER OF CONTRIBUTOR
OQoa 5n OSoo
ln consideration of the comp_any agreeing that t contribute to and participate in the project,
the nature and the content of which has been fully explained to me, I heieby consent to the
filming and recording of my contribution to anO pdrticipation in the project slOlect to the
terms and conditions specified below.
Signed by Contributor
Cl^,rJ*
9. CONTRIBUTORS RELEASE FORM
tPROJECT TITLE ,.J
r r: i -,, : ',r*4 ("the Project")
f . ir,
DESCRIPTION OF CONTRIBUTION
Mod..
DATE OF FILMING/CONTRIBUTION
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
!eo. P*L ("the companv")
ADDRESS OF CONTRIBUTOR
',t rr ):-1'.Ll^- I .,(! i I I , J rv
TELEPHONE NUMBER OF CONTRIBUTOR
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ln consideration of the Company agreeing that I contribute to and participate in the Project,
the nature and the content of wnicn has bLen fully explained to me, I hereby consent to the
filming and recording of my contribution to and participation in the Project subject to the
terms and conditions specified below.
NAME OF CONTRIBUTOR
10. CONTRIBUTORS RELEASE FORM
PROJECT rlrre UnpuHgul ("the Project")
DESCRIPTION OF CONTRIBUTION
M..1"
DATE OF FILMING/CONTRIBUTION
Itf 2o',r
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
tl<,*h Pcrn ("the company")
NAME OF CONTRIBUTOR
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ADDRESS OF CONTRIBUTOR
l-l."lh P*t
TELEPHONE NUMBER OF CONTRIBUTOR
OlQoz Ssggoo
ln consideration of the Company agreeing that I contribute to and participate in the Project,
the nature and the content of which has been fully explained to me, I hereby consent to the
filming and recording of my contribution to and participation in the Project subject to the
terms and conditions specified below.
Signed by
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