This risk assessment form identifies several potential hazards for the production "A Classical Serenade". Hazards include falls from height while rigging, tripping over cables on the stage, trips and falls on the set, parts of the set collapsing, lifting heavy equipment, electrical shocks, fires started by stage lighting, broken tea cups, and spills in the green room. For each hazard, the document evaluates the severity, likelihood, and risk level, and proposes control measures to reduce the residual risk, such as ensuring safe rigging practices, taping cables, marking hazards on the set with tape, following safe lifting procedures, electrical equipment testing, fireproof set materials, and spill cleanup.

1. RISK ASSESSMENT FORM
Production name: A Classical Serenade
Hazard Identification Reference
(a) Confined
Spaces
(b) Falls
from Height
(c) Striking
by mobile
platform
(d) Trip or
Slip
(e) Collapse
Severity (S)
1
2
3
4
(g) Electrical
(h)
Hazardous
Substances
(i) Radiation
Likelihood (L)
Negligible - all in a day's work
Minor - minor injury with short term effect
Severe - major injury/disability (reportable)
Extreme - fatal
Haza
rd
Ref.
(f) Manual
Handling
1
2
3
4
(k) Fire
(l) Explosion
Risk Factor (R)
Improbable
Remote - unlikely
Possible - may or could well occur
Probable - expected to occur, several times
<4
4-6
7-9
>9
Initial Assessment
Hazard Description
(j) Noise &
Vibration
People at risk
S
L
R
B
Fall from height while
rigging
Technician/
Staff
3
2
Med
D
Trip on cables around
the stage
Students/
Performers
2
3
Med
LOW
MEDIUM
HIGH
VERY HIGH
Action/Comments
S
Ensure all staff are
trained in working at
height and are using
the correct access
equipment.
Run cables to the
edge of the space
where possible.
Ensure all cables are
securely taped and
highlighted with
white tape if across a
walkway.
S x L= R
Risk may need to be controlled
Risk must be controlled
Hazard must be controlled
Hazard must be avoided
Residual
Risk
Control Measures
(m) Others
L
R
1
1
Low
1
1
Low
Page 1 of 5

2. RISK ASSESSMENT FORM
Production name: A Classical Serenade
Hazard Identification Reference
(a) Confined
Spaces
(b) Falls
from Height
(c) Striking
by mobile
platform
(d) Trip or
Slip
(e) Collapse
Severity (S)
1
2
3
4
(g) Electrical
(h)
Hazardous
Substances
(i) Radiation
Likelihood (L)
Negligible - all in a day's work
Minor - minor injury with short term effect
Severe - major injury/disability (reportable)
Extreme - fatal
Haza
rd
Ref.
(f) Manual
Handling
1
2
3
4
(k) Fire
(l) Explosion
Risk Factor (R)
Improbable
Remote - unlikely
Possible - may or could well occur
Probable - expected to occur, several times
<4
4-6
7-9
>9
Initial Assessment
Hazard Description
(j) Noise &
Vibration
People at risk
D
Trip on set
Students/
Performers
2
3
Med
E
Part of the set falls over
Students/
Performers
2
1
Low
Mark edges of the set
with white tape. Get
all performers to
walk the space with
working lights on to
get awareness for the
amount of space back
stage.
Don’t place on a
height
Ensure the Christmas
tree can stand up by
itself
Ensure easels are
fastened properly
S x L= R
Risk may need to be controlled
Risk must be controlled
Hazard must be controlled
Hazard must be avoided
Residual
Risk
Control Measures
2
2
1
LOW
MEDIUM
HIGH
VERY HIGH
Action/Comments
Low
3
(m) Others
Low
Page 2 of 5

3. RISK ASSESSMENT FORM
Production name: A Classical Serenade
Hazard Identification Reference
(a) Confined
Spaces
(b) Falls
from Height
(c) Striking
by mobile
platform
(d) Trip or
Slip
(e) Collapse
Severity (S)
1
2
3
4
Haza
rd
Ref.
(g) Electrical
(h)
Hazardous
Substances
(i) Radiation
Likelihood (L)
Negligible - all in a day's work
Minor - minor injury with short term effect
Severe - major injury/disability (reportable)
Extreme - fatal
F
(f) Manual
Handling
Lifting heavy
equipment during get
in/get out
Staff/
Technician
1
2
3
4
2
Low
Ensure staff are
trained in correct
lifting procedures.
<4
4-6
7-9
>9
1
Initial Assessment
Hazard Description
G
Shock from electrical
equipment on set.
F
Practical lighting on set
starts a fire.
People at risk
Performer/
Student/
Technician
Performer/
Student/
(k) Fire
(l) Explosion
Risk Factor (R)
Improbable
Remote - unlikely
Possible - may or could well occur
Probable - expected to occur, several times
1
(j) Noise &
Vibration
3
2
Med
3
1
Low
All equipment has
passed up to date pat
test.
As above and set to
be constructed out of
fire proofed
materials.
Ensure the lantern
doors are closed, and
light the candle
outside of the lantern
before placing it
inside.
1
1
LOW
MEDIUM
HIGH
VERY HIGH
Low
Residual
Risk
Control Measures
S x L= R
Risk may need to be controlled
Risk must be controlled
Hazard must be controlled
Hazard must be avoided
1
(m) Others
1
Low
1
Action/Comments
Low
Page 3 of 5

4. RISK ASSESSMENT FORM
Production name: A Classical Serenade
Hazard Identification Reference
(a) Confined
Spaces
(b) Falls
from Height
(c) Striking
by mobile
platform
(d) Trip or
Slip
(e) Collapse
Severity (S)
1
2
3
4
Haza
rd
Ref.
M
(g) Electrical
(h)
Hazardous
Substances
(i) Radiation
Likelihood (L)
Negligible - all in a day's work
Minor - minor injury with short term effect
Severe - major injury/disability (reportable)
Extreme - fatal
M
(f) Manual
Handling
Tea cups on set get
broken
Performer/
Student
1
2
3
4
1
Low
Cups to be collected
by the F.O.H team
and to edges of the
set so any breakage is
kept away from the
main performing
area. Also ensure that
no food or drink is to
be taken into the
performance space
<4
4-6
7-9
>9
1
Initial Assessment
Hazard Description
Performers drinks spilt
in the green room
People at risk
Performer/
Student/
3
(l) Explosion
Low
All spillages to be
reported and dealt
with promptly
1
1
1
(m) Others
S x L= R
Risk may need to be controlled
Risk must be controlled
Hazard must be controlled
Hazard must be avoided
LOW
MEDIUM
HIGH
VERY HIGH
Low
Residual
Risk
Control Measures
1
(k) Fire
Risk Factor (R)
Improbable
Remote - unlikely
Possible - may or could well occur
Probable - expected to occur, several times
2
(j) Noise &
Vibration
Action/Comments
Low
Ensure drinks are
kept in the green
room
Page 4 of 5

5. RISK ASSESSMENT FORM
Production name: A Classical Serenade
Hazard Identification Reference
(a) Confined
Spaces
(b) Falls
from Height
(c) Striking
by mobile
platform
(d) Trip or
Slip
(e) Collapse
Severity (S)
1
2
3
4
Negligible - all in a day's work
Minor - minor injury with short term effect
Severe - major injury/disability (reportable)
Extreme - fatal
Completed by: Jordan Potsig-Simpson
Julie Parker
(f) Manual
Handling
(g) Electrical
(h)
Hazardous
Substances
Likelihood (L)
1
2
3
4
(j) Noise &
Vibration
(k) Fire
(l) Explosion
Risk Factor (R)
Improbable
Remote - unlikely
Possible - may or could well occur
Probable - expected to occur, several times
Date: 28/11/13
(i) Radiation
<4
4-6
7-9
>9
Risk may need to be controlled
Risk must be controlled
Hazard must be controlled
Hazard must be avoided
(m) Others
S x L= R
LOW
MEDIUM
HIGH
VERY HIGH
Copies to: Venue, Jordan Potsig-Simpson, Paul Pope, Ashleigh Gow
Page 5 of 5

6. RISK ASSESSMENT FORM
Production name: A Classical Serenade
Hazard Identification Reference
(a) Confined
Spaces
(b) Falls
from Height
(c) Striking
by mobile
platform
(d) Trip or
Slip
(e) Collapse
Severity (S)
1
2
3
4
Negligible - all in a day's work
Minor - minor injury with short term effect
Severe - major injury/disability (reportable)
Extreme - fatal
Completed by: Jordan Potsig-Simpson
Julie Parker
(f) Manual
Handling
(g) Electrical
(h)
Hazardous
Substances
Likelihood (L)
1
2
3
4
(j) Noise &
Vibration
(k) Fire
(l) Explosion
Risk Factor (R)
Improbable
Remote - unlikely
Possible - may or could well occur
Probable - expected to occur, several times
Date: 28/11/13
(i) Radiation
<4
4-6
7-9
>9
Risk may need to be controlled
Risk must be controlled
Hazard must be controlled
Hazard must be avoided
(m) Others
S x L= R
LOW
MEDIUM
HIGH
VERY HIGH
Copies to: Venue, Jordan Potsig-Simpson, Paul Pope, Ashleigh Gow
Page 5 of 5