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Risk Assessment Form –
Part A
ProductionName: Bikini bottom Organisation Sunderland college
ProductionAddress: Durham Rd,
Sunderland SR3 4AH
Bede college
Producer / Editor
Tel:
Mobile:
Marcel Stasiorow ski
07926201025
Start date End date
Distribution
Who gets a copyof the assessment
Neil Wilson, Emma Boddy-Leslie
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
I am recording a three piece set documentary w hich willtake place at Bede college and its facilities like the
recording studio or the iglu
Team members / experts /
contractors / contributors etc.
List those involved
Marcel Stasiorow ski, Robert Andrews, Kyle Noble, Lucy Martin, Lucy Baker, Fern Gallagher, Emma Wallace,
Mia O’Donnell, Lukas Rutherford, Bruno Singer, Leon Hutchinson, Luke Wilson, Lew is Thompson
Locations
Outline locations involved – indicate
any which are hostile environments
Bede Campus, Recording studio
Assessor Name
Signature
Marcel Stasiorow ski
Marcel Stasiorowski
Date completed 15/01/2022
Authoriser Name
(if not Assessor) Signature
Neil Wilson
Neil Wilson
Date authorised 15/01/2022
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 Contact with cold surf ace x Inf ection
Breathing compressed gas Contact with hot liquid / v apour Allergic reaction x
Cold env ironment Contact with hot surf ace Lack of f ood / water
Crush by load x Electric shock x Lack of oxy gen
Drowning Explosiv e blast Phy sical f atigue x
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 x Hazardous substance Stress / anxiety x
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 x Noise Litter x
Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration
Slippery surf ace Stroboscopic light Phy sical damage
Trap in mov ing machinery Vibration Waste substance released into air
Trip hazard x 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: 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
Hot env ironment
Crew and cast
Low
If the room gets too hot because of the lights I w ould be able to open the doors to let cool air
in and cool dow n the roomand equipment
Trivial
Object f alling, mov ing or f ly ing Crew and cast High We could get the technician to double checkthat all the lightning and equipment is malted on
so no equipment fall
Trivial
Trip hazard Crew and cast High Shuffle the cables about to make enough space to move about and record the short
greenscreen video clip
Trivial
Electric shock
Crew and cast low Make sure that all the w ires in the studio are safe and that there w illbe no short circuits or
snapped w ires
Trivial
Fire
Crew and cast low If there w as an outbreakof a fire there are fire extinguishers inside and outside the green
screen room
Trivial
Physical fatigue Crew and cast Low If there are objects on set that could be a hazard for the cast or camera crew just wove them
out the w at so there’s enough space to move about w ithout hurting yourself
Trivial
Stress/Anxiety Crew and cast Medium Make sure that the cast and crew is happy w ith performing in the short green screen filmand
that there is no pressure on people
Trivial
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

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Risk Assessment Template.docx

  • 1. Risk Assessment Form – Part A ProductionName: Bikini bottom Organisation Sunderland college ProductionAddress: Durham Rd, Sunderland SR3 4AH Bede college Producer / Editor Tel: Mobile: Marcel Stasiorow ski 07926201025 Start date End date Distribution Who gets a copyof the assessment Neil Wilson, Emma Boddy-Leslie Outline of risk assessment Summary of what is proposed in terms of sequences and set ups. I am recording a three piece set documentary w hich willtake place at Bede college and its facilities like the recording studio or the iglu Team members / experts / contractors / contributors etc. List those involved Marcel Stasiorow ski, Robert Andrews, Kyle Noble, Lucy Martin, Lucy Baker, Fern Gallagher, Emma Wallace, Mia O’Donnell, Lukas Rutherford, Bruno Singer, Leon Hutchinson, Luke Wilson, Lew is Thompson Locations Outline locations involved – indicate any which are hostile environments Bede Campus, Recording studio Assessor Name Signature Marcel Stasiorow ski Marcel Stasiorowski Date completed 15/01/2022 Authoriser Name (if not Assessor) Signature Neil Wilson Neil Wilson Date authorised 15/01/2022 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 Contact with cold surf ace x Inf ection Breathing compressed gas Contact with hot liquid / v apour Allergic reaction x Cold env ironment Contact with hot surf ace Lack of f ood / water Crush by load x Electric shock x Lack of oxy gen Drowning Explosiv e blast Phy sical f atigue x 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 x Hazardous substance Stress / anxiety x 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 x Noise Litter x Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration Slippery surf ace Stroboscopic light Phy sical damage Trap in mov ing machinery Vibration Waste substance released into air Trip hazard x 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: 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 Hot env ironment Crew and cast Low If the room gets too hot because of the lights I w ould be able to open the doors to let cool air in and cool dow n the roomand equipment Trivial Object f alling, mov ing or f ly ing Crew and cast High We could get the technician to double checkthat all the lightning and equipment is malted on so no equipment fall Trivial Trip hazard Crew and cast High Shuffle the cables about to make enough space to move about and record the short greenscreen video clip Trivial Electric shock Crew and cast low Make sure that all the w ires in the studio are safe and that there w illbe no short circuits or snapped w ires Trivial Fire Crew and cast low If there w as an outbreakof a fire there are fire extinguishers inside and outside the green screen room Trivial Physical fatigue Crew and cast Low If there are objects on set that could be a hazard for the cast or camera crew just wove them out the w at so there’s enough space to move about w ithout hurting yourself Trivial Stress/Anxiety Crew and cast Medium Make sure that the cast and crew is happy w ith performing in the short green screen filmand that there is no pressure on people Trivial 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