Risk Assessment Form – Part A Blank Template

Reference: [enter reference number]] Sign-off status [planning/approved etc]

Assessment summary details

Assessment title *(Simple name for reference purposes)

AS Level Media – The Smoking Gun

Division:* The Netherhall School Department:* Media Studies

Series/ Prod/Unit: G321 Programme/Area:

Responsible Manager:

Brendan Sheppard Contact office: Media Studies

Address/Tel: Address/Tel: The Netherhall School and Sixth Form Centre,Queen Edith’s Way,Cambridge, CB1 8NN

Date assessment created

16/11/2015 Confidential risk assessment?

NO

Assessment Outline(Summary of what is proposed)

Filming of a production in a confined studio space, with the use of cameras, tripods, lighting and editing/sound equiptment.

Assessment start date

16th November 2015 Review / End date 16th November 2015

Country location England, Cambridgeshire, Cambridge

Hostile / travel advisory?

N/A

Location details A studio space in the school. NB: If the country location selected is ‘Hostile’ you are required to: complete the BBC Overseas High Risk Assessment Form

Crew / team(Roles, responsibilities, competencies)

Mollie Gillard – Directing, production, filming and overall coordinationMaxwell Chambers – Directing, production, filming and overall coordinationAlfie Goodwin – Sound and lightingLarry Nelson – Sound and lighting

Attachments(Detail supporting documents)

Assessor(s) *(Person drafting risk assessment)

Mollie GillardMaxwell Chambers

Assessor safety competence

Lighting Safety Certificate

Authoriser(s) *(Person responsible for sign-off)

Brendan Sheppard Date signed-off * 16th November 2015

Distribution(Who gets a copy of the assessment)

Assessors, Responsible Manager, Alfie Goodwin and Larry NelsonData Protection Act: Personal information collected for the purposes of risk assessment will be used to identify those at risk, and those involved in controlling risk, from this or similar activities and to fulfil the BBC's obligations under Health and Safety policy and legislation. It will be retained for up to 6 years after the expiry of the activity. It may be shared with other organisations, including our agents and contractors, with whom the risk or the control of risk is shared.

Activity and Hazard Summary [This is a summary of the activities listed in part B of the risk assessment.]

Activity Who Exposed Hazards{hazard titles Activity Risk Rating

Management of filming, sound and lighting.

Cast and crew Lights, cameras, wires, tripods, set and props.

High

Comments logWho by Date / time Comments Assessor response Date/ time

[* mandatory fields]

Risk Assessment Form – Part A Blank Template

received responded

[* mandatory fields]

Risk Assessment Form – Part B Blank Template

6Reference: [enter reference number]] Sign-off status [planning/approved etc]

ACTIVITIES: What are you doing, where, for how long and who will be involved? Complete the fields in the form below).

HAZARDS & CONTROLS: How could someone become hurt or made ill and how are you going to prevent this from happening?

Activity Title:* Use of lighting equipment

Activity Description: Moving/ adjusting the equipment to meet the needs of the production

List those managing this Activity and their competence:

Full crew – all have lighting certificates

Who & how many are at risk from this Activity?

(5) Mollie Gillard, Maxwell Chambers, Alfie Goodwin, Larry Nelson, Alice Edwards

HazardsHow could someone become hurt or made ill

Control measuresHow are you going to prevent this from happening?

If someone was to fall into lighting equipment they could knock it over and bring harm to others close to them (i.e. burning)In extreme cases this could lead to a fire.

Inform all people on the set (prior to the house lights being turned off) where the equipment is and constantly remind them to avoid them.Insure that the tripods will be in line with the lights so if the lights do fall, they will fall away from the direction of light.

If any equipment (stand/tripod) were to fall or collapse and cause damage to crew, cast and set.

All equipment will be put together carefully and will be tightened to meet safety standards.

Risk Level*: After your controls have been applied what is your assessment of the risk level of this activity?

HIGH

[* mandatory fields]

Risk Assessment Form – Part B Blank Template

6Reference: [enter reference number]] Sign-off status [planning/approved etc]

ACTIVITIES: What are you doing, where, for how long and who will be involved? Complete the fields in the form below).

HAZARDS & CONTROLS: How could someone become hurt or made ill and how are you going to prevent this from happening?

Activity Title:* Placement and state of wires

Activity Description: The wires will be on the floor depending on the position of the lighting equipment/ any equipment is placed.

List those managing this Activity and their competence:

Full crew – all have lighting certificates

Who & how many are at risk from this Activity?

(5) Mollie Gillard, Maxwell Chambers, Alfie Goodwin, Larry Nelson, Alice Edwards

HazardsHow could someone become hurt or made ill

Control measuresHow are you going to prevent this from happening?

Someone could trip over a wire, resulting in physical damage to the person.

Inform the cast and crew about the location and hazard of wires before houselights are turned off. If need be we could cover the wires with tape to avoid anybody tripping.

If the wires and incorrectly positioned or in a bad condition they could malfunction and result in a possible fire or electrocute someone.

The condition of the wires will be checked before use and checked throughout filming.

Risk Level*: After your controls have been applied what is your assessment of the risk level of this activity?

HIGH

[* mandatory fields]