![Risk Assessment Form – Part B
Blank Template
6Reference: [enter reference number]] Sign-off status [planning/approved etc]
ACTIVITIES: What are you doing, where, for how long and who will be
involved? Complete the fields in the form below).
HAZARDS & CONTROLS: How could someone become hurt or made ill and
how are you going to prevent this from happening?
Activity Title:* filming
Activity Description: Filming the opening scene of a film noir
List those managing
this Activity and their
competence:
Harry Pugh – student directors – filming
Charlie Rhodes – student director – filming
Virginia Bryon – actor – acting
Adrian Annis – actor – acting
Who & how many are
at risk from this
Activity?
2 actors and 2 directors
Hazards
How could someone become hurt or made ill
Control measures
How are you going to prevent this from happening?
Accidently trip on wires Cover-up the wires and put warnings
Burn themselves on hot lights Warn everyone about the hot lights and only allow those trained to move the lights move the lights.
Risk Level*: After your controls have been applied what is your assessment of the risk level of
this activity?
Medium
Add additional activities as required – by copying this section and pasting below
[* mandatory fields]](https://image.slidesharecdn.com/riskassessment-161030191055/85/Risk-assessment-1-320.jpg)
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Risk assessment
- 1. Risk Assessment Form – Part B Blank Template 6Reference: [enter reference number]] Sign-off status [planning/approved etc] ACTIVITIES: What are you doing, where, for how long and who will be involved? Complete the fields in the form below). HAZARDS & CONTROLS: How could someone become hurt or made ill and how are you going to prevent this from happening? Activity Title:* filming Activity Description: Filming the opening scene of a film noir List those managing this Activity and their competence: Harry Pugh – student directors – filming Charlie Rhodes – student director – filming Virginia Bryon – actor – acting Adrian Annis – actor – acting Who & how many are at risk from this Activity? 2 actors and 2 directors Hazards How could someone become hurt or made ill Control measures How are you going to prevent this from happening? Accidently trip on wires Cover-up the wires and put warnings Burn themselves on hot lights Warn everyone about the hot lights and only allow those trained to move the lights move the lights. Risk Level*: After your controls have been applied what is your assessment of the risk level of this activity? Medium Add additional activities as required – by copying this section and pasting below [* mandatory fields]