Risk Assessment Form Part A

Blank Template
Reference:
MV 1
Sign-off status
[planning/approved etc]
Assessment summary details
Assessment title *
(Simple name for reference
purposes)
Bridges Music Video
Diision:*
Production
Department:*
Media Studies
Series! Prod!"nit:
Music Video
Programme!Area:
Responsi#le
$anager:
Georgia Cuthbert
Gwendoln Sen !ui Chen
%ontact office:
"etherhall School and Si#th $orm
Centre
%ddress&'el(
)*+ Broo,field -a
.ower Cambourne
CB/* )0B
*1+ Sweetpea -a+
Cambridge
CB2 /3%
%ddress&'el(
4ueen 0diths -a
CB5 1""
65//* /2/7*5
Date assessment created
58
th
9ctober /652
%onfidential risk
assessment&
'(
Assessment (utline
(Summar of what is
proposed)
To make sure all the locations that are being used are safe to film a music video.
Assessment start
date
16
th
October 2014
Reie) ! *nd date
17
th
October 2014
%ountry location
England
+ostile ! trael
adisory&
NO
,ocation details
"etherhall School
CB5 1""
.ower Cambourne
CB/* )0B
'B: -f t.e country location selected is /+ostile0 you are
re1uired to: complete t.e BB% (erseas +ig. Risk
Assessment Form
%re) ! team
(:oles+ responsibilities+
competencies)
Georgia Cuthbert ; <irector and Cameraman
Gwendoln Sen !ui Chen = <irector and Cameraman
Charlotte -illiams ; Crew hands
Attac.ments
(<etail supporting
documents)
Assessor2s3 *
(Person drafting ris,
assessment)
Georgia Cuthbert
Gwendoln Sen !ui Chen
Assessor safety
competence
o!
Aut.oriser2s3 *
(Person responsible for
sign=off)
"r #a$ Date signed-off * 17
th
October 2014
Distri#ution
(-ho gets a cop of the
assessment)
<ata Protection %ct( Personal information collected for the purposes of ris, assessment will be used to identif those at ris,+ and
those in>ol>ed in controlling ris,+ from this or similar acti>ities and to fulfil the BBC?s obligations under !ealth and Safet polic and
legislation@ At will be retained for up to 8 ears after the e#pir of the acti>it@ At ma be shared with other organisations+ including
our agents and contractors+ with whom the ris, or the control of ris, is shared@
4* mandatory fields5
Risk Assessment Form Part A
Blank Template
Actiity and +a6ard Summary 4T.is is a summary of t.e actiities listed in part B of t.e risk assessment@5
Actiity 7.o *8posed +a6ards9.a6ard titles Actiity Risk Rating
%ycling in a field 'wo actresses+ *
crewmembers
Bnbalanced ground might cause
the crewmembers and actresses
to trip@
'he actresses might loose their
balance while ccling and cause
them to fall of their biccle@
,o)
,ig.ting a matc. 9ne actress 'he flame might burn the
actress hand or fingers@
'he lit match might drop on the
carpet in the studio@
,o)
%olour fig.t 'wo actresses 'he coloured powder might
cause irritation to the actresses
ees or other bod parts@
,o)
7alking t.e dog 'wo actresses 'he dog might run off@
'he actresses might get beaten
b the dog@
,o)
Filming in t.e studio 9ne actress and *
crewmembers
%n of us could ha>e tripped b
the wire on the floor@
,o)
%omments log
7.o #y Date ! time
receied
%omments Assessor response Date! time
responded
4* mandatory fields5
Risk Assessment Form Part B
Blank Template
8Reference:
MV 1
Sign-off status
[planning/approved etc]
A%T-:-T-*S: -hat are ou doing+ where+ for how long and who will be
in>ol>edC Complete the fields in the form below)@
+A;ARDS < %('TR(,S: !ow could someone become hurt or made ill and
how are ou going to pre>ent this from happeningC
Actiity Title:*
Ccling
Actiity Description:
T.e actresses are re1uired to cycle in a field
,ist t.ose managing
t.is Actiity and t.eir
competence:
0llie Cuthbert ; Student
"aomi -oodward = Student
Georgia Cuthbert ; <irector and Cameraman
Gwendoln Sen !ui Chen ; <irector and Cameraman
Charlotte -illiams = Crewmember
7.o < .o) many are
at risk from t.is
Actiity&
T)o actresses and t.ree cre)mem#ers=
+a6ards
!ow could someone become hurt or made ill
%ontrol measures
!ow are ou going to pre>ent this from happeningC
'he unbalance field ground might cause crewmembers to trip on
the une#pected lump from the soil@
'he crewmembers need to be reall careful with their surrounding@
'he actors might loose their balance and fall off their biccle@ Crewmembers will go through with the path that the actors are ccling on with them on a biccle first
before started filming@
Risk ,eel*: %fter our controls ha>e been applied what is our assessment of the ris, le>el of
this acti>itC
,o)
4* mandatory fields5
Risk Assessment Form Part B
Blank Template
8Reference:
MV 1
Sign-off status
[planning/approved etc]
A%T-:-T-*S: -hat are ou doing+ where+ for how long and who will be
in>ol>edC Complete the fields in the form below)@
+A;ARDS < %('TR(,S: !ow could someone become hurt or made ill and
how are ou going to pre>ent this from happeningC
Actiity Title:*
Colour $ight
Actiity Description:
T)o actresses .aing a colour fig.t
,ist t.ose managing
t.is Actiity and t.eir
competence:
0llie Cuthbert ; Student
"aomi -oodward ; Student
Georgia Cuthbert ; <irector and Cameraman
Gwendoln Sen !ui Chen ; <irector and Cameraman
Charlotte -illiams = Crewmember
7.o < .o) many are
at risk from t.is
Actiity&
T)o Actresses
+a6ards
!ow could someone become hurt or made ill
%ontrol measures
!ow are ou going to pre>ent this from happeningC
'he coloured powder might cause irritation to the actresses
ees
-ash all the powder out immediatel right after finishes filming the scene+ alwas ha>e water on the
set@
Risk ,eel*: %fter our controls ha>e been applied what is our assessment of the ris, le>el of
this acti>itC
,o)
4* mandatory fields5
Risk Assessment Form Part B
Blank Template
8Reference:
MV 1
Sign-off status
[planning/approved etc]
A%T-:-T-*S: -hat are ou doing+ where+ for how long and who will be
in>ol>edC Complete the fields in the form below)@
+A;ARDS < %('TR(,S: !ow could someone become hurt or made ill and
how are ou going to pre>ent this from happeningC
Actiity Title:*
.ighting a match
Actiity Description:
(ne actress )ill #e lig.ting a matc. in t.e studio
,ist t.ose managing
t.is Actiity and t.eir
competence:
!ana,o Brown ; Singer
Georgia Cuthbert ; <irector and Cameraman
Gwendoln Sen !ui Chen ; <irector and Cameraman
Charlotte -illiams ; Crewmember
7.o < .o) many are
at risk from t.is
Actiity&
(ne Actress
+a6ards
!ow could someone become hurt or made ill
%ontrol measures
!ow are ou going to pre>ent this from happeningC
'he flame might burnt the actress hand and&or fingers 'he crewmembers are responsible for alwas get rid of the lit match right awa after a certain time and
water will alwas be prepared on the set@
'he lit match might drop on the carpet in the studio Crewmembers will ha>e to be e#tra cautious and a fire e#tinguisher will be prepared on the set@
Risk ,eel*: %fter our controls ha>e been applied what is our assessment of the ris, le>el of
this acti>itC
,o)
4* mandatory fields5
Risk Assessment Form Part B
Blank Template
8Reference:
MV 1
Sign-off status
[planning/approved etc]
A%T-:-T-*S: -hat are ou doing+ where+ for how long and who will be
in>ol>edC Complete the fields in the form below)@
+A;ARDS < %('TR(,S: !ow could someone become hurt or made ill and
how are ou going to pre>ent this from happeningC
Actiity Title:*
-al,ing the dog
Actiity Description:
T)o actresses )ill #e )alking t.e dog in t.e field
,ist t.ose managing
t.is Actiity and t.eir
competence:
0llie Cuthbert ; Student
"aomi -oodward ; Student
Georgia Cuthbert ; <irector and Cameraman
Gwendoln Sen !ui Chen ; <irector and Cameraman
Charlotte -illiams = Crewmember
7.o < .o) many are
at risk from t.is
Actiity&
T)o Actresses
+a6ards
!ow could someone become hurt or made ill
%ontrol measures
!ow are ou going to pre>ent this from happeningC
'he dog might run off Put a leash on the dog
'he actresses might get beaten b the dog Crewmembers will ha>e to alwas be caution about it and alwas prepare to ta,e action when this
incident happens@
Risk ,eel*: %fter our controls ha>e been applied what is our assessment of the ris, le>el of
this acti>itC
,o)
4* mandatory fields5
Risk Assessment Form Part B
Blank Template
8Reference:
MV 1
Sign-off status
[planning/approved etc]
A%T-:-T-*S: -hat are ou doing+ where+ for how long and who will be
in>ol>edC Complete the fields in the form below)@
+A;ARDS < %('TR(,S: !ow could someone become hurt or made ill and
how are ou going to pre>ent this from happeningC
Actiity Title:*
$ilming in the studio
Actiity Description:
(ne actress )ill #e filmed in t.e studio
,ist t.ose managing
t.is Actiity and t.eir
competence:
!ana,o Brown = Singer
Georgia Cuthbert ; <irector and Cameraman
Gwendoln Sen !ui Chen ; <irector and Cameraman
Charlotte -illiams = Crewmember
7.o < .o) many are
at risk from t.is
Actiity&
(ne Actress and T.ree %re)mem#ers
+a6ards
!ow could someone become hurt or made ill
%ontrol measures
!ow are ou going to pre>ent this from happeningC
%n of us could ha>e tripped b the wires on the floor in the
studio
'he crewmembers ha>e to be e#tra careful when the are wal,ing past it and mo>e it aside@ 'he ha>e
to remind the actress an other crewmembers about the wires@
Risk ,eel*: %fter our controls ha>e been applied what is our assessment of the ris, le>el of
this acti>itC
,o)
4* mandatory fields5