bpc media – risk assesment form

PRODUCTION TITLE: Dance Documentary

DATE OF FILMING: 22nd March, 28th March, 5th April, 19th April
LOCATION ADDRESS:
PERSONS TAKING Dancer – Pippa Llewellyn
PART: Videographer/Photographer – Lexie Pelosi
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.
Green – hazard
Red – No hazard

HAZARD CHECKLIST
NUMBER HAZARD TICK

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 - Wires to connecting to speaker Make sure all leads are
- Chairs/table in the room either tie up or away
carefully out of any
footpaths, and make sure all
chairs and tables are
completely away not in
reach for when dancing.
4 - Electrical outlets to the speaker Do not play with the wires,
- Electric equipment to change the just change when needed
lighting colours/brightness and make sure no liquids
etc are near the equipment

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: Pippa Llewellyn STUDENT Pllewellyn
(PRINT) SIGNATURE:

REVISED OCTOBER 2019