Risk Assessment Form Part A

Reference:

[enter reference number]]

Sign-off status

Blank Template

[planning/approved etc]

Assessment summary details

Assessment title
(Simple name for reference
purposes)

THE CITY KILLER

Division:

Department:

Series/ Prod/Unit:

Programme/Area:

Media

Responsible
Manager:

Mr. Sheppard

Address/Tel:

The Netherhall School and Sixth

Form Centre

Address/Tel:
01223 242931

The Netherhall School and Sixth

Form Centre

Queen Ediths Way

CB1 8NN

Queen Ediths Way

Confidential risk
assessment?

YES/NO (delete as applicable)

Contact office:

Cambridge
Date assessment created

Assessment Outline
(Summary of what is
proposed)

Media

Cambridge

Creating a 2 minute opening sequence for a Film Noir.

Assessment start
date

Review / End date

Country location

England, Cambridge

Hostile / travel
advisory?

Location details

The Netherhall School and Sixth

Form Centre

NB: If the country location selected is Hostile you are

required to: complete the BBC Overseas High Risk
Assessment Form

Queen Ediths Way

Cambridge
Crew / team
(Roles, responsibilities,
competencies)

Virginia Byron-actor
Adrian Annis-actor
Producer/Director-Imogen Done
Cinematographer-Kobe Belen
Camera Operator-Kristy Ng
Sound-John Paul Nasayao
Lighting-Holly Littlefair

Attachments
(Detail supporting
documents)
Assessor(s)
(Person drafting risk
assessment)

Kobe Belen

Assessor safety
competence

Imogen Done

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

Who Exposed

Hazards{hazard titles

Activity Risk Rating

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).

Blank Template

[planning/approved etc]

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

Activity Title:

Film Noir 2 minute office scene

Activity Description:

In the office, there is 2 actors (Detective and Femme Fatale) The Detective walks in not realising the Femme Fatale sitting on
the chair.

List those managing

this Activity and their
competence:

Brendan Sheppard-supervisor
Adrian Annis, Virginia Byron-actors
Imogen Done-Producer/Director
Kobe Belen-Cinematographer and camera

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?

Can trip or bump into equipment

Make sure the floor manager informs everyone and people must be aware of the surroundings.

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

Medium

Hazards
How could someone become hurt or made ill

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

Trip over wires/cables when walking

Make sure floor manager also informs everyone about the wires, cables and ask them to be aware of the
surroundings.

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

Medium

Hazards
How could someone become hurt or made ill

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

Fire hazard or burning hand from lighting

We will make sure the lighting is set up right and turned off when not used.

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

Medium

Hazards
How could someone become hurt or made ill

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

The set could fall or collapse

We must be careful around the set and inform everyone on set about how they need to be aware of
their surroundings. The walls are quite fragile and the door being used by an actor is attached to it.

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

Medium

Hazards
How could someone become hurt or made ill

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

Blinded by the light

Person in charge of lighting should warn the crew that the lightings are coming on and try not look at
them to prevent disorientation to the eyes and any other serious damage.

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

Medium