BPC MEDIA – RISK ASSESMENT FORM

PRODUCTION TITLE: Dorset Steam Cleaning Promo

DATE OF FILMING: 25th April
LOCATION Clients Houses
ADDRESS: Company Van
DESCRIPTION OF I am visiting a client or clients’ home(s) with my dad’s cleaning
ACTIVITY/ company and recording a promotional video for him.
PRODUCTION:

PERSONS TAKING Me – Behind the Camera

PART: My parents – The subjects of the video being interviewed
EG
STUDENTS
ACTORS
CREW
NON-STUDENTS

In the box below tick any of the hazards that you may come into contact with while
recording your production, if the hazard is not on the list please tick other.

HAZARD CHECKLIST
NUMBE HAZARD TICK
R
1 Trip hazards
2 Proximity to water
3 Risk of fire
4 Live electrical equipment
5 Vehicles / modes of transport
6 Machinery proximity
7 Weather conditions
8 Members of public at location
9 Access to location
10 Props
11 First Aid medical requirements
12 Falling objects
13 Working at height / Working near a drop
14 Others (Please specify)

REVISED OCTOBER 2019

 BPC MEDIA – RISK ASSESMENT FORM

Below you must detail the hazard number from the check list, identify where the hazard is
coming from and detail how you will limit the risk of the hazards you have identified.
HAZARD HAZARD DETAILS HOW WILL YOU LIMIT THE
NUMBER RISKS
1 Furniture and things left around the house and Clean up after ourselves as
equipment such as hoovers and steam cleaners much as possible.
on the floor.

5 We will be driving to the location which is Use a GPS when driving to

potentially somewhere new and using the van site as to not get lost and
on site. stick to speed limits.

6 There are going to be large pieces of Be extra careful around

equipment like steam cleaning machines and machines because you can
hoovers in the vicinity. burn yourself. First aid kits
are available if you are
injured.

10 There will be props in the background of the Same advice as trip hazards:
interview clean up after yourself.

Below you must sign off that you accept the risks and will adhere to safe working practice.
On some assignments staff with need to sign your risk assessment for you to hire out kit.
STUDENT NAME: Jacob Butler-Smith STUDENT
(PRINT) SIGNATURE:
STAFF NAME: Michael Bush STAFF SIGNATURE: bushm@bpc.ac.uk
(PRINT)

REVISED OCTOBER 2019