Risk Assessment  

Form 

A Risk Assessment is a careful examination of what could cause harm to yourself, members of the public and people
involved in the production, so that you can weigh up whether you have taken enough precautions or should do more to
prevent harm.

Take into consideration disabilities, medical conditions and those with allergies.

Production Title: Production Date(s):

John Lewis AD 17th November 2017

Team names:
Laura Stanham, Bella Thomas, Chloe Leopardas

Date of Risk Assessment: Risk Assessment

10th November conducted by:
 Location of Potential Person(s) who Property which Risk Further action Person(s)
filming & date. Hazard may be harmed may be Assessment required to Responsible.
damaged LOW, control risk
MODERATE,
HIGH,
EXTREME

Example:
Grimsby Town Traffic (cars, Members of the Cameras, Moderate. Be aware of Camera crew to
Centre. buses, vans & public & actor / tripods. traffic in the town brief actor about
15/3/2014 pedestrians) camera crew. centre, ensure the hazards prior
not to block paths to filming.
and obstruct
traffic.

14 Good Wood Slips, trips and Actors and Cameras, Moderate. To make sure all All crew to be
Lane, falls. directors. Tripods, lights. wires are out of aware of the
Cleethorpes the way and safe equipment and
Country park. to try eliminate wires before any
any accidents. filming, everyone
is responsible.

14 Good Wood Fire hazards. All crew All props. Low. Ensure all lights Everyone on
Lane, members. don't overheat set.
Cleethorpes -don’t keep them
Country park. on for a long
period of time.
Essential Contact Numbers

Emergency Services

Fire Brigade 999

Ambulance 999

Police 999

Coastguard 999

Person's / Contact name & Business Mobile Out of hours

property Relationship Hours
(if applicable)

EXAMPLE Reception (01472) (01472) (01472) 324109

324109 324109
Grimsby Town
Hall

14 Good Wood Laura Stanham 210074 07975540668 210074

Lane, Cleethorpes House(filming
Country park. location).