BPC MEDIA – RISK ASSESMENT FORM

PRODUCTION TITLE:
DATE OF FILMING:
LOCATION 41 Feversham avenue
ADDRESS:
DESCRIPTION OF Interveiws
ACTIVITY/
PRODUCTION:

PERSONS TAKING Me ,
PART: Interveiwing : my mum, my 2 sisters
EG
STUDENTS
ACTORS
CREW
NON-STUDENTS

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
2 Proximity to water
3 Risk of fire
4 Live electrical equipment
5 Vehicles / modes of transport
6 Machinery proximity
7 Weather conditions
8 Members of public at location
9 Access to location
10 Props
11 First Aid medical requirements
12 Falling objects
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

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: Meredith warriner STUDENT
(PRINT) SIGNATURE:
STAFF NAME: STAFF SIGNATURE:
(PRINT)

REVISED OCTOBER 2019