RISK ASSESSMENT RECORDING FORM

Location or Address: Bethany Carrington s Bedroo! Acti)ity or Sit'ation *hotoshoot+

-&. /a0ard Ris#

Date Assess!ent "nderta#en: $%&%&$ Re)ie, Date: N%A

-1. 2ho !ight 3e har!ed and ho,4

Assess!ent 'nderta#en By: Scott Car(in Signat're

-5. 2hat contro(s e6ist to red'ce ris#

-$. 2hat action can 3e ta#en to 7'rther red'ce ris#4

Tripping over bed and or chair. Spilling of drinks on electrical equipment.

Anyone in the room.

Likely ood 4! A path"ay is clear allo"ing people to move around the room. Likely hood #! $rinks to be put a"ay from the televisions or other electricals and the drink should be in a bottle. Likely hood 4! %ake sure the room is tidy and everything is either taken a"ay or put a"ay.

&e careful "hen "alking around.

1-4

Anyone in the room.

'o drinks in the room.

Tripping over clothes and other things on the floor

1-4

Anyone in the room.

Stop putting things on the floor.

1. List ha(ards so!ething ,ith the 8otentia( to ca'se har! here) Seek to quantify the level of risk the (i#e(ihood o7 har! arising based on the number of persons affected! ho" often they are e*posed to the ha(ard and the severity of any consequence. +. List groups of people "ho are especially at risk from the significant ha(ards "hich you have identified #. List e*isting controls here or note "here the information may be found 4. List the risks "hich are not adequately controlled and the action you "ill take. ave regard for the level of risk! the cost of any action and the benefit you e*pect to gain.

-&.

/a0ard

Ris#

-1. 2ho !ight 3e har!ed and ho,4

-5. 2hat contro(s e6ist to red'ce ris#

-9. 2hat action can 3e ta#en to 7'rther red'ce ris#4

RISK RATING a SE:ERIT; 9 $ 5 1 & Dying or 3eing 8er!anent(y disa3(ed Serio's in?'ry%(ong ter! i((ness Te!8orary disa3i(ity%5 days o77 sic# 2i(( need !edica( attention Minor in?'ry eg+ Br'iseA gra0e 3 LIKELI/OOD 9 $ 5 1 & 2i(( a(!ost certain(y ha88en /igh(y (i#e(y to ha88en Not so (i#e(y E)en (ess (i#e(y "n(i#e(y to ha88en at a(( c FINAL SCORE RATING: ,hat needs to 3e done &<=19 Sto8> Do not start acti)ity again 'nti( ris# is contro((ed &@=&9 /igh ris# (e)e(A /igh 8riority+ Ta#e action straight a,ay to contro( the ris# <=B Medi'! ris# (e)e(+ Tighten '8 contro(s and !a#e a 8(an to do so!ething a3o't ris# 5=9 Fair(y (o, ris# (e)e(+ Lo, 8riority 3't #ee8 8ossi3(e action in !ind &=1 Lo, or tri)ia( ris#+ No 7'rther action reC'ired+

SO: a 6 3 D c
Action ReC'ired Res8onsi3(e *erson Date 7or Co!8(etion