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RISK ASSESSMENT RECORDING FORM

Location or Date Assessment Assessment undertaken


Address: Side Gate Undertaken:19/06/2023 By:Lucy, Mo
Activity or Review Signature
Situation: Date:

(1) Hazard Risk (2) Who might be harmed and (3) What controls exist to reduce (4) What action can be taken
how? risk to further reduce risk?

1- Tripping over something on the floor 1x4=4 Both the person filming and the Before filming check the location Move the danger that could
person being filmed to see if there is any danger cause you to trip before filming

2- Being hit by a car 4x1=4 Both the person filming and the Film in a quiet place with no Before setting up and filming
person being filmed moving cars make sure cars aren't moving

3- Bad weather 1x3=3 Both the person filming and the Check the weather before hand Don’t film if there is any chance
person being filmed of rain

4- Walking into people 1x3=3 Both the person filming and the Film at a quiet time Find a place where less people
person being filmed are to film

Risk Rating
a SEVERITY b LIKELIHOOD c FINAL SCORE RATING: what needs to be done

5 Dying or being permanently disabled 5 Will almost certainly happen 16-25 Stop! Do not start activity again until risk is
controlled
4 Serious injury/long term illness 4 Highly likely to happen 10-15 High risk level, High priority. Take action
straight away to control the risk
3 Temporary disability/3 days off sick 3 Not so likely 6-9 Medium risk level. Tighten up controls and
make a plan to do something about risk
2 Will need medical attention 2 Even less likely 3-5 Fairly low risk level. Low priority but keep
possible action in mind
1 Minor injury eg. Bruise, graze 1 Unlikely to happen at all 1-2 Low or trivial risk. No further action
required.

SO: a x b = c

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