Risk Assessment Form Part A

Reference:

Sign-off status

Assessment summary details

Assessment title *
(Simple name for reference
purposes)

Film Noir Opening Sequence

Department:*

Media Studies

AS Media

Programme/Area:

Media Studies

Brendan Sheppard

Contact office:

Netherhall Media

Division:*
Series/ Prod/Unit:
Responsible
Manager:

The Netherhall School and

Sixth Form Centre
Queen Edith's Way
Cambridge

Address/Tel:

Address/Tel:

CB1 8NN
Date assessment created

Assessment Outline
(Summary of what is
proposed)
Assessment start
date
Country location

Location details

The Netherhall School and Sixth

Form Centre
Queen Edith's Way
Cambridge
CB1 8NN

06/11/15

Confidential risk
assessment?

YES

The assessment is to protect the well being of the staff who are on set who could be at
risk of several things.
23/11/15

Review / End date

England, UK

27/11/15

Hostile / travel
advisory?

The Netherhall School and

Sixth Form Centre
Queen Edith's Way
Cambridge

NB: If the country location selected is Hostile you are

required to: complete the BBC Overseas High Risk
Assessment Form

CB1 8NN
Crew / team
(Roles, responsibilities,
competencies)

Ray and Asfaar they are conducting the Film Noir and are the head of the Film
Dan Lane is the leading star in the Film Noir Opening Sequence

Attachments
(Detail supporting
documents)
Assessor(s)

Asfaar and Ray

Assessor safety
competence

Asfaar and Ray

Date signed-off *

(Person drafting risk

assessment)
Authoriser(s) *
(Person responsible for
sign-off)
Distribution
(Who gets a copy of the
assessment)

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

Activity

Comments log
[* mandatory fields]

[This is a summary of the activities listed in part B of the risk assessment.]

Who Exposed

Hazards{hazard titles

Activity Risk Rating

Risk Assessment Form Part B

Reference:

Blank Template

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:*

Filming Opening Sequence Office Scene

Activity Description:

We will be filming an opening sequence of our AS Media Production coursework. The opening sequence w
The assessment is to protect the well being of the staff that is on set who could be at risk of several things.

List those managing

this Activity and their
competence:

Ray and Asfaar they are conducting the Film Noir and are the head of the Film
Dan Lane is the leading star in the Film Noir Opening Sequence

Who & how many are

at risk from this
Activity?

There are four people who may be at risk during this activity

Hazards
How could someone become hurt or made ill

Control measures
How are you going to prevent this from happening?

Hazard 1 someone could burn/hurt themselves whilst trying to

move the lighting. This is because the lighting equipment is
fairly hot.

The person who is moving the lighting will need to turn off the lighting first and wear gloves to move the
lighting at the right angle.

Hazard 2 Someone could fall over from a loose wire on the

floor.

The crew will be to place a cover over the wire therefore they will not be able to fall over and hurt
themselves or even cause an collapse of any equipments.

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

[* mandatory fields]

Medium