BPC MEDIA – RISK ASSESMENT FORM

PRODUCTION TITLE: Converse “Chuck Taylor all-star”

Monday 6 February 20123
DATE OF FILMING:
LOCATION Poole college
ADDRESS:
DESCRIPTION OF Constant filming of actor running around wearing the product.
ACTIVITY/ Actor running around Poole college campus.
PRODUCTION:

PERSONS TAKING Kyle player - actor

PART: Devon Dimond – camera operator
Ed Goddard – camera operator

In the box below tick any of the hazards that you may come into contact with while
recording your production, if the hazard is not on the list please tick other.

HAZARD CHECKLIST
NUMBE HAZARD TICK
R
1 Trip hazards x
2 Proximity to water
3 Risk of fire
4 Live electrical equipment
5 Vehicles / modes of transport x
6 Machinery proximity
7 Weather conditions x
8 Members of public at location x
9 Access to location x
10 Props x
11 First Aid medical requirements
12 Falling objects x
13 Working at height / Working near a drop
14 Others (Please specify)

REVISED OCTOBER 2019

 BPC MEDIA – RISK ASSESMENT FORM

Below you must detail the hazard number from the check list, identify where the hazard is
coming from and detail how you will limit the risk of the hazards you have identified.
HAZARD HAZARD DETAILS HOW WILL YOU LIMIT THE
NUMBER RISKS
The actor will be running up and down stairs The actor will have to be
and hills which might result in him falling over. carful with there footing
1.

As the college campus is a public space there Move out of the way of the
will be other students and teachers in the area people in the area.

2.

3.

4.

https://youtu.be/MfK3Ygb7Jzk

5.

Below you must sign off that you accept the risks and will adhere to safe working practice.
On some assignments staff with need to sign your risk assessment for you to hire out kit.
STUDENT NAME: Kyle STUDENT Player
(PRINT) SIGNATURE:
STAFF NAME: STAFF SIGNATURE:
(PRINT)

REVISED OCTOBER 2019