V9

RISK ASSESSMENT
ACTIVITY

HAZARD

RISK
H/M/
L

PRECAUTIONS

IN
PLACE

REVIEW
DATE

REVIEWER

Using the smoke machine. The

dancer may get a bad reaction
to the smoke

Hard to breath

Keep checking the dancers ok

Yes

11th of
Decemb
er

Niamh
Sames

Spraying to much febreze

Might be bad to breath in

Use the febreze in shot bursts, and

only use it whilst filming

Yes

11th of
Decemb
er

Niamh
Sames

Please leave this section blank:

Risk Assessment checked by: Name ..
KEY:

Activity :
Hazard :
Risk:
Precautions:
In Place:
Review Date:
Reviewer:

V9/PALL/sspi/reviewedOct2010

Signed .

Date

Describe the component part of your pursuit.

List the things you anticipate might cause harm or the things associated with your activity that have the potential to cause harm. Consider the likely
harm.
Assess the risk as either H (High), M (Medium) or L (Low). When concluding your assessment consider all of the circumstances.
Consider what you could do to minimise / negate the risk.
Will the precautionary measures be in place at the time of the activity?
When would it be reasonable to review your assessment? Remember it might be whilst you are undertaking the activity.
Name of the person responsible for completing the risk assessment.
A copy of this form should be taken on the activity or visit by the Reviewer.