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RISK ASSESSMENT RECORDING FORM

Location or Date Assessment Assessment undertaken


Address:Bus stop, Buntingford Road Undertaken:15th of April 2018 By:Jai
Warrington WA4 2LY
Activity or Review Signature
Situation: Photography shoot Date: 20th of April 2018

(1) Hazard Risk (2) Who might be harmed and how? (3) What controls exist to reduce (4) What action can be taken
risk to further reduce risk?
People walking into to the road and 5 The cast and the crew may be Make everyone who is at the shoot Make sure while the shoot is
getting run over as the shoot is taking harmed, injured or death could aware of the risk, and tell them taking place that one member of
place near a main road. occur, by walking in to the main make sure that they are always the crew is making sure that no
road by accident. aware of their surrounding while one walks in to the road and into
there. oncoming traffic.

Tripping over the uneven surface on 2 The cast and the crew could be To reduce the risk we should make Make sure that a large enough
the pavement/ bus stop surface harmed and cut themselves by sure that everyone on location is gap is left between the crew and
walking on the surface and tripping aware of the pavements surface cast and and the edge of the road
over. and the equipment is set with this so if they tip they don't fall into the
in mind. road.

Rain damaging the equipment. 2 The equipment may be harmed To control the amount of risk which Making sure that we check the
making it inoperable. Also an could occur, we will make sure that weather forecast before making
electric shock may occur as when the shoot is taking place we sure if on day it is going to be
electricity and rain don't mix, this have an umbrella or something raining a lot that we can’t do the
could then harm one of the cast or which can protect the equipment shoot.
crew. from the weather.

Rain creating a slippery surface to 3 One member of the cast or crew To control the amount of risk we Making sure that we check the
walk on. could slip and fall, on the wet can make sure that everyone on weather forecast before and
surface, injuring themselves or set is made aware of the risks that making sure if on day it is going to
carrying the equipment. can occur. be raining a lot that we can’t do
the shoot..
1. List hazards something with the potential to cause harm here:
Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.
2. List groups of people who are especially at risk from the significant hazards which you have identified
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you expect to
gain.

(1) Hazard Risk (2) Who might be harmed and how? (3) What controls exist to reduce (5) What action can be taken
risk to further reduce risk?

RISK RATING

a SEVERITY b LIKELIHOOD c FINAL SCORE RATING: what needs to be done

5 Dying or being permanently disabled 5 Will almost certainly happen 16-25 Stop! Do not start activity again until risk is
controlled
4 Serious injury/long term illness 4 Highly likely to happen 10-15 High risk level, High priority. Take action
straight away to control the risk
3 Temporary disability/3 days off sick 3 Not so likely 6-9 Medium risk level. Tighten up controls and
make a plan to do something about risk
2 Will need medical attention 2 Even less likely 3-5 Fairly low risk level. Low priority but keep
possible action in mind
1 Minor injury eg. Bruise, graze 1 Unlikely to happen at all 1-2 Low or trivial risk. No further action
required.

SO: a x b = c

Action Required Responsible Person Date for Completion

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