V9

ACTIVITY

HAZARD

RISK
RISK ASSESSMENT
H/M/L

PRECAUTIONS

IN
PLACE

REVIEW
DATE

REVIEWER

Could choke if malteser falls

to back of throat or could
catch hand on tape measure

Keep tape measure nearly levelled

out so malteser doesn't roll too fast
and lock the tape measure so it
doesn't ping back

During
producti
on

Byron

When the malteser in shot 7 get

thrown into peoples mouths

Malteser could potentially

smack someone's tooth

Make sure the persons mouth is

wide open so teeth arent exposed

During
producti
on

Byron

When shooting the malteser

rolling in shots 1-4

Camera could hit the surface

and take damage as it is
filmed very low down

Move camera slowly so camera

doesnt smack surface

During
producti
on

Shooting a scene where a

malteser runs down a tape
measure into someone's mouth

Byron

Please leave this section blank:

Risk Assessment checked by: Name ..
KEY:

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

Signed .

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.
V9/PALL/sspi/reviewedOct2010