Risk Assessment Form – Part A Blank Template

Reference: Sign-off status

Assessment summary details

Assessment title *(Simple name for reference purposes)

Lazarus Risk Assessment

Division:* Film Production Department:* Drama

Series/ Prod/Unit: Horror/Mystery Programme/Area: Lazarus

Responsible Manager:

Anne Diangson / Reece Howard

Contact office: -

Address/Tel: - Address/Tel: -

Date assessment created

- Confidential risk assessment?

-

Assessment Outline(Summary of what is proposed)

Filming in the Atrium Hall using the stage and creating a storage room using tables. Ladders and considerable height with risk of falling. A wide selection of props and equipment used and there is risk of tripping over. Risk of other people in the school as they are unaware as to what is going on.

Assessment start date

- Review / End date -

Country location England Hostile / travel advisory?

-

Location details The Netherhall School and Sixth Form Centre is a secondary school and sixth form in the Queen Edith ward of Cambridge, England. Its logo is the crest of Cambridge. It is one of the largest schools in the area in terms of capacity. 

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)

Anne Diangson and Reece Howard – Camera and Film Director, Responsible for props and camera equipment

Sophie Butler – Actor, Act according to directors instructions

Attachments(Detail supporting documents)

Atrium Hall

Assessor(s) *(Person drafting risk assessment)

Anne Diangson Assessor safety competence

Authoriser(s) * Brendan Sheppard Date signed-off *

[* mandatory fields]

Risk Assessment Form – Part A Blank Template

(Person responsible for sign-off)

Distribution(Who gets a copy of the assessment)

Brendan Sheppard, Reece Howard, Netherhall School

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

Filming in atrium Directors and actors Falling, tripping Medium

Comments log

Who by Date / time received

Comments Assessor response Date/ time responded

[* mandatory fields]

Risk Assessment Form – Part B Blank Template

6Reference: 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:* Standing on stage in front of an audience

Activity Description: The actor will be standing on stage in front of a fake audience

List those managing this Activity and their competence:

Reece Howard – High CompetenceAnne Diangson – High Competence

Who & how many are at risk from this Activity?

Reece, Anne and Sophie – also any students in the hall

HazardsHow could someone become hurt or made ill

Control measuresHow are you going to prevent this from happening?

Crew and actor could fall of the stage, while misjudging the location

Ensure that crews and actors are far away from the edge of the stage at all times. This way, they will all be safely in the center of the stage and no possibility of falling at the edge

Crew and actor could trip over equipment and props, resulting in a damage of equipment

Make sure that there is always someone in charge of specific equipment so that they can warn if anyone is in danger. If there is no one available to be in charge, it would be useful to put a sign.

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

Medium

[* mandatory fields]