This risk assessment form is for a filming project taking place at The Netherhall School and Sixth Form Centre in Cambridge, England. It identifies three main activities: laying cables, knocking down a film set, and using lighting. For each activity, potential hazards are outlined along with control measures to reduce the risk level. The cable laying poses a trip hazard but tape will be used to secure the wire. The film set could fall on people if run into, so no running will be allowed. The lighting could overheat or fall, so people will be warned not to touch it. With these controls, all activities are deemed to have a low or medium risk level.

1. Risk Assessment Form – Part A
Blank Template
Reference: [enter reference number]] Sign-off status [planning/approved etc]
Assessment summary details
Assessment title *
(Simple name for reference
purposes)
Division:* Department:*
Series/ Prod/Unit: Programme/Area:
Responsible Manager: Contact office:
Address/Tel: Address/Tel:
Date assessment created Confidential risk
assessment?
YES/NO (delete as applicable)
Assessment Outline
(Summary of what is
proposed)
Assessment start date Review / End date
Country location Cambridge, England Hostile / travel
advisory?
Location details The Netherhall School and
Sixth Form Centre
Queen Edith's Way
Cambridge
CB1 8NN
NB: If the country location selected is ‘Hostile’ you are
required to: complete the BBC Overseas High Risk
Assessment Form
Crew / team
(Roles, responsibilities,
competencies)
Attachments
(Detail supporting
documents)
Assessor(s) *
(Person drafting risk
assessment)
Kristy Ng Assessor safety
competence
[* mandatory fields]

2. Risk Assessment Form – Part A
Blank Template
Authoriser(s) *
(Person responsible for
sign-off)
Date signed-off *
Distribution
(Who gets a copy of the
assessment)
Mr B C Sheppard
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.
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
received
Comments Assessor response Date/ time
responded
Risk Assessment
Form – Part B
6Reference: [enter reference number]] Sign-off status
ACTIVITIES: What are you doing, where, for how long and who will be involved?
Complete the fields in the form below).
HAZARDS & CONTROLS: How co
are you going to prevent this from ha
Activity Title:* Cords
Activity Description: Chipping over the cords
List those managing
this Activity and their
competence:
Kristy Ng (floor manager)
Who & how many are at
risk from this Activity?
All people in the studio
[* mandatory fields]

3. Hazards
How could someone become hurt or made ill
Control meas
How are you going to prevent this from happening?
People might trip over the wire We can use some tape to stick the wire to prevent the wi
We will tell all people be careful the wire.
Risk Level*: After your controls have been applied what is your assessment of the risk level of this
activity?
Low
Add additional activities as required – by copying this section and pasting below
Risk Assessment
Form – Part B
6Reference: [enter reference number]] Sign-off status
ACTIVITIES: What are you doing, where, for how long and who will be involved?
Complete the fields in the form below).
HAZARDS & CONTROLS: How co
are you going to prevent this from ha
Activity Title:* The film set
Activity Description: Knocking down the film set
List those managing
this Activity and their
competence:
Kristy Ng (floor manager)
Who & how many are at
risk from this Activity?
All people in the studio
Hazards
How could someone become hurt or made ill
Control meas
How are you going to prevent this from happening?
Set background could fall down when some people are running,
pushing or accidental
Tell all the people in the studio no running and be careful
Risk Level*: After your controls have been applied what is your assessment of the risk level of this
activity?
Low
Add additional activities as required – by copying this section and pasting below
[* mandatory fields]

4. Risk Assessment Form – Part B Blank Template
6Reference: [enter reference number]] Sign-off status
ACTIVITIES: What are you doing, where, for how long and who will be
involved? Complete the fields in the form below).
HAZARDS & CONTROLS: How
and how are you going to preven
Activity Title:* Lighting
Activity Description: The lighting might get overheat or falling down
List those managing
this Activity and their
competence:
Who & how many are
at risk from this
Activity?
All people in the studio
Hazards
How could someone become hurt or made ill
Control measures
How are you going to prevent this from happening?
People might touch the lighting and their skin get hurt Tell people don’t touch the lighting because it’s hot
to be turn off.
Risk Level*: After your controls have been applied what is your assessment of the risk level of this
activity?
Medium
Add additional activities as required – by copying this section and pasting below
[* mandatory fields]