Risk Assessment Form Part A

Reference:

[enter reference number]]

Sign-off status

Blank Template

[planning/approved etc]

Assessment summary details

Assessment title *
(Simple name for reference
purposes)

Lighting equipment risk assessment

Division:*

Film Production

Department:*

Drama

Series/ Prod/Unit:

Thriller

Programme/Area:

Echoes

Louis Prime

Contact office:

10 Cherry Orchard Fulborn

CB215EH

Responsible
Manager:
Address/Tel:

07807226465

Address/Tel:

01223881029

Date assessment
created

19.11.2015

Confidential risk
assessment?

NO

Assessment Outline
(Summary of what is
proposed)

Assessment start
date
Country location

Location details

Crew / team
(Roles, responsibilities,
competencies)

Filming with the lighting equipment. There is a tripping hazard because of the stand the
light has a large area space. Also there is the risk of burns, as the lighting equipment
can get very hot. There is the risk of electric shocks where the light is plugged into the
power outlet.
26.11.2015

Review / End date

England

Hostile / travel
advisory?

A suburban house in a culde-sac in a village near

Cambridge. 10 Cherry
Orchard Fulborn CB21 5EH

26.11.2015

No

NB: If the country location selected is Hostile you are

required to: complete the BBC Overseas High Risk
Assessment Form

Holly Hermance director and producer of the production, responsible for making sure everyone
knows what they are doing and the production flows smoothly.
Louis Prime Lighting director, responsible for lighting each scene appropriately.
Matthew Peet Production designer, responsible for dressing the set and the actors
Anne Diangson editor, responsible for editing the final production and making a logo.
Gvidas Lipinas Sound, responsible for recording the sound effectively

Attachments
(Detail supporting
documents)
Assessor(s)

Holly Hermance

(Person drafting risk

assessment)
Authoriser(s) *
(Person responsible for
sign-off)
Distribution
(Who gets a copy of the
assessment)

Brendan Sheppard

Assessor safety
competence

Date signed-off *

Data Protection Act: Personal information collected for the purposes of risk assessment will be used to identify those at risk, and
those involved in controlling risk, from this or similar activities and to fulfil the BBC's obligations under Health and Safety policy and
legislation. It will be retained for up to 6 years after the expiry of the activity. It may be shared with other organisations, including
our agents and contractors, with whom the risk or the control of risk is shared.

Activity and Hazard Summary

[This is a summary of the activities listed in part B of the risk assessment.]

Activity

Who Exposed

Hazards{hazard titles

Activity Risk Rating

Using a knife

The actors

Cutting yourself with knife

Medium

[* mandatory fields]

Risk Assessment Form Part A

Using lighting equipment

The director, the lighting

director, the actors, the
production designer, the
sound manager.

Blank Template

Tripping, burning, electric

shock.

Low

Comments log
Who by

Date / time
received

Comments

Assessor response

Date/ time
responded

Risk Assessment Form Part B

Reference:

Sign-off status

12345678

ACTIVITIES:
What are you doing, where, for how long and who will be
involved? Complete the fields in the form below).

[planning/ap

HAZARDS & CONTROLS:

How
how are you going to prevent this fro

Activity Title:*

Using a knife

Activity Description:

The actor picks up the knife and chops vegetables before it goes missing.

List those managing

this Activity and their
competence:

Holly Hermance, director

Matthew Peet, production designer

Who & how many are

at risk from this
Activity?

David Keogh, the actor.

Hazards
How could someone become hurt or made ill

Control mea
How are you going to prevent this from happening?

Cut themselves with the knife.

Using the knife carefully and placing it down gently when

designer needs to be aware of where it is at all times. If

Dropping the knife.

This could be on their foot or just on the floor.

If dropped on foot seek medical assistance. If dropped on

around is going to get hurt. To prevent the knife being dr
edge and use carefully. Never hold the sharp end.

Risk Level*: After your controls have been applied what is your assessment of the risk level of
this activity?

Low

Risk Assessment Form Part B

Reference:

[enter reference number]]

ACTIVITIES:
What are you doing, where, for how long and who will be
involved? Complete the fields in the form below).

Sign-off status

[planning/ap

HAZARDS & CONTROLS:

How
how are you going to prevent this fro

Activity Title:*

Using lighting equipment

Activity Description:

The lighting equipment will be hot and may be stood in a position that is awkward fo
cable that gives it power will be turned on from an outlet in the wall.

[* mandatory fields]

Activity Title:*

Using lighting equipment

List those managing

this Activity and their
competence:

Holly Hermance, director

Louis Prime, lighting director

Who & how many are

at risk from this
Activity?

Holly Hermance, the director

Louis Prime, the lighting director
Matthew Peet, the production designer
Gvidas Lipinas, the sound manager
The Actors, Marie and David

Hazards
How could someone become hurt or made ill

Control mea
How are you going to prevent this from happening?

Tripping over the lighting cable or the lighting stand.

Be carful when around the lights. Keep a distance and wa

sure Louis Prime is there to look out for you. If you trip o
serious seek medical attention.

Touching the light when it is on or has just been turned off.

You may suffer burns if you have contact with the light o
touch the lights without permission from Louis Prime. If b
medical attention.

Touching the outlet when the light is using it. Taking the light
plug out of the outlet without turning the outlet off.

Do not touch the lights unless you have permission to do

Always turn the outlet off after finishing with the lights. S
use.

Risk Level*: After your controls have been applied what is your assessment of the risk level of
this activity?

[* mandatory fields]

Mediu