BPC MEDIA – RISK ASSESMENT FORM

PRODUCTION TITLE: Memory

DATE OF FILMING: 27th April
LOCATION North Rd, Poole BH14 0LS
ADDRESS:
DESCRIPTION OF Ballet form of dancing in a looped motion.
ACTIVITY/
PRODUCTION:

PERSONS TAKING Student: Aimée Neal

PART:
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
1) Trip hazard due to wires from camera and Make sure wires are tucked
lighting, and uneven floorboards. away carefully and watching
steps to avoid uneven
flooring.

2) Use of electrical equipment due to using Make sure not to bring any
cameras and lighting. liquids near the equipment
and keep them out of the
room.

3) Props: Large piano in the middle of room, Make sure to avoid the
someone could bump into it, or the lid and or piano and not to touch
fallboard could collapse and hit fingers. unless absolutely necessary.

4) Others: Burns or potential blinding due to Make sure not to touch the
bright lights that will be used for apart of lights at the end or the bulb
equipment. unless turned off and cooled
down, and avoid looking
directly into the bright
lights.

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: George Syriopoulos STUDENT GMS
(PRINT) SIGNATURE:
STAFF NAME: Michael Bush STAFF SIGNATURE: Bushm@bcp.ac.uk
(PRINT)

REVISED OCTOBER 2019