BPC MEDIA – RISK ASSESMENT FORM

PRODUCTION TITLE: Love in others eyes

15th
DATE OF FILMING: may 2023
LOCATION ADDRESS: Parsonage Barn Ln, Ringwood BH24 1PX
PERSONS TAKING Theo weaver (Filmer, director)
PART: Ben (actor)
EG Sam (actor)
STUDENTS
ACTORS Roman (actor)
CREW Ryan (actor)
NON-STUDENTS
Will (actor)
Ollie(actor)
Jack (actor)

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
NUMBER HAZARD TICK

1 Trip hazards yes

2 Proximity to water no
3 Risk of fire no
4 Live electrical equipment no
5 Vehicles / modes of transport no
6 Machinery proximity yes
7 Weather conditions no
8 Members of public at location yes
9 Access to location yes
10 Props yes
11 First Aid medical requirements no
12 Falling objects yes
13 Working at height / Working near a drop no
14 Others (Please specify) no

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 RISKS

REVISED OCTOBER 2019

 BPC MEDIA – RISK ASSESMENT FORM

NUMBER
1 You could trip and fall and break How we would limit the risk of tripping
some equipment and falling is to always look where your
going and to make sure that your
shoes are tied up.

2 A weight falls on one of the cameras
braking it
3 the data could corrupt that would
mean we would loss all of the
filming
How I will limit the risk of this
happening is that when im done
recording with that camera remember
to put it away in its case
What we would do to limit this risk of
happening is that we would make sure
to back up the data and to also check
on the filming process

4 The gym is a public place which
means there will be people that
don’t want to be recorded and
people that might get into the shot
and knock over the camera.
5 Because the gym is a very pubic
space the gym might not allow me
to record in there.
What I would do to limit this risk is to
ask everyone around if they wouldn’t
mind being in the shot then I would
also try and go after hrs so that I can
more shots and more time recording it
and to also make sure that its out of
the way of other people so that they
cant risk knocking it over.
What I will to limit the risk is to ask the
staff there if a can then ask if they can
let me film for 10 mins after hours.

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

REVISED OCTOBER 2019