RISK ASSESSMENT RECORDING FORM

Location or Date Assessment Assessment undertaken

Address: Stuart Household Undertaken: 23rd of January 2020 By: Courtney-Louise Finney
Activity or Review Signature
Situation: Photoshoot Date: 1st February 2020

(1) Hazard Risk (2) Who might be harmed and how? (3) What controls exist to reduce (4) What action can be taken
risk to further reduce risk?
Trip over dog and dog toys 2x2 Cast and crew Dog is not allowed in busy areas, Pack away toys, make sure that
=4 dog toys are packed away after use there is a controlled area for the
dog to be in during our photoshoot

Fall down stairs 5x2 Cast Railing on stairs means that if there Keep model a safe distance from
= 10 is a danger of falling the model is the stairs, at least a metre back
able to grab to stop herself falling. from the top step

Spill hot drink on cast and crew, 2x3 Cast and crew, equipment Hot drinks in kitchen means that Make sure that the cup is not full or
and/or equipment =6 there is a much smaller chance of overflowing, wait until it is a safe
spilling and scalding as there is temperature
nothing on the floor to trip over.

Trip over wires 2x2 Cast and crew Wires are packed away usually, so Move any potential trip hazards
=4 there is no way to trip over them; safely out of the way
they are not an obstruction

Paper cut from book 2x2 Cast Be careful turning pages

=4

Smash the mirror 2x1 Cast and crew Be careful around the mirror
=2

1. List hazards something with the potential to cause harm here:

Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.
2. List groups of people who are especially at risk from the significant hazards which you have identified
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you expect to
gain.
(1) Hazard Risk (2) Who might be harmed and how? (3) What controls exist to reduce (5) What action can be taken
risk to further reduce risk?

RISK RATING

a SEVERITY b LIKELIHOOD c FINAL SCORE RATING: what needs to be done

5 Dying or being permanently disabled
4 Serious injury/long term illness
3 Temporary disability/3 days off sick
2 Will need medical attention
1 Minor injury eg. Bruise, graze
5 Will almost certainly happen 16-25 Stop! Do not start activity again until risk is
controlled
4 Highly likely to happen 10-15 High risk level, High priority. Take action
straight away to control the risk
3 Not so likely 6-9 Medium risk level. Tighten up controls and
make a plan to do something about risk
2 Even less likely 3-5 Fairly low risk level. Low priority but keep
possible action in mind
1 Unlikely to happen at all 1-2 Low or trivial risk. No further action
required.

SO: a x b = c

Action Required Responsible Person Date for Completion

Falling down the stairs—must make sure model is far enough away from the top of the Model’s mother will stand by the side 1st February 2020
stairwell of her to make sure she does not
come to close to the edge of the
stairs
Spilling a hot drink on cast, crew or equipment-- Make sure that the cup is not full or
overflowing, wait until the drink is a safe temperature Myself 1st February 2020