RISK ASSESSMENT RECORDING FORM

Location or Date Assessment Assessment undertaken

Address: 12 manor drive barnton Undertaken: 09/02/2023 By: Charlie Parkes
Activity or Review Signature
Situation: Filming Music Video Date: 10/03/2023 x

(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?
You could trip A1 x you could trip over something a make sure that everyone moves Move hazards out of the way
B2= minor injury carefully on set
C2

A drink could spill on the filming
equipment
Tripping over Furniture
A1 x People who are handling or near the
B3= equipment could spill a drink on the
C3 equipment that could break the
camera and injure the person by
giving them a cut or a burn from the
camera potentially setting a flame
A1 x
B2 The Actors and the crew could be
= C2 affected by this
make sure that the camera make sure that the equipment is in
operator and the equipment are out a safe/secure area that won’t fall
of the way around the furniture etc and make sure crew are careful
and if they have to go closer to with the filming equipment such as
furniture or something that they cameras etc.
could deem as unstable then they
must walk securely and be careful
with the equipment.
Make sure the furniture is not in the N/A
area where the crew and actors
are.

Animals around the house: Trip Hazard A1 x Actors or Crew could trip over any of Make sure that any animal is not in N/A
B2 the animals at are in the house the way of filming
= C2

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.

RISK RATING
a SEVERITY
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
Action Required
b LIKELIHOOD c FINAL SCORE RATING: what needs to be done
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
Responsible Person Date for Completion