Risk Assessment, Call Sheets and Contributors Release Forms
1. r
APPENDICES
B.HEALTH AND SAFETY:
THE BBC RISK ASSESSN4ENT FORI/
EIETET General Risk Assessment Form
- Part A
Apfl 2007- DC
Oivision / Studio
!r*ri. *r"*{k*e
Department / Series
Address
Henh &,rL
hduur* 0**
Producer / Editor
Tell
Mobile:
cnilef0n drlhurrlg
Period covered by assessment Ve6ion number
Outline of risk assessment
Summary ol what is proposed
Ualby tghr5 rfito n hdmr,
Team members / experts /
conlractore ,l elc.
List those involved
Saruml Lqrr
CC,fwr".t r-r.t
k, lhtt kcrrc,.nunr Sr
Y
'1
r
Site / Office,/ Location
Outline sitd locations involvd 151, Umd nd W, Llednog-'eld,ldt ttwgn
A$essor Name
Signature
t r L.h, t-t
ib "''
hhi''-q'r., Z0ltAuthoriser Name
Signature(if not Assessor)
Date authorised
Hazard list - se/ec, your hazards ftom the list below and use these to complete Pai B (add othere where apprcpiate)
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Asbestos Conlact with cotd tiquid / vapour Disease @usative agenl
Assault by peEon Contad wilh cold surface lnfection
Attacked by animal Conlacl with hot liquid / vapour Lack offood / water
Breathing @mpressed gas Contact with hot surface Lack of oxygen
Cold environment Electric shock Physical fatigue
Explosive blast Repetitivs action
Drowning Explosive release of stored pressure Static body posture
Entanglement in moving machinery Fire Stress
Hot envkonmenl Hazardous substance
lntimidation Ionizing radiation
Lifting Equipment Laser light Environmental hazards
Manual handling Lilhtning slrike Litter
Objecl falling, moving or flying Noise Nuisance noise / vibration
Obslruclion / exposed feature Non-ionizing radiation Physical damage
Sharp object / material Stroboscopic light Waste s!bstance released into air
Slippery surfa@ Vibration Waste substance released into soil / water
Trap in moving machinery
Trip hazad Other
Vehicle impact / collision
Working at height
RiSk matfix- use this to cletemine tisk fot
each hazarc! i_e. how bad and how likely, Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Unlikely
e-9. 1 in 200 chan@
Possible
e.g- 1 in 50 chance
Likety
e.g. 1 in 10 chance
Probable
e-g- >1 in 3 chance
Negligible e.g. smail bruise
Slight e.9. small cut,.teep brui*
Medium
Moderale e.g. deep cut, tom muscle
Medium Medium
Sevefe e.g. fracturc, loss ofcorsciousress Medium Efiremely high
Very Severe e.9. death, Wmanent disabitity tuledium Efrrcmely Exlremely high
NUJ Commission on multi-media working 2007 53
Date completed
Crush by load
Low
I Hish
2. APPENDICES
E
{
E
E
!
{
€
6
b
E
E
I
eq
I
o
q
iio
E
o
G
o
a,
-q
o
=
=
.q.
-E
i
I
o
G
0
o
)
oq
p
E
a
q,
o
e
';
6a
,>
;
U
I
B4
o 9>:l
tr *.li
s
-s
--!,
{1* tJ J
,E
g
t
e
h
!
ol
.s
s
,S
Ef
E'rs
E
p
,c
a:OY
o.E
Y:
o.5
o=
E
e
L
rl6)
c
g
g
Vaa 4.,
n
ps,
,Ji(-.J.
usb
d6
{6
Efi
8a
dzE6
g"E
S-+"r. **
,J
sh>
-,--
*fr
*u8I.IDI r(
- g,g
Hug
Eedttll rs
"/1
-,PlJst
5rr
nar
)4
:J"
'ai:
ssF
ss
4.*)O
tri, .<
fa5
g
A,
*
3
jg-(,
8tg
6+
tjJ
o .' ?
EE;.;9=
I EE36
o ! - >!
6Eo
€,
*
€
o#
-?
_q
4tlJI
)
3
EE ,T
o : xsO; - H€
3 FE Eg
E ^ o E<
=
EE *e
; F 6s
?qr.
?
fr
d
*#
ge
3r
EI
Ln
(*)
*
J-JT
(5
,,
J,CJ
TJ
EO
T,E
N c!
E E,g
N 9E
E 5E
EP
-i
EC
Eq
Ju 1,4
EEurn
5^
q,
L
It
€
s(5
o
#
--L
.2
&ra
.;,*F
#'6
eLb
j
o
o
il.
d
o
(U
o-
I
E
o
II
o
tr
o
o
o
o
o
.Y
.9,
tr.
u
E!
E
54 NUJ Commission on multi-media working 2007
3. APPENDICES
B.HEALTH AND SAFETY:
THE BBC RISK ASSESSI4ENT FORN4
General k Apil 2007- DC
Divbion, Studio
Lt.:; pq*-g}rxr Oepartment, Series
Business Unit, Produc{ion
Address
He&ffiu 1";.9!i-
?1 !.t:-
ffi4r .4'', r"t*, *
Prcducer, Editor
Tel:
Mobile:
ee{K{&fi t}qltrfttisi!
Ve6ion number
Summary of what is !4|posed .! 1ii4l
k{*n, k, kh , kqranu,n Sl
I
H}
Outline StP$ur:**,
Name
Signature
Date completed
l$e *r*.* z0{B
Authoriser Name
(if not Assessor) Signature
Date authorlsed
I list below and use these to complete part B I
Sltuational hazards Tlck Physlcal, chemical haards Tick Heafth hazardg
Asbestos contact with cold liquid / vapour Oisease eusalive agenl
Assault by pe6on Contact with cold surface lnfeclion
Attacked by animal , Contad wilh hot lhulJ / vapour Lack olfuod /weter
Breathing @mpressed 96s Contacl with hot surrace Lack ofoxygen
Coh environment Electric shock Physical fatigue
Crush by load Explosive blast Rep€titive astion
Drowning Explosive release of stored pressure Static body posture
Entanglement in moving machinery Fire Stress
Hot environment Haardous substance
lntimidation lonizinO radiation
Lifiing Equipme.t Laserlight Environm€ntal haard3
Manual handling Lightning slrike Litter
Object felling, moving orflying Noise
Obstruclion / e&osed teature Non-ionizinO radietion Physical damage
Sharp obiecl / malerial Strcbosmpic li{)ht
Slippery surfa@ Vibralion
TEp in moving machinery
Trip hazard
Vehicle impact / @llision
Wbrking at height
Likelihood of Harm
Druise
muscb
NUJ Commission on multi-media working 2007 53
B B C
Period covered by aas$ment
Team members / experts,
contrac-toE / etc,
List those involved
A6s6sor
Hazard
Tlck
Nuisatce noise / vibEtion
Other
RiSk matf iX - use this to detemire isk for
SeYeritv of Harm
Remole
e.g. <1 in 100A chan@
Unlikely
e.g. 1 in 200 chan@
Possible
e.g. 1 in 50 dlan@
Llkely
e.g- 1 in 10chare
Prcbable
e.g.>1h3charc
Vuyl* Vlryb{ :
Y€ry tow Low
Slight e.g. srellcut, doep bruise
Low r. . : l{a{fiun:'
Vfllow Low .:. llcdftsi.i :.i ..:kdi&.::::::
::ir::;.,::=tfigrlit=.::.i t:
Very Severe e.g. dea th, Fmanent disabitity Low kdie "
4. 1002 6uruoM erpau-r]lnur uo uorssrururo) rnN t79
o
o
o
o
oJ
o
-tI
o
3
I
!!l
@
E
No
l{
oo
>,->q/
{a1
{')
**
-rD
w
€
b't:;48
E*l
*,
W
.t1{'?1
I
d
=o
9qe9
=€l9
.E. B
EE
+g
+;
c!l
1a
6o
s8?'=
il
-a
m
o
=
g
o
9.
o
s.
o
o
a
d!
o
9.
@
o
s
ao
o
n
o
:t
E
a
roo
D
ri
o
I
{
6
6'
=:
Io
6
!!
0o
o
)o
I
o
s.
-E b'q t0
flr
(,*
r
{ efi
/-.i
"2,,
; =;."
{ i>'
ken,}'F *f-
F__> '
-+ f}
{-q'*f-
Yl
r-r?rq
a
>-,4en
ql
s'
r
6*
*>
rBioi
%
-=>
EHa
i:il
E.Ea g ;*1.:X -.
qca
ts= q
E3F
i
-..!
+:Jn:
,5
'- E|,
rB
I
+=
G
s
It3
w
6a
i€
L^
+
*
&
#?
.b
ffi
:3 A
*Es
s.= a
BE' !
ql B
sE3
3E
il9
3:
E*scoa
id6E
;=d_q@
-
g;E
qa;E:O
:B
RPr;d
aa
E
€E.
r&F.t.
L-/
edi:r
{'1
iE>
g"
m
e/
>-*"->
{51
z#
9^
964
jEo
q=e
Esi
a*
i
a
o
I
i
d'
a
e
?
E
a
t
I
a.
t.
p
I
s3)toNsddv
F
m
n
-o
N
D
a@
7
o
-
5. APPENDICES
B.HEALTH AND SAFETY:
THE BBC RISK ASSESSN/I ENT FORN4
Apfl 2007- DC
Division , Studio
lc,. - Pr.xfurt,x6
Department, Series
Busine$ Untt / Produclion lHenh t4,cL
HmP,*' ?.nA
Address
Producer / Editor
Tel:
Mobile:
eefK{B$, dliiiisilit
Period covered by ass$ment I VeEion number
thtlct
I
i..' I r-:Sumnary of what is ptoposed E ut
Team memberc, expefts,
contractore , etc.
List lhose involved
H,y#;i:,#: kt , ke*,unqi,n s,ngh,
iri ,
As6$r Name
z*qP&
u
' il$ oetaw ana use Inese Io comptele rafr p
Physical, chemical haards Tick
Asbestos Contaciwith @ld lhuid / vapour Oisease @usative agent
Assault by peEon Contact with cold surface lnfection
Attacked by animal Contac{ with hot lhuid / vapour Lack offood /water
Brcathing @mpressed gas Contacl with hot surface Lack oforygen
Cold environment Eleclric shock Physhal foligue
Crush by load Explosive blasl Repetitive adion
Dpwning Explosive release of storcd pressure Static body posture
Entanglement in movino machinery F ire Strcss
Hol envircnment
lntimidation lonizing Edialion
Lifling Equipment Laser light Environm€ntal hazards
Manral handling Lightning slrike Litter
Object falling, moving or flying Noise
Obsuuciion / ereosed feature Physical damageNon-ionizing Ediation
Sharp objecl/ material Stroboscopic lighl Waste substance rel€ased into air
Slippery surfa@ Vibration
Trap in moving machinery
Trip hazard Other
Vehicle impact / @llision
rvorking al height
this to detemire risk lor
bad ild how lkely'
e.g. 1 in 200chan@
Unllkely
I
Remote
e,g. <1 in 1O(N chare
Posslble
e.g. 1 in 50 chan@
: Verylow'
Probable
d@p btuisesmall
Moderate e.g. lffi mAcle
NUJ Commission on multi-media working 2007 53
B B C General Risk Assessment Form
- Part A
Outline of risk assessment
Site, Ofiice, Location
OuUine sitd locations involved
Date completed
Authoriser
(if not Assessor)
Name
Sionature
Date authorised
ituational hazards Tlck Tick Health hazards
Huadous substance
Nuisance noise / vibration
Likelihood of Harm
Severity of Harm
Llkely
e.9.1 in 10 cha@
Very low Low
f€il low Vcry low ,':: ::*adtdiii"..: :
Velv low ff.dim
SeYeE e.g. traoaure, bss of corscirusness
Very Severe e.g dealh, @manent disabitity ExlEiMtv filolir :
6. 1002 6ur)roM e!paur-rllnur uo uolsslr.xr.xof [nN ns
n
6'
-
@
o
o
o
o
J
o
.Tt
o
=
I
!q,
I!
!
E
)r
o
o
r'd
h9-U(^
='rrV;sfr
Y
-t3
€
tr)2@
aJ
x.
tlit
E
pff
g",g
!Dtr
e9
E1
6E
!d
+6
oC
sh 9 4
Er i1=
ir3?.o:: =ts
o
58<sE
=* Y O
9-o -i o
o
s.
I
m
o
d
el
=:.
o
o
!
6
o
9..
@
!D
I
ao
io
n
o
=
t
hgFl
e
-r f)
g+
+r)nE]
Hq){}'
ABaJ'fD
{
fr
>8-
s7
rI E?
^d5< a
=€d
e
qE =q
9: q
iaB
!o ]I
ee -Y
E*;i
Ad E
6; il
;9
,iao
;F9id64
E=9.
x:6
: t.D
:' :'c
:aa>:o
3a
ad
si!e
3
€
4a.-
€
%T
E""9/
€
a
6.
-a
+
:I-]
G
v.
€
ts
a
frY
tp
6-l
()
-,,s&
d
*
)-
+
^o--n
t{
t;
B,
E-
v
{L
-s
s
*6
{$}'
B
B
ro
o
I
o
I
{
d
6'
=:
=.
!
P
E-v
*E#l tr
l'"":'
Lql
p
r
B
'.*)*'
9 -J
!-=q9l
=PPil6'
a9Bda
oo
o
o
3
ot!!
il
o
o
q
I
t
e
q
d
d'
3
!.
r
a
I
d
i
i
sr)loNrddv
!D
tr
4
F.
7. CALL SHEET NO......
PRODUCTION COMPANY CUE flfCIeuLhcfis
Date
Unit Call
Film: Cc,rNr 0? M.{ rr+e
Director: (_liilr:frrt w rtunri
Producer: LuNrs.rO11 r,J,tl,ir&..
P rod uction Ma n-ager d. uf,g;-J i h,l
1't Assistant Director
2nd Assistant Director
Costume l,',' .ii- ..' '
lVIake-Up
Weather Report
Sunrise/Sunset
tllunn!
UNIT OFFICEPRODUCTION OFFICE
rclt rxcrl
l^i& (D
hod
LOCATIONiSTUDIO Location Contact
H'l^ffidr*d
SNS'N M
Wrqoe) VfiTF
Sets Sc. No D/N VE Paqes Location Synopsis Cast No
?,
L
3
I A)
D
D
I
i
I
[,
z
z
Balrto,u
Hulfhtao
Siarn/an[nr
ACon lop"lge
Ac etltrl
hoa5g
49,ffim3
I
I
No Cast Character P/U WR M/U On Set
Z
l-er,rr
Htf
Sir$ue
Autn Chunna
0hncc^tler e
t?:00P&
STAND INS: ;{g aH),r-ah}r
cRowDS: ,*
"WU*fu
PRODUCTION REQUIREMENTS
MAKEUP/COSTUME
ART DEPT:
CAMERA/RUSHES:
LIGHTING:
ACTION VEHICLES:
SFX/WEAPONS
CONSTRUCTION:
MEDICAL:
CATERING:
TRANSPORT: (lNC. LIST, MAPS, DIRECTIONS)
PARKING:
TOILETS:
FACILITIES:
SPECIAL NOTES:
ADVANCE SCHEDULE:
CHANGES:
ESTIMATED WRAP
8. pRoDUCloN corvtpANy eUiS h,Rducho r]"5
Film:(gg1ur OF ftq G,a,, Date
pirect6f CuurJr'bn '*itl['rtr) Unit Call
E;: 3 : ffi :.ff,}*pl*t,t htil^'*, I I,r, r,. b fi:?$;'
c n a p
B'lcc'b I e
1't Assistant Director Weather Report
2nd Assistant Director Sunrise/Sunset
PRODUCTION OFFICE UNIT OFFICE
i-o,hr
Ju tl
h$, fts*ruoA CIe.d , tltierhaYlPl'eq
itD',
LOCATION/STUDIO Location Contact:
Wtr ,.I
I,JaATPSFPO
ft.rL
Belhmu
Sets Sc. No D/N VE Pages Location Synopsis Cast No
3
Z
3
D
D
D
E
E
E
I
I
?_
Uoe Snthli,S
&itqwnnC
*uqhun('
HFfl,rr,*
16 eodr "
iocalut
e"
No. Cast Character PiU W/R M/U On Set
W
t
Z
fue,,o
'[i
$,,tlue
l-orrf
/rf,rttr, Orn,fr(,Laf
d,p,,&*gr L
l3
"c0P/4
srAND INS: ffil apl,Cqble
cRowDS: fuoF k approb)o
PRODUCTION REQU IREIUENTS
MAKEUP/COSTUME:
ART DEPT:
CAMERA/RUSHES:
LIGHTING:
ACTION VEHICLES:
SFXA/UEAPONS
CONSTRUCTION:
MEDICAL:
CATERING:
'TRANSPORT: (lNC. LIST, MAPS, DIRECTIONS)
PARKING:
TOILETS:
FACILITIES:
SPECIAL NOTES:
ADVANCE SCHEDULE:
CHANGES:
ESTITVIATED WRAP
CALL SHEET NO......
9. e Project")PROJECT TITLE
DESCRIPTION OF CONTRIBUTION
At".(,4c,,^ Cnorl". )
DATE OF FILIVI ING/CONTRIBUTION
Zo
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
he Company")
NAME OF CONTRIBUTOR
ADDRESS OF CONTRIBUTOR
J ll t[
TELEPHONE NUMBER OF CONTRIBUTOR
ln consideration of the Company agreeing that I contribute to and participate in the Project,
the nature and the content of which has been fully explained to me, I hereby consent to the
filming and recording of my contribution to and participation in the Project subject to the
terms and conditions specified below.
Signed by Contributor
Dated
CONTRIBUTORS RELEASE FORM