RISK ASSESSMENT RECORDING FORM

Location or
Address: Woolston Eyes
Date Assessment
nderta!en:
Assessment "nderta!en
#y: So$%ie Ra&linson
Acti'ity or
Sit"ation: Ta!in( o) *%oto(ra$%s
Re'ie&
Date: N+A
Si(nat"re
,-. /a0ard Ris! ,1. W%o mi(%t 2e %armed and %o&3 ,4. W%at controls e5ist to red"ce
ris!
,6. W%at action can 2e ta!en
To )"rt%er red"ce ris!3
Spilling drinks onto electrical
equipment
Tripping over tripod
Falling in the water along the
edge of the path
Dog running past and
jumping up/knocking camera
over
Falling branches from trees
above

4
14
14
1
1
!ser of camera
"n# one walking around the
area
"n# one walking past or
stood near the edge$
%odel
"n# person walking past
"n# person walking
past/under the tree
&ikel# hood'1
(o drinks near )amera
"rrangements of equipment
&ikel# hood'4
*nsure people are aware of
the photoshoot
&ikel# hood' +
*nsure people are awa#
from the edge at all times
&ikel# hood',+
"sk all dog walkers to keep
dogs on leads
-ut sign up at start of path
warning people of the
photoshoot
&ikel# hood'1
-laces models at a
distance that the# won.t be
hurt
/an drinks from near the
camera
0ave someone stood ne1t
to the tripod
Sta# b# the fencing part of
the path or awa# from an#
water that is surrounding
/uild a barrier around the
tripod
0ave someone stand ne1t
to the tripod$
-ut up an umbrella or
canop# so the branches
don.t fall$
1$ &ist ha2ards somet%in( &it% t%e $otential to ca"se %arm here'
Seek to quantif# the level of risk t%e li!eli%ood o) %arm arisin( based on the number of persons affected3 how often the# are e1posed to the ha2ard and the
severit# of an# consequence$
,$ &ist groups of people who are especiall# at risk from the significant ha2ards which #ou have identified
+$ &ist e1isting controls here or note where the information ma# be found
4$ &ist the risks which are not adequatel# controlled and the action #ou will take$ 0ave regard for the level of risk3 the cost of an# action and the benefit #ou e1pect to
gain$
,-. /a0ard Ris! ,1. W%o mi(%t 2e %armed and %o&3 ,4. W%at controls e5ist to red"ce
ris!
,7. W%at action can 2e ta!en
to )"rt%er red"ce ris!3
RISK RATING
a SE8ERIT9 2 LIKELI/OOD c FINAL SCORE RATING: &%at needs to 2e done
7 Dyin( or 2ein( $ermanently disa2led 7 Will almost certainly %a$$en -:;17 Sto$< Do not start acti'ity a(ain "ntil ris! is
controlled
6 Serio"s in="ry+lon( term illness 6 /i(%ly li!ely to %a$$en ->;-7 /i(% ris! le'el? /i(% $riority@ Ta!e action
strai(%t a&ay to control t%e ris!
4 Tem$orary disa2ility+4 days o)) sic! 4 Not so li!ely :;A Medi"m ris! le'el@ Ti(%ten "$ controls and
ma!e a $lan to do somet%in( a2o"t ris!
1 Will need medical attention 1 E'en less li!ely 4;7 Fairly lo& ris! le'el@ Lo& $riority 2"t !ee$
$ossi2le action in mind
- Minor in="ry e(@ #r"ise? (ra0e - nli!ely to %a$$en at all -;1 Lo& or tri'ial ris!@ No )"rt%er action
reB"ired@
SO: a 5 2 C c
Action ReB"ired Res$onsi2le *erson Date )or Com$letion