1. Risk Assessment Form – Part A
Reference: 87456656100 Sign-off status [planning/approved etc]
Assessment summary details
Assessment title * Fizzy drink Inc
(Simple name for reference
purposes)
Division:* Marketing Department:* Filming department
Series/ Prod/Unit: Unit 62 and 1 Programme/Area: Zingo
Responsible Pepe Mehmi Contact office: Mark Smith
Manager: Alicia Hunter
Address/Tel: 28 Cheadle Road Address/Tel: 71 Oxford street
Cheadle London
Sk7 lk7 W1H 6HB
0161 468 0284 01247184729
Date assessment created 22/02/2013 Confidential risk YES/NO (delete as applicable)
assessment?
Assessment Outline To create a Advert for a new fizzy drink
(Summary of what is
proposed)
Assessment start 15/03/13 Review / End date 22/03/13
date
Country location Manchester Hostile / travel Bus
advisory?
Location details Cheshire NB: If the country location selected is ‘Hostile’ you are
required to: complete the BBC Overseas High Risk
Assessment Form
Crew / team Alicia Hunter – Camera operator /Narrator
(Roles, responsibilities, Pepe Mehmi – actor/ Sound editor
competencies)
Attachments
(Detail supporting
documents)
Assessor(s) * Pepe Mehmi Assessor safety Yes
(Person drafting risk competence
assessment)
Aiden Grimshaw Date signed-off * 24/02/13
Authoriser(s) *
(Person responsible for
sign-off)
Distribution Alicia Hunter, Mark Smith and Aiden Grimshaw
(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
Comments log
Who by Date / time Comments Assessor response Date/ time
received responded
[* mandatory fields]

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

3. Risk Assessment Form – Part B Blank Template
Reference:
6 87456656100 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:* Advert for Zingo
Activity Description: We will be filming the advert to promote the drink.
List those managing Alicia Hunter
this Activity and their Pepe Mehmi
competence:
Who & how many are 2
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?
They could trip over wires and hurt themselves or could break Keep wires out of the way by taping them to the floor so they don’t move and put up signs showing
bones. awareness to people of the wires.
Getting too close to the light, will hurt their eyes and may burn Keep lights from overheating and turn of lights when not in use.
their skin.
Risk Level*: After your controls have been applied what is your assessment of the risk level of High/Medium/Low (delete as applicable)
this activity?
Add additional activities as required – by copying this section and pasting below
[* mandatory fields]

4. Risk Assessment Form – Part B Blank Template
Reference:
6 87456656100 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:* Zingo advert
Activity Description: Creating our advert for Zingo
List those managing Alicia Hunter
this Activity and their Pepe Mehmi
competence:
Who & how many are 2 people are at risk.
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?
Leaving Camera equipment, could harm the equipment or staff Don’t put down equipment on the floor, keep equipment out of the way by using a empty room and
keep all the equipment in there.
Set falling, could fall on actors Make sure the set is up right.
Risk Level*: After your controls have been applied what is your assessment of the risk level of High/Medium/Low (delete as applicable)
this activity?
Add additional activities as required – by copying this section and pasting below
[* mandatory fields]