YOUR LOGO AND COMPANY ADDRESS

ACTIVITY ASSESSED
ACTIVITY LOCATION

WHOS AT RISK

ASSESSMENT DATE

ASSESSED BY

NEXT ASSESSMENT BEFORE

APPROVED BY

The Actor

HAZARD
Potential for harm

Residual

Residual

Risk
Level*
(BEFORE)

Risk level*
(AFTER)

CONTROL MEASURES

Fire: In one scene, a match is held

None

None

The match was not lit.

Fireworks: In one scene fireworks

are held.

None

None

The fireworks were not lit.

The Old Town Hall, Patriot Square, Bethnal Green, LONDON E2 9NP
Tel. 020-8980-8771 FAX: 020-8981-2272 email: info@filmoffice.co.uk Website: www.filmoffice.co.uk
The FiLM Office is a Limited Liability Partnership: Partnership number: OC315990

Personal Protective Equipment Needed

Nearest Telephone

Provided By

Level of First Aid provision

needed

First Aiders

Nearest 24 hour Hospital and/or Doctor

Princess Royal University Hospital

* REFER TO THE RISK ASSESSMENT SCORING GUIDELINES

The Old Town Hall, Patriot Square, Bethnal Green, LONDON E2 9NP
Tel. 020-8980-8771 FAX: 020-8981-2272 email: info@filmoffice.co.uk Website: www.filmoffice.co.uk
The FiLM Office is a Limited Liability Partnership: Partnership number: OC315990