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Risk Assessment Form –
Part A
Production Name: Canon- Journey Organisation Sunderland College Creative Media
Production Address: Durham Road,
Sunderland,
SR3 4AH
Producer / Editor
Tel:
Mobile:
Faith Sowerby + Katie Moon
Details on file
Details on file
Start date 20-02-2023 End date 06-03-2023
Distribution
Who gets a copy of the assessment
Copies to: Emma Leslie-Boddy, Neil Wilson, Rachel Cowley and Katie Moon
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Single Camera Shoot (inc. Hand Held) Images taken in Barnes Park and Winter Garden.
Team members / experts /
contractors / contributors etc.
List those involved
Katie Moon
Locations
Outline locations involved – indicate
any which are hostile environments
Barnes Park
Winter Gardens
Assessor Name
Signature
Faith Sowerby Date completed 21-02-2023
Authoriser Name
(if not Assessor) Signature
Faith Sowerby Date authorised 21-02-2023
Hazard list – select your hazards from the list below and use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person Contact with cold liquid / vapour Disease causative agent
Attack by animal Contact with cold surface Infection
Breathing compressed gas Contact with hot liquid / vapour Allergic reaction
Cold environment Contact with hot surface Lack of food / water
Crush by load Electric shock Lack of oxygen
Drowning Explosive blast Physical fatigue
Entanglement in moving machinery Explosive release of stored pressure Repetitive action
High atmospheric pressure Fire Static body posture
Hot environment Hazardous substance Stress / anxiety
Manual handling Ionizing radiation Venom poisoning
Object falling, moving or flying Laser light
Obstruction / exposed feature Lightning strike Environmental hazards
Sharp object / material Noise Litter
Shot by firearm Non-ionizing radiation Nuisance noise / vibration
Slippery surface Stroboscopic light Physical damage
Trap in moving machinery Vibration Waste substance released into air
Trip hazard Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls from height Management factors (lack of communication,
co-operation, co-ordination and competence)
Risk matrix – use this to determine risk for
each hazard i.e. ‘how bad and how likely’ Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Very unlikely
e.g. 1 in 200 chance
Unlikely
e.g. 1 in 50 chance
Possible
e.g. 1 in 10 chance
Likely
e.g. >1 in 3 chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium
Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High
Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high
Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high
Risk Assessment Form – Part B
Activity1
– Each individual activity you are proposing:
Witchcraft Inspired images
Location – where this activity will take place:
Barnes Park
Dates/times:
25-02-2023
3pm-4pm
Hazards2
List what could cause harm from this activity
e.g. falls from height, trip hazard, fire, etc.
Who exposed
List who might be harmed
from this activity
e.g. staff, contractors,
contributors, public, etc.
Risk3
For each hazard, decide
level of risk as if you were to
do the activity without your
controls
Control measures
For each hazard, list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.
Risk3
For each hazard,
decide level of risk
once all your controls
are in place
Physical Fatigue Everyone Negligible Make sure to take regular breaks if feeling tired or weak. Negligible
Slippery Surfaces Everyone Negligible Try the surface to make sure it is not slippery but for walking or
climbing on the surface
Negligible
Cold environment Everyone Negligible Make sure to wear warm clothing in case it is cold or if you got cold. Negligible
Trip Hazards Everyone Negligible Before taking photos make sure anything and everything, we could
trip on is moved somewhere else.
Negligible
Continue on separate sheet if necessary
1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A

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Risk Assessment Form for Single Camera Shoot in Barnes Park

  • 1. Risk Assessment Form – Part A Production Name: Canon- Journey Organisation Sunderland College Creative Media Production Address: Durham Road, Sunderland, SR3 4AH Producer / Editor Tel: Mobile: Faith Sowerby + Katie Moon Details on file Details on file Start date 20-02-2023 End date 06-03-2023 Distribution Who gets a copy of the assessment Copies to: Emma Leslie-Boddy, Neil Wilson, Rachel Cowley and Katie Moon Outline of risk assessment Summary of what is proposed in terms of sequences and set ups. Single Camera Shoot (inc. Hand Held) Images taken in Barnes Park and Winter Garden. Team members / experts / contractors / contributors etc. List those involved Katie Moon Locations Outline locations involved – indicate any which are hostile environments Barnes Park Winter Gardens Assessor Name Signature Faith Sowerby Date completed 21-02-2023 Authoriser Name (if not Assessor) Signature Faith Sowerby Date authorised 21-02-2023 Hazard list – select your hazards from the list below and use these to complete Part B Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick Assault by person Contact with cold liquid / vapour Disease causative agent Attack by animal Contact with cold surface Infection Breathing compressed gas Contact with hot liquid / vapour Allergic reaction Cold environment Contact with hot surface Lack of food / water Crush by load Electric shock Lack of oxygen Drowning Explosive blast Physical fatigue Entanglement in moving machinery Explosive release of stored pressure Repetitive action High atmospheric pressure Fire Static body posture Hot environment Hazardous substance Stress / anxiety Manual handling Ionizing radiation Venom poisoning Object falling, moving or flying Laser light Obstruction / exposed feature Lightning strike Environmental hazards Sharp object / material Noise Litter Shot by firearm Non-ionizing radiation Nuisance noise / vibration Slippery surface Stroboscopic light Physical damage Trap in moving machinery Vibration Waste substance released into air Trip hazard Waste substance released into soil / water Vehicle impact / collision Managerial / organisational hazards Falls from height Management factors (lack of communication, co-operation, co-ordination and competence) Risk matrix – use this to determine risk for each hazard i.e. ‘how bad and how likely’ Likelihood of Harm Severity of Harm Remote e.g. <1 in 1000 chance Very unlikely e.g. 1 in 200 chance Unlikely e.g. 1 in 50 chance Possible e.g. 1 in 10 chance Likely e.g. >1 in 3 chance Negligible e.g. small bruise Trivial Trivial Trivial Low Low Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high
  • 2. Risk Assessment Form – Part B Activity1 – Each individual activity you are proposing: Witchcraft Inspired images Location – where this activity will take place: Barnes Park Dates/times: 25-02-2023 3pm-4pm Hazards2 List what could cause harm from this activity e.g. falls from height, trip hazard, fire, etc. Who exposed List who might be harmed from this activity e.g. staff, contractors, contributors, public, etc. Risk3 For each hazard, decide level of risk as if you were to do the activity without your controls Control measures For each hazard, list the measures you will be taking to minimise the risk identified e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective equipment, provision of first aid, etc. Risk3 For each hazard, decide level of risk once all your controls are in place Physical Fatigue Everyone Negligible Make sure to take regular breaks if feeling tired or weak. Negligible Slippery Surfaces Everyone Negligible Try the surface to make sure it is not slippery but for walking or climbing on the surface Negligible Cold environment Everyone Negligible Make sure to wear warm clothing in case it is cold or if you got cold. Negligible Trip Hazards Everyone Negligible Before taking photos make sure anything and everything, we could trip on is moved somewhere else. Negligible Continue on separate sheet if necessary 1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A