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Risk Assessment Form –
Part A
ProductionName: Musical Theatre in the North
East
Organisation Sunderland College
ProductionAddress: Sunderland College, Bede
Campus, SR3 4AH
Producer / Editor Lucy Martin
Start date January 2022 End date May 2022
Distribution
Who gets a copyof the assessment
Neil Wilson, Emma Leslie-Boddy
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Interview s
Team members / experts /
contractors / contributors etc.
List those involved
Lucy Baker – Camera / Production Assistant
Locations
Outline locationsinvolved – indicate
any which are hostile environments
 FrederickStreet, South Shields, NE33 5DY
 Sunderland College, Sunderland, SR3 4AH

Assessor Name
Signature
Neil Wilson, Emma Leslie-
Boddy
Date completed
Authoriser Name
(if not Assessor) Signature
Date authorised
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 Inf ection
Breathing compressed gas Contact with hot liquid / v apour Allergic reaction
Cold env ironment Contact with hot surf ace Lack of f ood / water
Crush by load Electric shock Lack of oxy gen
Drowning Explosiv e blast Phy sical f atigue
Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action
High atmospheric pressure Fire Static body posture
Hot env ironment Hazardous substance Stress / anxiety
Manual handling Ionizing radiation Venom poisoning
Object f alling, mov ing or f ly ing Laser light
Obstruction / exposed f eature Lightning strike Environmental hazards
Sharp object / material Noise / Litter
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 / 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 Medium 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:
 Sunderland College
 STAMP
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
Environmental temperature Myself, others in studio Low risk- Getting too hot
or too cold
Open w indowsif too hot, or make sure to close all doors and w indows if too cold. Low
Trip hazards
Myself, others in studio Medium risk- Tripping on
w ires
Make sure all w ires are kept hidden or out of the w ay, or place in areas w here people are
less likely to trip.
Low
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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LM Risk Assessment.docx

  • 1. Risk Assessment Form – Part A ProductionName: Musical Theatre in the North East Organisation Sunderland College ProductionAddress: Sunderland College, Bede Campus, SR3 4AH Producer / Editor Lucy Martin Start date January 2022 End date May 2022 Distribution Who gets a copyof the assessment Neil Wilson, Emma Leslie-Boddy Outline of risk assessment Summary of what is proposed in terms of sequences and set ups. Interview s Team members / experts / contractors / contributors etc. List those involved Lucy Baker – Camera / Production Assistant Locations Outline locationsinvolved – indicate any which are hostile environments  FrederickStreet, South Shields, NE33 5DY  Sunderland College, Sunderland, SR3 4AH  Assessor Name Signature Neil Wilson, Emma Leslie- Boddy Date completed Authoriser Name (if not Assessor) Signature Date authorised 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 Inf ection Breathing compressed gas Contact with hot liquid / v apour Allergic reaction Cold env ironment Contact with hot surf ace Lack of f ood / water Crush by load Electric shock Lack of oxy gen Drowning Explosiv e blast Phy sical f atigue Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action High atmospheric pressure Fire Static body posture Hot env ironment Hazardous substance Stress / anxiety Manual handling Ionizing radiation Venom poisoning Object f alling, mov ing or f ly ing Laser light Obstruction / exposed f eature Lightning strike Environmental hazards Sharp object / material Noise / Litter 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 / 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 Medium 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:  Sunderland College  STAMP 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 Environmental temperature Myself, others in studio Low risk- Getting too hot or too cold Open w indowsif too hot, or make sure to close all doors and w indows if too cold. Low Trip hazards Myself, others in studio Medium risk- Tripping on w ires Make sure all w ires are kept hidden or out of the w ay, or place in areas w here people are less likely to trip. Low 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