bpc media – risk assesment form

PRODUCTION TITLE: Advert Production

DATE OF FILMING:
LOCATION Poole Park
ADDRESS:
DESCRIPTION OF Walking, tying laces
ACTIVITY/
PRODUCTION:

PERSONS TAKING Jack, josh, Brandon

PART:
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

REVISED OCTOBER 2019

 bpc media – risk assesment form

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)

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 The model will be walking, there are risks of Make sure their path is clear
the tripping, there might be objects in his path and they can’t trip over
with the potential to trip him. anything.

2 We will filming by a road, so be clear of any Don’t walk in the road if

moving cars there is a car coming

3 The weather could flag a risk if it starts raining, Check the weather app to
it could damage the camera and make the make sure the weather is
some of the action the model needs to do more clear for that day
challenging and riskier.

REVISED OCTOBER 2019

 bpc media – risk assesment form

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: STUDENT
(PRINT) SIGNATURE:
STAFF NAME: STAFF SIGNATURE:
(PRINT)

REVISED OCTOBER 2019