 | Risk Assessment Form – Part A | |
| Division / Studio | Maidstone Studios | Department / Series | UCA Broadcast Media |
| Business Unit / Production Address | The Joy Of Txt: Documentary Commission Maidstone Studios | Producer / Editor Tel: Mobile: | Francesca Trowbridge, Dan Baugh, Matt Doyle 07876414668 |
| Start date | 14/11/2011 | End date | 21/11/2011 |
| Distribution Who gets a copy of the assessment | Francesca Trowbridge, Dan Baugh, Matt Doyle, Helen Curston | ||
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| Outline of risk assessment Summary of what is proposed | | ||
| Team members / experts / contractors / contributors etc. List those involved | Production team: Francesca Trowbridge, Dan Baugh and Matt Doyle Cast: Jack Baugh, Dick Baugh, Patsy Baugh and Joe Sutton | ||
| Locations Outline locations involved – indicate any which are hostile environments | Cornwallis Academy, Maidstone Museum, UCA library, shopping centre high street. | ||
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| Assessor Name Signature | | Date completed | |
| Authoriser Name (if not Assessor) Signature | | Date authorised | |
| Hazard list – select your hazards from the list below and use these to complete Part B | |||||
| Situational hazards | Tick | Physical / chemical hazards | Tick | Health hazards | Tick |
| Assault by person | Ö | Contact with cold liquid / vapour | | Disease causative agent | |
| Attack by animal | | Contact with cold surface | | Infection | |
| Breathing compressed gas | | Contact with hot liquid / vapour | | Allergic reaction | Ö |
| Cold environment | | Contact with hot surface | | Lack of food / water | |
| Crush by load | | Electric shock | | Lack of oxygen | |
| Drowning | | Explosive blast | | Physical fatigue | |
| Entanglement in moving machinery | | Explosive release of stored pressure | | Repetitive action | |
| High atmospheric pressure | | Fire | | Static body posture | |
| Hot environment | | Hazardous substance | | Stress / anxiety | |
| Manual handling | | Ionizing radiation | | Venom poisoning | |
| Object falling, moving or flying | | Laser light | | | |
| Obstruction / exposed feature | | Lightning strike | | Environmental hazards | |
| Sharp object / material | | Noise | | Litter | |
| Shot by firearm | | Non-ionizing radiation | | Nuisance noise / vibration | Ö |
| Slippery surface | | Stroboscopic light | | Physical damage | |
| Trap in moving machinery | | Vibration | | Waste substance released into air | |
| Trip hazard | | | | Waste substance released into soil / water | |
| Vehicle impact / collision | | Managerial / organisational hazards | | | |
| Falls from height | | Management factors (lack of communication, co-operation, co-ordination and competence) | | | |
| Risk matrix – use this to determine risk for each hazard i.e. ‘how bad and how likely’ | Likelihood of Harm | ||||
| Severity of Harm | Remote e.g. <1 in 1000 chance | Very unlikely e.g. 1 in 200 chance | Unlikely e.g. 1 in 50 chance | Possible e.g. 1 in 10 chance | Likely e.g. >1 in 3 chance |
| Negligible e.g. small bruise | Trivial | Trivial | Trivial | Low | Low |
| Slight e.g. small cut, deep bruise | Trivial | Trivial | Low | Low | Medium |
| Moderate e.g. deep cut, torn muscle | Trivial | Low | Medium | Medium | High |
| Severe e.g. fracture, loss of consciousness | Low | Medium | High | High | Extremely high |
| Very Severe e.g. death, permanent disability | Low | Medium | High | Extremely high | Extremely high |
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 | Risk Assessment Form – Part B | |
| Activity1 – Each individual activity you are proposing: | Location – where this activity will take place: | Dates / times: | ||
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| 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 | Control measures 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. | Risk3 For each hazard, decide level of risk once all your controls are in place |
| Assault by person | Fran Trowbridge, Dan Baugh, Matt Doyle | Trivial | Watch-out for people when we start filming on the high street. | Trivial |
| Allergic Reaction | Fran Trowbridge | Low | Do not disturb any dust any-where and keep her away from trees. | Trivial |
| Nuisance Noise/ Vibration | Fran Trowbridge, Dan Baugh, Matt doyle | Low | Before we start filming alert people around us what we are about to do and ask them not to make excessive noise. | Trivial |
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Continue on separate sheet if necessary
1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A
Helen does have a hard copy of this but this is for everyone to see.
