1. Risk Assessment Form – Part A Blank Template
Reference: [enter reference number]] Sign-off status [planning/approved etc]
Assessment summary details
Assessment title * Fizzy Drink advert Safety (Assignment 3)
(Simple name for reference
purposes)
Division:* 1 Department:* Internet advertisement
Series/ Prod/Unit: Programme/Area:
Responsible Danny and Mike Contact office: Cheadle and Marple
Manager:
Address/Tel: Address/Tel:
Date assessment created Confidential risk YES/NO (delete as applicable)
assessment?
Assessment Outline To create an advert advertising our product a Fizzy Drink called Bad Wolf.
(Summary of what is
proposed)
Assessment start 22/02/13 Review / End date
date
Country location England Hostile / travel No
advisory?
Location details Mancheser NB: If the country location selected is ‘Hostile’ you are
required to: complete the BBC Overseas High Risk
Assessment Form
Camera Operator - The role of the camera specialist is; too operate a camera providing and
Crew / team
recording a professional cinematic end product, Store and maintain the equipment and too prepare
(Roles, responsibilities, for shooting the ad.
competencies)
Production Manager- a production manager manages to advert making sure the advert is organised
and finishes to time requirements.
SFX Technician- An SFX technician adds special effects to our production.
Risk Assessment Form – Part B
Attachments
(Detail supporting
documents)
Assessor(s) * Danny Assessor safety
(Person drafting risk competence
assessment)
Date signed-off *
Authoriser(s) *
(Person responsible for
sign-off)
Distribution
(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 Blank Template
[* mandatory fields]

3. Risk Assessment Form – Part B Blank Template
Reference:
6 [enter reference number]] 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:* Casting a advertising ad
Activity Description: We are creating an advert to advertise our fizzy drink product ‘Bad Wolf’
List those managing Danny and Mike
this Activity and their Advert Creaters
competence:
Who & how many are 5
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?
Burns from cinematic lighting I am going to cordon of the area where lighting equipment is used and make sure everybody is aware of
the potential danger. I will also make sure it is handled correctly reducing chances of burns.
Tripping over equipment power cables I am going to make sure that all cables are taped down avoiding trips, there are no breaks in the wire
housing and they have passed the necessary safety tests.
Risk Level*: After your controls have been applied what is your assessment of the risk level of 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 [enter reference number]] 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:* [activity 2 title]
Activity Description:
List those managing
this Activity and their
competence:
Who & how many are
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?
[Hazard 1 title and description] [Details of control measures]
[Hazard 2 title and description] [Details of control measures]
[add additional rows as required]
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]