Risk Assessment Form

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Transcript of Risk Assessment Form

Page 1: Risk Assessment Form

ACTIVITY HAZARDRISKH/M/L PRECAUTIONS

IN PLACE

REVIEW DATE REVIEWER

Filming TripsSlipsFallsFalling branchesLightningRunning,

Working at height,

FireWater.

Cautious where walking

Check weather before shootingCautious where running

Stable equipment e.g. ladder in safe position

Fire Extinguisher or WaterNo electrical equipment near.

Please leave this section blank:Risk Assessment checked by: Name ………………………………………………….. Signed …………………………………………………. Date ……………………

KEY: Activity : Describe the component part of your pursuit.Hazard : List the things you anticipate might cause harm or the things associated with your activity that have the potential to cause harm. Consider the likely

harm.Risk: Assess the risk as either H (High), M (Medium) or L (Low). When concluding your assessment consider all of the circumstances.Precautions: Consider what you could do to minimise / negate the risk.In Place: Will the precautionary measures be in place at the time of the activity?Review Date: When would it be reasonable to review your assessment? Remember it might be whilst you are undertaking the activity.Reviewer: Name of the person responsible for completing the risk assessment.

A copy of this form should be taken on the activity or visit by the Reviewer.V9/PALL/sspi/reviewedOct2010

V 9 RISK ASSESSMENT