This risk assessment document summarizes the risks associated with filming an opening sequence in an alleyway behind a car park and in a bedroom. It identifies that the cast, crew (3 people total), and public could be at risk of walking into someone or getting run over by a car while filming in the dark alleyway. To control these risks, the crew will keep an eye out for cars and not film in blind spots. The risk level after controls is assessed as medium. The risk assessment was created by Kalil St Ange on February 21, 2013 and will be reviewed by February 12, 2013.

1. Risk Assessment Form – Part A Blank Template
Reference: [enter reference number]] Sign-off status [planning/approved etc]
Assessment summary details
Assessment title * Opening Sequence
(Simple name for reference
purposes)
Division:* Production Department:* Media department
Series/ Prod/Unit: Programme/Area:
Responsible Kalil St Ange Contact office: Netherhall school
Manager:
Address/Tel: 07787373293 Address/Tel: 01223 242931
Date assessment created 21/2/2013 Confidential risk NO (delete as applicable)
assessment?
Assessment Outline I will be filming in an alleyway which is behind and alleyway and I will be filming in my
(Summary of what is bedroom
proposed)
Assessment start 21/2/2013 Review / End date 12/2/2013
date
Country location England Hostile / travel No
advisory?
Location details Alleyway is behind a car NB: If the country location selected is ‘Hostile’ you are
park. My bedroom is well….. required to: complete the BBC Overseas High Risk
my bedroom. Assessment Form
Crew / team Kalil, Lisa and Jamal
(Roles, responsibilities,
competencies)
Attachments
(Detail supporting
documents)
Assessor(s) * Kalil Assessor safety Low level
(Person drafting risk competence
assessment)
Brendon Sheppard Date signed-off * 20/2/2013
Authoriser(s) *
(Person responsible for
sign-off)
Distribution Brendon Sheppard
(Who gets a copy of the 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
assessment) 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 Activity Risk Rating
Walking in the dark Cast and public Could walk into someone, 6/10
might get run over by a
card (because we’re in a
car park).
Comments log
Who by Date / time Comments Assessor response Date/ time
received responded
[* mandatory fields]

2. Risk Assessment Form – Part A Blank Template
[* mandatory fields]

3. Risk Assessment Form – Part B Blank Template
Reference:
6 [enter reference number]] Sign-off status [planning/approved etc]
ACTIVITIES: What are you doing, where, for how long and who will be HAZARDS & CONTROLS: How could someone become hurt or made ill and
involved? Complete the fields in the form below). how are you going to prevent this from happening?
Activity Title:* Walking in the dark
Activity Description: Character walking while the camera is following him
List those managing Kalil St Ange
this Activity and their
competence:
Who & how many are 2 Actors and the cameraman
at risk from this
Activity?
Hazards Control measures
How could someone become hurt or made ill How are you going to prevent this from happening?
Cars could possibly run over someone by a mistake I will keep an Eye out for cars, I will be not close behind the actors blind spots and the cameramans.
Risk Level*: After your controls have been applied what is your assessment of the risk level of
this activity?
Medium (delete as applicable)
Add additional activities as required – by copying this section and pasting below
[* mandatory fields]