bpc media – risk assessment form

PRODUCTION TITLE: Kitchen Park

8th
DATE OF FILMING: May 2023
LOCATION ADDRESS: Upton Country Park, Hamworthy Park, Poole Park, My House
PERSONS TAKING Reece Edmond (Media Student) (Director, Actor)
PART: Jessica Patterson (Art Student) (Camera Operator)
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
NUMBER HAZARD TICK

1 Trip hazards yes

2 Proximity to water yes
3 Risk of fire no
4 Live electrical equipment yes
5 Vehicles / modes of transport yes
6 Machinery proximity no
7 Weather conditions yes
8 Members of public at location yes
9 Access to location yes
10 Props no
11 First Aid medical requirements yes
12 Falling objects yes
13 Working at height / Working near a drop no
14 Others (Please specify) no

REVISED OCTOBER 2019

 bpc media – risk assessment 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 Trip Hazards Be aware of surrounding,
watch out for play
equipment and tree roots,
especially if looking through
camera lens.

2 Proximity to Water There are open bodies of

water at all our locations.
However, we will not need
to be in close proximity to
the water at these locations
as they are far from our
scene locations.
3 Live Electrical Equipment (Pylons and There are some open ones
generators) at Upton Country Park so
we should ensure that we
follow signage and
directions to avoid any
harm.

4 Vehicles Be sure to look

Nut Allergy
5 and peanut allergy. We will
REVISED OCTOBER 2019
both ways twice before
crossing roads, be vigilant
and stay out of the way of
any staff vehicles (street
cleaners, lawnmowers, etc).
There is a novelty minature
train in Poole Park so we’ll
need to avoid filming near
its tracks.
One crew member suffers
from an anaphylactic nut
ensure that they have their
epipen on them and will
take care to check
ingredients if we eat on set.
Said crewmember is also
epipen trained (remove cap,
blue to sky – orange to
 bpc media – risk assessment form

thigh, etc)
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: REECE STUDENT Ree
(PRINT) EDMOND SIGNATURE:
STAFF NAME: STAFF SIGNATURE:
(PRINT)

REVISED OCTOBER 2019