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Risk Assessment Form – Part A
Reference:

None required

Sign-off status

Sarah-Jane Creek

[planning/approved etc]

Assessment summary details

Assessment title
*
(Simple name for
reference purposes)
Division:*

Somewhere In Neverland Music Video

Production

Series/
Prod/Unit:

Department:*

Media

Programme/Area:

Responsible
Manager:

Sarah-Jane Creek

Address/Tel:

15 Malletts Road

Contact office:
Address/Tel:

Netherhall School and
Sixth Form Centre
Queen Ediths Way

CB19EZ

CB1 8NN

07938824588

01223 242931

Date assessment
created

15/10/2013

Confidential risk
assessment?

Assessment
Outline
(Summary of what is
proposed)

The filming of a music video, this is to check that the location is safe to
use

Assessment
start date

16/10/2013

Review / End
date

18/10/2013

Country location

England

Hostile / travel
advisory?

N/A

Location details

Netherhall School and
Sixth Form Centre
Atrium Hall
Drama Studio
Cherry Hinton Road

Crew / team
(Roles,
responsibilities,
competencies)

Sarah-Jane Creek Camerawork and Director

Attachments
(Detail supporting
documents)
Assessor(s) *
(Person drafting risk
assessment)

[* mandatory fields]

Sarah-Jane Creek

Assessor
safety
competence

No
Risk Assessment Form – Part A
Authoriser(s) *
(Person responsible
for sign-off)

Mr. Sheppard

Distribution
(Who gets a copy of
the assessment)

Sarah-Jane Creek

Date signed-off *

Production Crew
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 and 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, including our agents and contractors, with whom the risk or the
control of risk is shared.

Activity and Hazard Summary [This is a summary of the activities listed in
part B of the risk assessment.]
Activity

Who Exposed

Hazards{hazard titles

Handheld camera Work

Camera Woman

Tripping

Medium

Band members jumping

Actors

Sprains

Low

Use of spotlights

Actors and
Camera Woman

Head Injury

Medium

Spinning of a guitar

Actors

Injury

Medium

Activity Risk Rating

Comments log
Who by

Date
/received

SarahJane
creek

16/10/2013 Low chances of the
risks, if checked and
thought of carefully

[* mandatory fields]

Comments

Assessor response

Date/ time
responded
Risk Assessment Form – Part B
Reference:

6

Sarah-Jane
Creek

Sign-off status

No Reference Needed

ACTIVITIES:
What are you doing, where, for how long and who will be involved?
Complete the fields in the form below).

Activity Title:*

Somewhere In Neverland Music Video

Activity Description:

A music video to a track for a media project.

List those managing
this Activity and their
competence:

Sarah-Jane Creek

Who & how many are
at risk from this
Activity?

HAZARDS & CONTROLS:
How could someone become hurt or made ill and how
are you going to prevent this from happening?

Camera Woman and Actors

Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from happening?

Spotlights, the spotlights that are being used may
fall onto an actor

Check that all spotlights and lighting are secure before proceeding with the
production

Sprains, the actors could land wrong on their ankles
when jumping

Make sure that we practice certain scenes over and over to make sure they work how
we need them, make sure the actors are landing on a flat surface

Tripping, Camera woman could trip when doing fast
handheld following the action

Make sure she’s walking on a flat surface, that there are no trip hazards in the way
of her path

Injury, cause by the flipping over the shoulder of a
guitar, could accidentally hit another band member
as it swings around

Make sure that when the lead spins the guitar, that no-one is too close to them and
that they are in a wide space away from the others

Risk Level*: After your controls have been applied what is your assessment of the risk level of
these activities?

[* mandatory fields]

Low
[* mandatory fields]

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Sarah Netherhall risk-assessment-form (Draft 2)

  • 1. Risk Assessment Form – Part A Reference: None required Sign-off status Sarah-Jane Creek [planning/approved etc] Assessment summary details Assessment title * (Simple name for reference purposes) Division:* Somewhere In Neverland Music Video Production Series/ Prod/Unit: Department:* Media Programme/Area: Responsible Manager: Sarah-Jane Creek Address/Tel: 15 Malletts Road Contact office: Address/Tel: Netherhall School and Sixth Form Centre Queen Ediths Way CB19EZ CB1 8NN 07938824588 01223 242931 Date assessment created 15/10/2013 Confidential risk assessment? Assessment Outline (Summary of what is proposed) The filming of a music video, this is to check that the location is safe to use Assessment start date 16/10/2013 Review / End date 18/10/2013 Country location England Hostile / travel advisory? N/A Location details Netherhall School and Sixth Form Centre Atrium Hall Drama Studio Cherry Hinton Road Crew / team (Roles, responsibilities, competencies) Sarah-Jane Creek Camerawork and Director Attachments (Detail supporting documents) Assessor(s) * (Person drafting risk assessment) [* mandatory fields] Sarah-Jane Creek Assessor safety competence No
  • 2. Risk Assessment Form – Part A Authoriser(s) * (Person responsible for sign-off) Mr. Sheppard Distribution (Who gets a copy of the assessment) Sarah-Jane Creek Date signed-off * Production Crew 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 and 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, including our agents and contractors, with whom the risk or the control of risk is shared. Activity and Hazard Summary [This is a summary of the activities listed in part B of the risk assessment.] Activity Who Exposed Hazards{hazard titles Handheld camera Work Camera Woman Tripping Medium Band members jumping Actors Sprains Low Use of spotlights Actors and Camera Woman Head Injury Medium Spinning of a guitar Actors Injury Medium Activity Risk Rating Comments log Who by Date /received SarahJane creek 16/10/2013 Low chances of the risks, if checked and thought of carefully [* mandatory fields] Comments Assessor response Date/ time responded
  • 3. Risk Assessment Form – Part B Reference: 6 Sarah-Jane Creek Sign-off status No Reference Needed ACTIVITIES: What are you doing, where, for how long and who will be involved? Complete the fields in the form below). Activity Title:* Somewhere In Neverland Music Video Activity Description: A music video to a track for a media project. List those managing this Activity and their competence: Sarah-Jane Creek Who & how many are at risk from this Activity? HAZARDS & CONTROLS: How could someone become hurt or made ill and how are you going to prevent this from happening? Camera Woman and Actors Hazards How could someone become hurt or made ill Control measures How are you going to prevent this from happening? Spotlights, the spotlights that are being used may fall onto an actor Check that all spotlights and lighting are secure before proceeding with the production Sprains, the actors could land wrong on their ankles when jumping Make sure that we practice certain scenes over and over to make sure they work how we need them, make sure the actors are landing on a flat surface Tripping, Camera woman could trip when doing fast handheld following the action Make sure she’s walking on a flat surface, that there are no trip hazards in the way of her path Injury, cause by the flipping over the shoulder of a guitar, could accidentally hit another band member as it swings around Make sure that when the lead spins the guitar, that no-one is too close to them and that they are in a wide space away from the others Risk Level*: After your controls have been applied what is your assessment of the risk level of these activities? [* mandatory fields] Low