V9

RISK ASSESSMENT
ACTIVITY

HAZARD

Filming scenes of lonely

teenagers sitting down
depressingly on different
locations e.g. park , canteen ,
library etc.

Someone might fall of a

chair and hurt their back ,
badly .

RISK
H/M/L

PRECAUTIONS

Make sure participants / actors

arent fooling around with the
chairs

walk carefully in case its very

muddy in the park

someone might be lacteous

intolerant

not let lacteous intolerant people

act in my ad

participants/actors might get

paper cuts from the
chocolate wrapper

pre open the wrapper for them or

tell them to follow instructions on
the wrapper to open it safely .

someone might slip walking

in the park as it is very much
muddy as Britains weather
isnt the shiniest

Please leave this section blank:

Risk Assessment checked by: Name faryal mumtaz ..

KEY:

Activity :
Hazard :
Risk:

IN
PLACE

REVIEW
DATE

Signed .

REVIEWER

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.

Precautions:
In Place:
Review Date:
Reviewer:
V9/PALL/sspi/reviewedOct2010

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.