SMILE Campaign Risk Assessment

Risk Assessment Form – Part A

 

Production Name:	Video Game Documentary	Organisation	Sunderland College (Bede Campus)
Production Address:	Durham Rd, Sunderland SR3 4AH	Producer / Editor   Tel:  Mobile:	Amy Norris
Start date		End date
Distribution  Who gets a copy of the assessment	Amy Norris, Lecturer (Emma Leslie-Boddy, Neil Wilson)
Outline of risk assessment  Summary of what is proposed in terms of sequences and set ups.	The location of the production is at my house. All of the equipment used in the production of the print advert are my own. I use my own phone for taking photos and my laptop for editing.
Team members / experts / contractors / contributors etc.  List those involved	Amy Norris
Locations  Outline locations involved – indicate any which are hostile environments	Amy Norris’ Home.
Assessor  Name  Signature		Date completed
Authoriser Name  (if not Assessor) Signature		Date authorised

 

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	x	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	x	Hazardous substance		Stress / anxiety	x
Manual handling		Ionizing radiation		Venom poisoning
Object falling, moving or flying		Laser light
Obstruction / exposed feature		Lightning strike		Environmental hazards
Sharp object / material	x	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:			Location – where this activity will take place:	Dates / times:
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
Eg, Hot working environment	Amy Norris	Slight	Open the windows or doors in the room to let air out.	Negligible
Eg, Cold working environment	Amy Norris	Slight	Put more clothes on, or heat the room up.	Negligible
Eg, Object falling, moving or flying	Amy Norris	Slight	Use tape to secure the object.	Negligible
Eg, Slippery surface	Amy Norris	Slight	See where the slippery surface is and make sure we don’t use it or clean it up (if it’s a spill).	Negligible
Eg, Trip hazard	Amy Norris	Slight	Put tape over the cables so it’s a smooth surface or watch where you’re going.	Negligible
Eg, Explosive blast	Amy Norris	Slight	Turn off equipment that isn’t in use.	Negligible
Eg, Fire	Amy Norris	Slight	Keep an eye on the equipment in use to make sure they don’t overheat and cause a fire.	Negligible
Eg, Physical damage	Amy Norris	Slight	Be careful when using equipment and keep things like bandaids nearby just in case.	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