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1. APPENDICES
B.HEALTH AND SAFETY:
THE BBC RISK ASSESSIVI ENT FORN4
EEIEI General Risk Assessment Form
- Part A
April 2007- DC
Division / Studio
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Departmenl / Series
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Business Unit / Production
Address
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Producer / Editor
Tel:
Mobile:
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5enrrSOi'l
Period covered by assessmenl Vereion number
Outline of risk assessment
Summary of what is proposed
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WW faVr - f,we-r91c--r6-r Sc-rvrrA
Team members / experts /
contractors / etc.
List those involved
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I -r- 'n
Site/Office/Location
Outline site/ l@ations involved
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Name
Signature @= 7/rr/r*
Authoriser Name
(if not Assessor) Signature
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Date authorised
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Hazafd list - setmt your hazards from the list below and use these to nmplete Part B @qd ohers where appropiate)
Situational hazards Tick Physical / chemical haards Tick Health hzards Tick
Asbestos Contact with cold liquid / vapour Disease causative agent
Assault by person Contact with cold surface lnfection
Attacked by animal Contact with hot liquid / vapour Lack offood / water
Breathing @mpressed gas Contact with hot surface Lack of orygen
Cold environment Electric shock Physi€lfatigue
Crush by load ExClosive blast Repetitive action
Drowing Explosive release of stored pressure Slatic body posture
Entanglement in moving machinery Fire Stress
Hol environment Hazardous substance
lntimidation lonizing radiation
Lifting Equipment Laser light Environmental haards
Manual handling Lightning skike Litter
Object falling, moving or flying Noise Nuisance noise / vibration
Obstruction / exposed feature Non-ionizing radiation Physicldamage
Sharp object / material Stroboscopic light Waste substance 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 determine risk for
each hazad 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 chance
Possible
e.g. 1 in 50 chance
Likely
e-g- 1 in 10 chan@
Probable
e.g. >1 in 3 chance
Negligible e.g. small bruise
Slight e.g. sma//cd, deep bruise Very low Medium
Moderate e.g. deep ut, tom muscle Medium Medium
Severe e-9. fncture, /oss ofconsciousress Medium ExtEmely hioh
Very Severe e.g. death, pemanent disability Medium ExtEmely high ErtEmely high
NUJ Commission on multi-media working 2007 53
Assessor Oate completed