1. Risk Assessment Form – Part A Blank Template
Reference: [enter reference number]] Sign-off status [planning/approved etc]
Assessment summary details
Assessment title * Produce a promotional video for a department within the college
(Simple name for reference
purposes)
Division:* Unit 4, 5 and 62. Department:* Creative Media
Series/ Prod/Unit: Creative Media Promo Programme/Area: Unit 4, 5 and 62.
Responsible George Pratt Contact office: George Pratt
Manager:
Address/Tel: 9 West Park Road Address/Tel: 9 West Park Road
Bramhall Bramhall
Stockport Stockport
01614400161 01614400161
Date assessment created 10/09/2012 Confidential risk YES (delete as applicable)
assessment?
Assessment Outline This assessment covers all aspects of the filming of our promotional video.
(Summary of what is
proposed)
Assessment start 10/09/2012 Review / End date 28/01/2012
date
Country location UK Hostile / travel No.
advisory?
Location details College. NB: If the country location selected is ‘Hostile’ you are
required to: complete the BBC Overseas High Risk
Assessment Form
George, Ben and Tom.
Crew / team
(Roles, responsibilities,
competencies)
Attachments
(Detail supporting
documents)
George Pratt
Assessor(s) * Assessor safety
(Person drafting risk competence
assessment)
Authoriser(s) * Roger Sears Date signed-off *
(Person responsible for
sign-off)
Ben, Tom.
Distribution
(Who gets a copy of the Data Protection Act: Personal information collected for the purposes of risk assessment will be used to identify those at risk, and
those involved in controlling risk, from this or similar activities and to fulfil the BBC's obligations under Health and Safety policy and
assessment) legislation. It will be retained for up to 6 years after the expiry of the activity. It may be shared with other organisations, including
our agents and contractors, with whom the risk or the control of risk is shared.
Activity and Hazard Summary [This is a summary of the activities listed in part B of the risk assessment.]
Activity Who Exposed Hazards{hazard titles Activity Risk Rating
Comments log
Who by Date / time Comments Assessor response Date/ time
received responded
[* mandatory fields]

2. Risk Assessment Form – Part B Blank Template
Reference:
6 [enter reference number]] Sign-off status [planning/approved etc]
ACTIVITIES: What are you doing, where, for how long and who will be HAZARDS & CONTROLS: How could someone become hurt or made ill and
involved? Complete the fields in the form below). how are you going to prevent this from happening?
Activity Title:* Filming in College
Activity Description: Self-Explanatory
List those managing George Pratt, competent.
this Activity and their
competence:
Who & how many are 3 people. Ben, George and Tom
at risk from this
Activity?
Hazards Control measures
How could someone become hurt or made ill How are you going to prevent this from happening?
Trip Hazard, original hazards that would be present in the Stick to the college guidelines and make all access points clear.
college such as fire etc.
Risk Level*: After your controls have been applied what is your assessment of the risk level of Low (delete as applicable)
this activity?
Add additional activities as required – by copying this section and pasting below
[* mandatory fields]

3. [* mandatory fields]