Risk Assessment Form - Part A: Hazard List
Risk Assessment Form - Part A: Hazard List
Production Name:
Paper Airplane
Organisation
Production Address:
44 Whistlewood Close,
Hartlepool, UK
Producer / Editor
Tianyi Tang
Tel:
Mobile: 07838144130
Start date
04/04/16
End date
Distribution
Tianyi Tang
05/04/16
The cold weather and strong wind might affect bad mood of the actress, and might damage the modelling
and hairstyle of the actress.
Director: Tianyi Tang; Actress: Xiaonan Li
Name
The cold weather and strong wind in on-location scenes will be take into account as the actress cant be
cold.
Tianyi Tang
Date completed
03/04/16
Teresa Tebbett
Date authorised
03/04/16
Signature
Authoriser
Name
Signature
Hazard list select your hazards from the list below and use these to complete Part B
Situational hazards
Tick
Tick
Health hazards
Tick
Assault by person
Attack by animal
Infection
Allergic reaction
Cold environment
Crush by load
Electric shock
Lack of oxygen
Drowning
Explosive blast
Physical fatigue
Repetitive action
Fire
Hot environment
Hazardous substance
Stress / anxiety
Manual handling
Ionizing radiation
Venom poisoning
Laser light
Lightning strike
Noise
Litter
Shot by firearm
Non-ionizing radiation
Slippery surface
Stroboscopic light
Physical damage
Vibration
Environmental hazards
Trip hazard
Severity of Harm
Remote
Very unlikely
Unlikely
Possible
Likely
e.g. 1 in 50 chance
e.g. 1 in 10
chance
Trivial
Low
Low
Trivial
Trivial
Trivial
Trivial
Low
Low
Medium
Trivial
Low
Medium
Medium
High
Low
Medium
High
High
Extremely high
Low
Medium
High
Extremely high
Extremely high
Hazards2
List what could cause harm from this activity
e.g. falls from height, trip hazard, fire, etc.
Who exposed
List who might be harmed
from this activity
e.g. staff, contractors,
contributors, public, etc.
Risk3
For each hazard, decide
level of risk as if you were
to do the activity without
your controls
Equipment damage
Actress
Very severe
Producer
Moderate
Control measures
Dates / times:
Risk3
For each hazard, list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.
Very Severe
Moderate