BPC MEDIA – RISK ASSESMENT FORM

PRODUCTION TITLE: What makes you happy?

DATE OF FILMING:
LOCATION Poole College, North Road
ADDRESS:
DESCRIPTION OF We are going to be interviewing people sat in front of a backdrop,
ACTIVITY/ the backdrop is going to have aura light projecting onto it.
PRODUCTION:

PERSONS TAKING Casey Rocha

PART: Mia Rocha
EG Jared Rocha
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 Any of the crew or interviewees could trip on Make sure everyone is
any wires or equipment in the room, as well as aware and careful with their
any props used in the space is a hazard for surroundings.
tripping.

4 One of my props is a light projector which Make sure everyone is

projects different colours onto the wall, this is a aware of the light and that
light source therefore it can get hot and if not it can become very hot.
careful somebody could accidently touch it and
get burnt.

9 I may be unable to have access to the location Have a plan b location in

that I want to use. case it falls through.

10 My light projector prop is quite small and so it Make sure everyone is

is a trip hazard as well as a burning hazard as it careful and aware of their
may overheat (mentioned in hazard 4). surroundings.

12 The camera may fall off the tripod not placed Make sure everything is
on correctly, as well as the light projector placed correctly and is
falling over/from something. stable.

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

REVISED OCTOBER 2019