This risk assessment form evaluates the risks of an exhibition featuring video art projected onto a radiator. It identifies audiences, cables/wires, confined spaces, and radiation as potential hazards. For each hazard, it lists the exposed persons, proposed actions to reduce risk, person responsible, and confirmation that exposed persons have been informed and risks removed. Actions include hiding wires to prevent tripping, setting up the projector to avoid eye contact, and facing the projector away from people while turning off the radiator heat to minimize radiation risk. The form is signed by the director after completing the assessment.

1. RISK ASSESSMENT FORM
Title of project
Name and Number
Address
Complete the following table rating
each risks severity on scale from Negligible (N), Low risk (L), Moderate risk (M), Severe (S),
Very severe (V)
each risks likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L),
Very likely (VL)
Determine the risk factor from the table overleaf.
Hazard Present? S
e
v
e
ri
t
y
L
i
k
e
li
h
o
o
d
Risk
Fact
or
1 Alcohol/drugs N
2 Animals/insects N
3 Audiences Y L P 2
4 Camera cable/grip equipment Y L P 2
5 Confined spaces Y L P 2
6 Derelict buildings/dangerous structures N
7 Electricity/gas (other than normal supplies) N
8 Fatigue/long hours N
9 Fire/flammable materials N
10 Hazardous substances N
11 Heat/Cold/extreme weather N
12 Laser/strobe effects N
13 Machinery/industrial/ crane/hoist N
14 Materials - glass, non-fire retardant set materials N
15 Night operation N
16 Noise – high sound levels N
17 Non standard manual handling N
18 Public/crowds N
19 Radiation Y L VU 1
20 Scaffold/Rostra N
21 Smoking on set N
22 Special effects/explosives N
23 Special needs (elderly, disabled, inexperienced) N
24 Specialised rescue/first aid N
25 Stunts, dangerous activities N
26 Tall scenery/suspended ceilings N
27 Vehicles/speed N
28 Water/proximity to water N
29 Weapons N
30 Working at heights N
31 Working overseas N
32 Other risks N

2. Calculate the Risk Factor:
Very Unlikely Unlikely Possible Likely Very Likely
Very severe 3 4 4 5 5
Severe 2 3 3 3 5
Moderate 2 2 3 3 3
Slight 1 2 2 3 3
Negligible 1 1 2 2 3
Decide the action to take:
5 Very severe Take immediate action
4 Severe High priority
3 Moderate Risk Programme for action
2 Low Risk Action may be required
1 Negligible Probably acceptable
Then list each risk identified
Hazard no: 3 Risk Factor (1-5) 2
Description AUDIENCES
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
CREW, AUDIENCE
Action to take There will be an audience at the exhibition. The main risk of this is the
potential of them tripping over wires around the exhibition space. The
wires will be hidden as best as possible, and the audience will be
encouraged not to stand in front of the projector.
Person/company
responsible for action
Isaac Sharp
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Y Agreed action taken? (y/n) Y Risk removed?
(y/n)
Y

3. Hazard no: 4 Risk Factor (1-5) 2
Description WIRES AND CABLES
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
CREW, AUDIENCE
Action to take The wires leading up to the projector and laptop create a large tripping
hazard for the audience in the area, so the wires must be hidden as
best as possible.
Person/company
responsible for action
Isaac Sharp
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Y Agreed action taken? (y/n) Y Risk removed?
(y/n)
Y
Hazard no: 5 Risk Factor (1-5) 2
Description CONFINED SPACES
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
CAST & CREW
Action to take The exhibition space is fairly small, so the area must be made safe for
walking through. The projector must also be set up so it does not
connect with anybody’s eyes.
Person/company
responsible for action
Isaac Sharp
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Y Agreed action taken? (y/n) Y Risk removed?
(y/n)
Y

4. Hazard no: 19 Risk Factor (1-5) 1
Description RADIATION
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
CREW, AUDIENCE
Action to take The video art will be projected onto a radiator via a projector. The
projector radiates a light that is potentially harmful if stared at. The
radiator will most likely be turned off, but if it is turned on, this will also
produce heat. The projector will face away from people to reduce risk,
while the radiator presents little problem.
Person/company
responsible for action
Isaac Sharp
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Y Agreed action taken? (y/n) Y Risk removed?
(y/n)
Y
Completed by: Isaac Sharp Position: Director
Signature iZac
Countersigned by:
Signature Date: 21 March 2014