Media

1. APPENDICES
EIEIEI General Risk Assessment Form
- Part A
Apnl 2007- DC
Division / Studio i1re1r1/r trr lc
F" rn=
Department / Series
Business Unit / Production
Address
r'l€(t1zr rt-"v L
Pr"{>hc^-c1a-( (-D
wVtt IRD
Producer / Editor
Tel:
Mobile:
"i-C^BiCAl1
Scrrrrrac:,n
Period covered by assessment Version number
Outline of risk assessment
Summary of what is proposed Prorrohcxrcrl vclec> iv1Le,,rve&]
Team members / experts,/
contractors / etc.
List those involved
tr.'terverc*.e{ ln , sk-tc-len
Site /Office / Location
Outline site/ locations involved
C
?crrL, Pretraroc &Dn .J v
Assessor Name
Signature
Date completed
g-? *
"{)lgAuthoriser
(if not Assessor)
Name
Signature 8-+- zot
Hazard list - se lect your hazards from the list below and use these to comptete part B Gdd others wherc apprcpiate)
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Asbestos Contact with cold liquid / vapour Disease causative agent
Assault by person Conlact with cold surface lnfection
Atlacked by animal Conlact with hot liquid / vapour Lack of food / water
Breathing compressed gas Contact with hot surface Lack of oxygen
Cold environmenl Eleclric shock Physical fatigue
C.ush by load Explosive blasl Repelilive action
Drowning Explosive release of stored pressure Stalc body posture
Enlanglemenl in moving machinery Fire Stress
Hot environment Hazardous substance
lntimidation lonizing radiation
Lifling Equipmenl Laser light Environmental hazards
Manual handling Lightning strke Litter
Object falling, moving or flying Noise Nuisance noise / vibration
Obslruction / exposed fealure Non-ionizing radiation Physical damage
Sharp object / malerial Slroboscopic light Wasle subslance released into air
Slippery surface Vibration Waste substance released into soil / water
Trap in moving machinery
Trip hazard Other
Vehrcle impacl / collision
Working al height
RiSk matfiX - ,s e this to determine rsk ror
each hazatd i e hov bad and hoi hhely Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Unlikely
e.g. 1 in 200 chan@
Possible
e.g. I in 50 chance
Likely
e.g. 1 in 10 chance
Probable
e.g. >1 in 3 chance
Negligible e g. small bruise
Slight e.g. small cut. deep btuise Medium
Moderate e.g. deep cut, torn muscle Medium Medium
Severe e.g. ftaclure, /oss ofcorsciousress Medium Extemely high
Very Severe e g. death, pemanent disabilily lllediu m ExtEmely high ExtBmely high
NUI Commission on multi-media working 2007 53
B.HEALTH AND SAFETY:
TH E BBC RISK ASSESSN/ ENT FORN/l
7, - +' 1(-''t-*,
Date authorised
Hsh
HiSh Hish
High

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54 NUJ Commission on multi-media working 2007