Location Risk Assessment Form- Part A: Basic Information &

Hazard list
Production Name:

Music Video
Carlisle College

Production Address:

Start date

Organisation

9/01/17

Distribution

Producer

Carlisle College
Alice Dunt

Email:

Ahd44w@hotmail.co.uk

Mobile:

07938100709

End date

27/02/17

Carlisle College

Outline of risk assessment

Jasmines garden
Alice Dunt, Jess MCclenan, Jasmine Denney, Lauren-Jade Wilson, Sally Lenghen

Team members / experts /

contractors / contributors
etc.

Jasmines Garden

Locations

Assessor

Name

Authoriser

Alice Dunt

Signature

Alice Dunt

Name

Alice Dunt

(if not Assessor) Signature

Date completed

30/01/17

Date authorised

30/01/17

Alice Dunt

Hazard list select your hazards from the list below and use these to complete Part B
Situational hazards

Tic
k

Assault by person

Physical / chemical hazards

Tic
k

Health hazards

Tick

Contact with cold liquid / vapour

Disease causative agent

Contact with cold surface

Infection

Contact with hot liquid / vapour

Allergic reaction

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

High atmospheric pressure

Fire

Static body posture

Hot environment

Hazardous substance

Stress / anxiety

Manual handling

Ionizing radiation

Venom poisoning

Attack by animal

Breathing compressed gas

Cold environment

Repetitive action

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

Stroboscopic light

Physical damage

Vibration

Waste substance released into air

Slippery surface

Trap in moving machinery

Trip hazard

Waste substance released into soil /

water

Vehicle impact / collision

Managerial / organisational
hazards

Falls from height

Management factors (lack of

communication, co-operation, coordination and competence)

Risk matrix use this to determine

Likelihood of Harm

risk for each hazard i.e. how bad and how

likely

Remote

Very unlikely

Unlikely

Possible

Likely

e.g. <1 in 1000

chance

e.g. 1 in 200
chance

e.g. 1 in 50
chance

e.g. 1 in 10
chance

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

Low

Medium

High

High

Extremely high

Severity of Harm

Severe e.g. fracture, loss of

consciousness

Very Severe e.g. death, permanent

disability

Low

Medium

High

Extremely
high

Extremely high

Risk Assessment Form Part B: Hazards & Control

Measures
Hazards

Who exposed

Risk

Control measures

Risk

Attacked by animal

Jasmine

Wild animal

Stay away from animals

Low

Cold environment

Jasmine

Weather

Dress appropriately for weather

Medium

Object falling, moving or flying

Jasmine

Branch

Watch where youre walking

Low

Slippery surface

Jasmine

Icy floor

Wear appropriate shoes

Medium

Trip hazard

Jasmine

Air/branch/anythin
g

Watch where youre walking

High

Risk Assessment Form Part C: Emergency Contact information

Job Title
Director
Director of Photography

Name
Jasmine Denney
Jessica McClenan

Phone No.
07983042954
07464787537

Email
Jasminedenney2000@gmail.com
jj.mcclenan@gmail.com

Producer
Assistant Producer

Alice Dunt
Lauren Wilson

07938100709

alicehdunt@gmail.com
laurenjade1102@gmail.com

Editor

Sally Lenaghan

Cast

Jessica McClenan
Emily McClenan

Emergency Service

CUMBRIA
CONSTABULARY

(101) ask for Carlisle

City Centre NPT

Emergency Service

CUMBERLAND
INFIRMARY
FIRE
SERVICE

01228 523444

Emergency Service

Emergency Contact/Relationship

sallylenaghan1998@gmail.com

01228 221689

Address
Carlisle City Centre, Civic Centre, Rickergate
Carlisle
CA3 8QG
Newtown Rd, Carlisle
CA2 7HY
Eastern Way, Carlisle
CA1 3RA

CARLISLE COLLEGE MAIN RECEPTION

CAN BE REACHED ON
01228 822700

IN AN EMERGANCY ALWAYS CALL 999