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EIEIEI Risk Assessment Form - Part A
Blank Template
Reference: | [enter reference number]l Sign-off status I plan ni ng / a pproved etc]
Assessment summary details
C A""."".ent title x
(Simple name for reference
purposes)
Tsrv q + o So*rol cgfiLcL' ficor$ing
*3 oiri"ion,x -t1,,.".. P.r.+ t.,.*, $ Department:x p*r.1,c.,
B series/ Prod/Unit: lE Prog.urnme/Area:
O Responsible
Manager:
{i} contact office:
Add ress/Tel : Address/Tel:
Date assessment created
trlel t6
Confidential risk
assessment?
YES/NO (delete as applicable)
E A"".""-ent outline
(Summary of what is
nronosed)
Re*n,Ili3 So..+.cfr q+trclS
O A"".""-ent start
date
B nevlew / End date
*{l count.y location
LK
iE uostile / travel
advisory?
& tocation details Ha<rrr^ CIo"t SrLocr,
Prastwd reoc
arl rt Q-0
NB: If the country location selected is'Hostile' you are
required to: complete the BBC Overseas High Risk
Assessment Form
J Crew / team
(Roles, responsi bil ities,
com petencies)
Jerdon --Tcr..s R".oudi15 u,* sourrd. eefscts
E Attachments
(Detail supporting
documents)
{l A"""""or(s) x
(Person drafting risk
assessment)
O A"".""or safety
competence
J Authoriser(s)
(Person responsible
s ig n -off)
$
for A.i*r... ()rcuir^rr
Date signed-off x
lE oistribution
(Who gets a copy of the
assessment)
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.
SActlrity and Hazard Summar! [This is a summary of the activities listed in part B of the risk assessment.]
Activity Who Exposed Hazards{hazard titles I Activity Risk Rating
LatuL.,.t,, c-.ic (-trc:r'ri.inci :iX I {*{.o" To,"^s I E,".trocuf,io,r , i'**,i^ql LOr;
Comments log
Who by Date / time
received
Comments I Assessor resPonse Date/ time
responded

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Risk Assessment Form A

  • 1. EIEIEI Risk Assessment Form - Part A Blank Template Reference: | [enter reference number]l Sign-off status I plan ni ng / a pproved etc] Assessment summary details C A""."".ent title x (Simple name for reference purposes) Tsrv q + o So*rol cgfiLcL' ficor$ing *3 oiri"ion,x -t1,,.".. P.r.+ t.,.*, $ Department:x p*r.1,c., B series/ Prod/Unit: lE Prog.urnme/Area: O Responsible Manager: {i} contact office: Add ress/Tel : Address/Tel: Date assessment created trlel t6 Confidential risk assessment? YES/NO (delete as applicable) E A"".""-ent outline (Summary of what is nronosed) Re*n,Ili3 So..+.cfr q+trclS O A"".""-ent start date B nevlew / End date *{l count.y location LK iE uostile / travel advisory? & tocation details Ha<rrr^ CIo"t SrLocr, Prastwd reoc arl rt Q-0 NB: If the country location selected is'Hostile' you are required to: complete the BBC Overseas High Risk Assessment Form J Crew / team (Roles, responsi bil ities, com petencies) Jerdon --Tcr..s R".oudi15 u,* sourrd. eefscts E Attachments (Detail supporting documents) {l A"""""or(s) x (Person drafting risk assessment) O A"".""or safety competence J Authoriser(s) (Person responsible s ig n -off) $ for A.i*r... ()rcuir^rr Date signed-off x lE oistribution (Who gets a copy of the assessment) 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. SActlrity and Hazard Summar! [This is a summary of the activities listed in part B of the risk assessment.] Activity Who Exposed Hazards{hazard titles I Activity Risk Rating LatuL.,.t,, c-.ic (-trc:r'ri.inci :iX I {*{.o" To,"^s I E,".trocuf,io,r , i'**,i^ql LOr; Comments log Who by Date / time received Comments I Assessor resPonse Date/ time responded