BPC MEDIA – RISK ASSESMENT FORM

PRODUCTION TITLE: Flash- Jimmy Choo

DATE OF FILMING:
LOCATION College, outside of college?
ADDRESS:
DESCRIPTION OF  Creating a 30sec TV advertisement of Fragrance on Jimmy
ACTIVITY/ Choo.
PRODUCTION:  As well as creating a Instagram post.
 If I have time to create a website campaign on Jimmy
Choo Flash.

PERSONS TAKING Ella Justice

PART: Amelia Davis
EG And Annabelle
STUDENTS
ACTORS
CREW
NON-STUDENTS
And maybe my sister: Emma Riding

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

REVISED OCTOBER 2019