Risk Assessment Form

Premises/land to be used Teenager’s Bedroom - Burwell

Date(s) 13/04/2019
Company/project name Defy The Mall - ‘Who’s That Kid?’ Music Video

Task/Activity that could Potential Risk How I will control them Risk Rating
be harmful
Frequency Severity Total
Using camera equipment The camera and/tripod could I will make sure that tripod legs are not in a 4 1 4
get broken. place where they could be tripped over, and
there will be someone standing with the tripod
at all times to make sure it doesn’t get
knocked.

Using camera equipment People could trip over
equipment and hurt
themselves.
Bringing drinks on set Electrical fire.
Using candles as props Could catch nearby curtains
on fire, and/or someone could while no one is in the room, and they are
get burnt by the wax.
I will make sure people are warned of any 3 1 3
trailing wires or tripod legs and these will be
tucked away as much as possible.
I will tell people on set that any drinks must 2 4 8
have a lid on and can only be drank outside
the room.
I will make sure no candles are left burning 4 4 8
moved away from any flammable objects. I will
also warn all personnel to be careful around
the candles because the wax and the metal
holder will be very hot

Total = frequency x severity

Probable frequency Severity

1 = Improbable 1 = Trivial injuries
2 = Possible 2 = Minor injuries
3 = Occasional 3 = Major injury to one person
4 = Frequent 4 = Major injuries to several people
5 = Regular 5 = Death to one person
6 = Common 6 = Multiple deaths

Proposed filming in or on privately owned or occupied premises and land

Site details Teenager’s Bedroom - Burwell
Address Parsonage Lane,
Burwell, Cambridge
CB25 0EN
Parts of site to be used Bedroom at the back of the house
Date(s) and time(s) of set up Start 13/04/19 7:00 pm Finish 13/04/19 9:30 pm