Risk Assessment Form Part A

Reference:

N/A

Sign-off status

TBC

Department:*

MEDIA

Blank Template

Assessment summary details

Assessment title
(Simple name for
reference purposes)

THE FENCE

Division:*

MEDIA

Series/ Prod/Unit:

AK PRODUCTIONS
BRENDAN SHEPPARD

Responsible
Manager:

The Netherhall School and

Sixth Form Centre

Address/Tel:

MEDIA
Programme/Area:
Contact office:
Address/Tel:

Queen Ediths Way

Cambridge

Cambridge

CB1 8NN

CB1 8NN

15/11/16

Assessment Outline
(Summary of what is
proposed)

The making of the short thriller film, the fence

17/11/16

Country location

Cambridgeshire,
ENGLAND

Location details

ELY, CAMBRIDGESHIRE
CB7/CB6

Crew / team
(Roles, responsibilities,
competencies)

The Netherhall School and Sixth Form

Centre

Queen Ediths Way

Date assessment
created

Assessment start
date

bsheppard@netherhall.cambs.sch.uk

Confidential risk
assessment?

NO

Review / End
date

17/11/16

Hostile / travel
advisory?

N/A

NB: If the country location selected is Hostile you are

required to: complete the BBC Overseas High Risk
Assessment Form

Kira Barnard- Director

Ella Amoroso- Director of Photography
Angelika Kwaniewska- Set Designer/lighting/audio
Alex Madej- editor
Alex Gilbert- actor
Tia Barnard- actor
Thomas Goodearl- actor
Brendan Sheppard- Producer

Attachments
(Detail supporting
documents)
Assessor(s)

(Person drafting risk

assessment)
Authoriser(s) *
(Person responsible for
sign-off)
Distribution
(Who gets a copy of the
assessment)

[* mandatory fields]

N/A

Kira Barnard

Assessor safety
competence

N/A

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.

Risk Assessment Form Part B

Reference:

Blank Template

Sign-off status

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

HAZARDS & CONTROLS:

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

Activity Title:*

SCENE 1

Activity Description:

CHLOE AT THE FENCE SEEING HER NOW DEAD CHILD

List those managing

this Activity and their
competence:

Kira Barnard
Ella Amoroso
Angelika Kwaniewska
Tia Barnard
Alex Gilbert
Brendan Sheppard

Who & how many are

at risk from this
Activity?

All of the above

Hazards
How could someone become hurt or made ill

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

Slipery Bridge

On the way to the fence the crew will have to go over a bidge and which is slippy when wet and to
prevent anyone hurting themselves I will warn everyone prior to be careful.

Falling Harzard

While at the fence there is a drop along the side of the path and everyone will be made aware of that
and told to watch there footing if they have to go near it.

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

[* mandatory fields]

Medium

Risk Assessment Form Part B

Reference:

Blank Template

Sign-off status

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

HAZARDS & CONTROLS:

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

Activity Title:*

Scene 2

Activity Description:

Chloe is bed waking up from seeing her daughter in her dreams

List those managing

this Activity and their
competence:

Kira Barnard
Ella Amoroso
Angelika Kwaniewska
Alex Gilbert
Brendan Sheppard

Who & how many are

at risk from this
Activity?

ALL OF THE ABOVE

Hazards
How could someone become hurt or made ill

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

Tripping Hazard

This is a small room and we will all need to be careful of the equipment and making sure we watching
out for the leads running to the plug

Lighting Hazard

We will be using a light in this shot so we will have to watch out for that getting to hot and also making
sure that it doesnt touch anything like the duvet or curtains that it can easily set fire too.

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

[* mandatory fields]

Low

Risk Assessment Form Part B

Reference:

Blank Template

Sign-off status

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

Scene 3

Activity Description:

Chloe going to the church to find piece

List those managing

this Activity and their
competence:

Kira Barnard
Ella Amoroso
Angelika Kwaniewska
Tia Barnard
Alex Gilbert
Thomas Goodearl
Brendan Sheppard

Who & how many are

at risk from this
Activity?

ALL OF THE ABOVE

HAZARDS & CONTROLS:

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

Hazards
How could someone become hurt or made ill

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

Tripping Hazard

This is a small room and we will all need to be careful of the equipment and making sure we watching
out for the leads running to the plug

Lighting Hazard

We will be using a light in this shot so we will have to watch out for that getting to hot and also making
sure that it doesnt touch anything like the curtains that it can easily set fire too.

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

[* mandatory fields]

Low