bpc media – risk assesment form

PRODUCTION TITLE: Skaterz

DATE OF FILMING: 18/03/2024
LOCATION ADDRESS: North Rd, Poole BH14 0LS.
Poole Rail Station, Poole station, Serpentine Road, Poole, Dorset, BH15
2BQ.
Poole BH15 1XR.
PERSONS TAKING Kieron Stevens (Media Student)
PART: Jordan Nash (Music Student)
EG Beth Turner (Music Student)
STUDENTS
ACTORS Eliza Redding (Music Student)
CREW Julia Marcinkowska (Music Student)
NON-STUDENTS
Charlie Smith (Non-Student)

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

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
4 Live electrical equipment, (Amps in music No liquids.
department)

5 Vehicles (near road in second location) Look where you are going,
avoid going into the road,
have someone on standby
to stop skateboard going
into the road.

8+9 Members of the public (2nd and 3rd locations),
access to location (public space)
Watch out for pedestrians,
have someone ask if people
may walk around at a safe
distance to avoid getting hit
by skateboard if trick fails.

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: KIERON STEVENS STUDENT KStevens
REVISED OCTOBER 2019
 bpc media – risk assesment form

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

REVISED OCTOBER 2019