This risk assessment form summarizes the production of a documentary about music in the digital age. It will involve interviewing a guest, Daniel Parushev, in the producer's bedroom on December 12, 2021. Potential hazards identified include stress, litter, fire, trip hazards, and attack by an animal. Control measures to minimize risks include clear communication, keeping the area clean and organized, ensuring equipment is not overheating, and removing any wires or objects from the camera man's path. The camera man and interview guest are identified as those exposed to risks. With controls in place, all potential risks are rated as trivial.

1. Risk Assessment Form –
Part A
ProductionName: Music in the digital age Organisation Sunderland College
ProductionAddress: 176 Cairo street, Hendon,
Sunderland
Producer / Editor
Tel:
Mobile:
Marcel Stasiorow ski
Start date Wednesday 9th
December End date 22nd
January 2021
Distribution
Who gets a copyof the assessment
Lectures
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Team members / experts /
contractors / contributors etc.
List those involved
Camera man: John Brow n
Interview guest: Daniel parushev
Locations
Outline locationsinvolved – indicate
any which are hostile environments
Hendon long streets
Assessor Name
Signature
Drew Neylor Date completed
Authoriser Name
(if not Assessor) Signature
Drew Neylor Date authorised
Hazard list – select your hazards from the list belowand use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person Contact with cold liquid / v apour Disease causativ e agent
Attack by animal X Contact with cold surf ace Inf ection
Breathing compressed gas Contact with hot liquid / v apour Allergic reaction
Cold env ironment Contact with hot surf ace Lack of f ood / water
Crush by load Electric shock Lack of oxy gen
Drowning Explosiv e blast Phy sical f atigue
Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action
High atmospheric pressure Fire X Static body posture
Hot env ironment Hazardous substance Stress / anxiety X
Manual handling Ionizing radiation Venom poisoning
Object f alling, mov ing or f ly ing Laser light
Obstruction / exposed f eature Lightning strike Environmental hazards
Sharp object / material X Noise X Litter X
Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration
Slippery surf ace Stroboscopic light Phy sical damage
Trap in mov ing machinery Vibration Waste substance released into air
Trip hazard X Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls f rom height Management f actors (lack of communication,
co-operation, co-ordination and competence)
Risk matrix – use this to determine risk for
each hazard i.e. ‘how bad and how likely’ Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Very unlikely
e.g. 1 in 200 chance
Unlikely
e.g. 1 in 50 chance
Possible
e.g. 1 in 10 chance
Likely
e.g. >1 in 3 chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium
Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High
Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high
Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high

2. Risk Assessment Form – Part B
Activity1
– sitting interviewing the guest
Camera man- sitting operating the camera
Location – my bedroom Dates / times:
12/2/21
Hazards2
List what could cause harm f rom this activ ity
e.g. falls from height, trip hazard, fire, etc.
Who exposed
List who might be harmed
f rom this activ ity
e.g. staff, contractors,
contributors, public, etc.
Risk3
For each hazard, decide
lev el of risk as if y ou were to
do the activ ity without y our
controls
Control measures
For each hazard, list the measures y ou will be taking to minimise the risk identif ied
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.
Risk3
For each hazard,
decide lev el of risk
once all y our controls
are in place
Eg, stress/anxiety Everyone on set could
be anxious and stressed
medium Make sure everyone is on the same page and isn’t streasing over w hat to do trivial
Eg, litter
Camera man low Make sure the area is clean on set so theres no trip or slip hazards trivial
Eg, fire
Everyone on set medium Make sure all the w ires for equipment are not too hot and make sure the extra lightening on
set is not overheating
trivial
Eg, Trip hazards The camera man low Put aw ay any wiresand objects that are in the open on the camera mans path trivial
Eg, attacked by animal Everyone on set low Make sure there are no household animals present on set. trivial
Continue on separate sheet if necessary
1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A