RISK ASSESSMENT RECORDING FORM

Location or
Address: Room In a house
Date Assessment
Undertaen:
Assessment undertaen
!": So#hie
Acti$it" or
Situation: Fi%min&
Re$ie'
Date:
Si&nature
()* +a,ard Ris (-* .ho mi&ht /e harmed and ho'0 (1* .hat contro%s e2ist to reduce
ris
(3* .hat action can /e taen
to 4urther reduce ris0
Electric equipment
Low ceiling
Animals in the house
Wires from Camera
3
2
1
1
My model or me taking the
photographs the equipment could
fall off the tripod and hit someone!
My model as they mo"e around the
room for the poses! As they aren#t
paying attention to what they are
doing
Me as $ am taking the photographs
and not looking past the camera
lens!
My model and me as we could step
%ack not realising they are there and
fall o"er!
Likely hood& 1
Make sure the equipment if fasted
correctly %efore use!
Likely hood&1
'elp the model out as they mo"e
warning them when they are too
close to the ceiling
Likely hood& 2
(eep the animal in another room
for the time %eing that the pictures
are %eing taken!
Likely hood& 3
)ape the wires to the ground so
that no%ody can trip o"er them
Ask someone else to fast the
camera to the lens properly
Warn and help my model as they
mo"e for each picture that is %eing
taken!
Warn the model to look down
when mo"ing around!
)ry to use as little wiring as
possi%le and keep out of the way
from any people passing through
RISK RATING
a SE5ERIT6 / LIKELI+OOD c FINAL SCORE RATING: 'hat needs to /e done
7 D"in& or /ein& #ermanent%" disa/%ed 7 .i%% a%most certain%" ha##en )89-7 Sto#: Do not start acti$it" a&ain unti% ris is
contro%%ed
3 Serious in;ur"<%on& term i%%ness 3 +i&h%" %ie%" to ha##en )=9)7 +i&h ris %e$e%> +i&h #riorit"? Tae action
strai&ht a'a" to contro% the ris
1 Tem#orar" disa/i%it"<1 da"s o44 sic 1 Not so %ie%" 89@ Medium ris %e$e%? Ti&hten u# contro%s and
mae a #%an to do somethin& a/out ris
- .i%% need medica% attention - E$en %ess %ie%" 197 Fair%" %o' ris %e$e%? Lo' #riorit" /ut ee#
#ossi/%e action in mind
) Minor in;ur" e&? !ruise> &ra,e ) Un%ie%" to ha##en at a%% )9- Lo' or tri$ia% ris? No 4urther action
reAuired?
SO: a 2 / B c
Action ReAuired Res#onsi/%e Cerson Date 4or Com#%etion