RISK ASSESSMENT RECORDING FORM

Location or
Address: Walkway with green gates
Activity or
Situation: photo shoot
(1)

Hazard

Uneven Paths

Dogs

Slippery Surface e.g. mud, puddles

Date Assessment
Undertaken: 22nd February 2016
Review
Date: 22nd February 2016
Risk

(2) Who might be harmed and how?

Assessment undertaken
By: Sam Martin
Signature s.martin

(3) What controls exist to reduce

risk

(4) What action can be taken

A1B2 The model and crew may be injured

whilst tackling the uneven
pavement. It could cause people to
trip and fall.

Railings are often around to

prevent people from falling such as
offering a stable walk.

Before going to this location we

could check the surroundings and
check the accessibility to the
photoshoot location is easy to get
to without any injuries,

A1B2 The model and crew could be

harmed if a dog were to come over
and get excited or angry at the sight
of seeing us. Such as the camera
and the model.

Dogs could be on leads for when

they are walking past us to prevent
any interruption.

A2B3 The model and crew could be

harmed by this especially when they
are moving to take different camera
angles and poses for the camera.

We could pick a dry day to take the

photos to avoid any accidents by
slippery surfaces.

To further reduce risk?

We could have people a little

further down the woodland area
telling the dog walkers they are
walking up to a photoshoot so
they could ask if necessary to put
their dog on a lead.
We could pick a dry enough area
to take the photographs so theres
no chance of injury and
accessibility is made easy.

1. List hazards something with the potential to cause harm here:

Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.
2. List groups of people who are especially at risk from the significant hazards which you have identified
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you expect to
gain.

(1)

Hazard

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce

risk

(5) What action can be taken

to further reduce risk?

RISK RATING
a SEVERITY

b LIKELIHOOD

c FINAL SCORE RATING: what needs to be done

Dying or being permanently disabled

Will almost certainly happen

Serious injury/long term illness

Highly likely to happen

Temporary disability/3 days off sick

Not so likely

Will need medical attention

Even less likely

Minor injury eg. Bruise, graze

Unlikely to happen at all

16-25 Stop! Do not start activity again until risk is

controlled
10-15 High risk level, High priority. Take action
straight away to control the risk
6-9
Medium risk level. Tighten up controls and
make a plan to do something about risk
3-5
Fairly low risk level. Low priority but keep
possible action in mind
1-2
Low or trivial risk. No further action
required.

SO: a x b = c
Action Required

Responsible Person

Date for Completion