RISK ASSESSMENT RECORDING FORM
Location or Address: Priestley college, Walton
locks
Activity or Situation: photoshoot for film
magazine front covers
(1) Hazard
Tripping over electrical wires
Tripping over bags.
Tripping over chairs
Spilling water on equipment
wet equipment, electrocuting
someone
Date Assessment Undertaken: 15/05/19
Review Date: 15/05/19
Risk (2) Who might be harmed and how?
1x2 = 2 The crew, models and other
bystanders that would be in the
room
1x2 = 2 The models as well as any
individuals that are in the
surrounding area. As well as the
crew
1x1 = 1 This will affect the models as well as
the crew.
1x1 = 1 The crew as well as models
5x1 = 5 The crew as well as models
Assessment undertaken By: Ben Purnell
Signature
(3) What controls exist to reduce
risk
Tuck the wires into areas that won’t
affect people
Make sure all of the bags are
placed in a specific corner where
they are visible and don’t cause
any obstructions to any other
activities happening during that are
taking place at the time.
Make sure all chairs are tucked
into the tables.
Keep water away from equipment
Always keep equipment dry and
safe.
(4) What action can be taken
To further reduce risk?
Coordinate to every individual
passing by as to where the wires
are located.
Make sure the bags are placed on
table so that they do not interfere
with people walking paths.
Move all the chairs away from the
vicinity of the shoot.
Don’t have any water nearby or
have any at all.
Don’t go out and film during
stormy weather.
 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.

a SEVERITY b LIKELIHOOD c FINAL SCORE RATING: what needs to be done

5 Dying or being permanently disabled 5 Will almost certainly happen 16-25 Stop! Do not start activity again until risk is
controlled
4 Serious injury/long term illness 4 Highly likely to happen 10-15 High risk level, High priority. Take action
straight away to control the risk
3 Temporary disability/3 days off sick 3 Not so likely 6-9 Medium risk level. Tighten up controls and
make a plan to do something about risk
2 Will need medical attention 2 Even less likely 3-5 Fairly low risk level. Low priority but keep
possible action in mind
1 Minor injury eg. Bruise, graze 1 Unlikely to happen at all 1-2 Low or trivial risk. No further action
required.

SO: a x b = c

Action Required Responsible Person Date for Completion