V9

RISK ASSESSMENT
ACTIVITY

HAZARD

RISK
H/M/L

Moving around set

Falling over or walking into

something painful

Using camera in kitchen

Electric shock from either

faulty hardware or water
incident.

Please leave this section blank:

Risk Assessment checked by: Name ..
KEY:

Activity :
Hazard :
Risk:
Precautions:
In Place:
Review Date:
Reviewer:

V9/PALL/sspi/reviewedOct2010

PRECAUTIONS

Advise caution around the set and

remove any obstacles that would
trip people up and remove corners
or objects around that could injure
those around set.
Look after hardware and make sure
its not faulty and batteries are
intact. Also keep hardware away
from water and make sure any
leads connected to mains are in
good condition and dont have any
moisture on them.

IN
PLAC
E

Yes

REVIEW
DATE

On day of
shoot

Signed .

REVIEWER

Gabriel
Mikurenda

Date

Describe the component part of your pursuit.

List the things you anticipate might cause harm or the things associated with your activity that have the potential to cause harm. Consider the likely
harm.
Assess the risk as either H (High), M (Medium) or L (Low). When concluding your assessment consider all of the circumstances.
Consider what you could do to minimise / negate the risk.
Will the precautionary measures be in place at the time of the activity?
When would it be reasonable to review your assessment? Remember it might be whilst you are undertaking the activity.
Name of the person responsible for completing the risk assessment.
A copy of this form should be taken on the activity or visit by the Reviewer.