Risk Assessment Form Part A

Reference:

[enter reference number]]

Sign-off status

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[planning/approved etc]

Assessment summary details

Assessment title *
(Simple name for reference
purposes)

LOCATION ONE STREET EXTERIOR AND INTERIOR

Division:*

Department:*

Series/ Prod/Unit:

Programme/Area:

Responsible
Manager:

Contact office:

Address/Tel:

Address/Tel:

Date assessment created

Confidential risk
assessment?

YES/NO (delete as applicable)

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

Review / End date

Country location

Hostile / travel
advisory?

Location details

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

Comments

Assessor response

Date/ time
responded

Risk Assessment Form Part B

Reference:

Sign-off status

[enter reference number]]

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

EXTERIOR AND INTERIOR OF STREET

Activity Description:

FILMING FOR A SHORT FILM A2 PROJECT

RUNNING WITH SCISSORS

List those managing

this Activity and their
competence:

MAISIE CRAN
ZOE POLLOCK

Who & how many are

at risk from this
Activity?

4 ACTORS AND 2 STAFF MEMBERS

THE GENERAL PUBLIC

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[planning/approved etc]

HAZARDS & CONTROLS:

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

Hazards
How could someone become hurt or made ill

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

Injury due to cars and other hazards on the road of the street.

Filming at off peak times to ensure a minimum amount of traffic and a clear road for filming as well as a
check of the area to ensure there are no tripping hazard, making sure to use wireless equipment for
filming.

Injury from the camera equipment inside the house and wires
from the boom microphone.

Only moving the camera around when others are clear and out of the way with a minimum amount of
people on set behind the scene to ensure enough space to move about.

Illness from weather expose outside and from food prepared for
the scenes.

Making sure the actors have only a small amount of time outside before coming back in and making
sure to hygienically change or make the food between scenes.

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

High/Medium/Low

(delete as applicable)

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