Risk Assessme NT Form - Part A: Reference: Sign-Off Status Assessment Summary Details

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Risk

Assessme
nt Form
Part A
Reference:

[enter reference
number]]

Alex Madej
Kira Bannard

Sign-off status

[planning/approved
etc]

Assessment
summary details
Assessment title *
(Simple name for
reference purposes)

Poison

Division:*

--------

Department:*

Media

Series/ Prod/Unit:

-------

Programme/Area:

---------

Responsible Manager:

Brendan Sheppard

Contact office:

Media

The Netherhall
School and Sixth
Form Centre
Queen Ediths Way
Cambridge

Address/Tel:

Date assessment
created

11/11/15

Confidential risk
assessment?

Assessment Outline
(Summary of what is
proposed)

To produce a Film
Noir 2-4 opening
sequence using the
Media departments
studio with cameras,
sound and lighting

Assessment start
date

17/11/15

Address/Tel:

Queen Ediths Way


Cambridge

Review / End date

Country location

England, Cambridge

Hostile / travel
advisory?

Location details

The Netherhall
School and Sixth
Form Centre
Queen Ediths Way
Cambridge

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)

Alex MadejCamera Operator?,


Lighting and set
Kira Bannard:
Producer/director
David- actor
Virginia- actor

Attachments

--------

The Netherhall
School and Sixth
Form Centre

YES/NO (delete as
applicable)

17/11/15

---

(Detail supporting
documents)

Assessor(s)

(Person drafting risk


assessment)

Alex Madej
Kira Bannard

Authoriser(s) *
(Person responsible for
sign-off)

Distribution
(Who gets a copy of the
assessment)

Assessor safety
competence

----------

Date signed-off *

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

Blank Template

Risk
Assessme
nt Form
Part B
Reference:

ACTIVITIES:
What are you doing,
where, for how long
and who will be
involved? Complete
the fields in the form
below).

[enter reference
number]]

Activity Risk Rating

Sign-off status

[planning/approved
etc]

HAZARDS &
CONTROLS:
How
could someone
become hurt or
made ill and how are
you going to prevent
this from happening?

Activity Title:*

Media production- Filming a Film Noir


opening sequence (2-3min)

Activity Description:

One actor sitting at bar with other


extras dotted around the set and also
the anti- protagonist

List those managing this Activity and


their competence:

Kira Bannard:
David (Actor)
Alex Madej:
Virginia (Actor)
Brendan Sheppard: overall supervisor

Who & how many are at risk from this


Activity?

Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from

happening?
Accidently tripping over loose wires across
the floor

Tape all cables and wires to the ground and


plug into appropriate sockets or extension
leads

Risk Level*: After your controls have


been applied what is your assessment of
the risk level of this activity?

Low

Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from
happening?

Burning hand on light

Always wear gloves during and after the


lights have been on to prevent your skin
touching the extremely hot lights.

Risk Level*: After your controls have


been applied what is your assessment of
the risk level of this activity?

Medium

Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from
happening?

Being blinded by the lights

Floor manager/ lighting person to warn


actors/crew that lights are coming on and
do not look into them to prevent
disorientation to the eyes or causing serious
damage.

Risk Level*: After your controls have


been applied what is your assessment of
the risk level of this activity?

Medium

Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from
happening?

Falling over/crashing town onto equipment or


people due to poor visibility.

Make sure actors or production crew know


where they are stations and where they
need to go or move around the studio floor
without injuring themselves or others

Risk Level*: After your controls have


been applied what is your assessment of
the risk level of this activity?

low

Drinking the wrong cup of water that is


filled with acid

Make sure production crew track the


movements of glass so actor/actors do
not drink from the glass that is filled
with.

Risk Level*:After your controls have


been applied what is your assessment of
the risk level of this activity?

high

Hazards

Control measures

How could someone become hurt or


made ill

How are you going to prevent this from


happening?

Spilling any acid on


Risk Level*: After your controls have
been applied what is your assessment of
the risk level of this activity?

high

Hazards

Control measures

How could someone become hurt or


made ill

How are you going to prevent this from


happening?

Drinking the wrong cup of water that is


filled with acid

Make sure production crew track the


movements of glass so actor/actors do
not drink from the glass that is filled
with.

Risk Level*:After your controls have


been applied what is your assessment of
the risk level of this activity?

high

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