Risk Assessment Form Part A

Reference:

Sign-off status

Assessment summary details

Assessment title *
(Simple name for reference
purposes)

One More Round

Division:*

Department:*

Series/ Prod/Unit:

Programme/Area:

Responsible
Manager:

B.Sheppard

Address/Tel:

Netherhall Sixthform
College

Contact office:

Media

Media

Address/Tel:

Queens Ediths Way, CBB1

8NN,United Kingdom
Date assessment created

12/11/14

Confidential risk
assessment?

YES/NO (delete as applicable)

Assessment Outline
(Summary of what is
proposed)
Assessment start
date

East Anglia, UK

Country location

Ely, Cambridgeshire

Location details

Ben- Producer
Stanford-Director

Review / End date

Hostile / travel
advisory?
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)
Attachments
(Detail supporting
documents)
Assessor(s)

Assessor safety
competence

(Person drafting risk

assessment)

Date signed-off *

Authoriser(s) *
(Person responsible for
sign-off)
Distribution
(Who gets a copy of the
assessment)

Data 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

Activity

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

Who Exposed

Hazards{hazard titles

Activity Risk Rating

Comments log
Who by

Date / time
received

[* mandatory fields]

Comments

Assessor response

Date/ time
responded

Risk Assessment Form Part A

[* mandatory fields]

Risk Assessment Form Part B

Reference:

Sign-off status

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:*
Activity Description:

List those managing

this Activity and their
competence:
Who & how many are
at risk from this
Activity?
Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from happening?

As we are filming on a road near town it might be dangerous for

us as there is so many cars going into town. We might get hit by
a car and hurt ourselves badly.

We go to prevent this by filming during off peak times so that we have more time to get clear shots of
our character.

As we are filming at a public place we might accidentally hurt

the members of the public with our equipment e.g. tripods and
we might back in to them while filming.

Firstly we will take full control of our equipment we will make sure they are nowhere near the public and
while the other crew is filming the other crewmember will watch over him facing the direction the
cameraman is backing into. Filming back to back.

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

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

[* mandatory fields]

Low

Risk Assessment Form Part B

Reference:

Sign-off status

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

HAZARDS & CONTROLS:

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

[activity 2 title]

Activity Description:

List those managing

this Activity and their
competence:
Who & how many are
at risk from this
Activity?
Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from happening?

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

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

[* mandatory fields]

Low