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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:* filming

Activity Description: Filming the opening scene of a film noir

List those managing this Activity and their competence:

Harry Pugh – student directors – filmingCharlie Rhodes – student director – filmingVirginia Bryon – actor – actingAdrian Annis – actor – acting

Who & how many are at risk from this Activity?

2 actors and 2 directors

HazardsHow could someone become hurt or made ill

Control measuresHow are you going to prevent this from happening?

Accidently trip on wires Cover-up the wires and put warnings

Burn themselves on hot lights Warn everyone about the hot lights and only allow those trained to move the lights move the lights.

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

Medium

Add additional activities as required – by copying this section and pasting below

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