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V9                                                                         RISK ASSESSMENT

                                                                                     RISK                                                           IN         REVIEW
                  ACTIVITY                                HAZARD                     H/M/L                    PRECAUTIONS                         PLACE         DATE         REVIEWER


 Walking through forest                    Watch out sharp objects on                  M      Check ground before shoot                          Y            24/4/12
                                           the ground

                                           Watch out for twigs and                     L      Check ground before shoot                          Y            24/4/12
                                           branches that you can trip
                                           on

                                           When camera man is                          L      Watching stepping                                  Y            24/4/12
                                           walking backwards watch
                                           step




 Please leave this section blank:
 Risk Assessment checked by: Name Sarah Ives-Rider……………………………………………..                                           Signed…SLIR…………………… Date …6/12/11…………………

         KEY:      Activity :     Describe the component part of your pursuit.
                   Hazard :       List the things you anticipate might cause harm or the things associated with your activity that have the potential to cause harm. Consider the likely
                                  harm.
                   Risk:          Assess the risk as either H (High), M (Medium) or L (Low). When concluding your assessment consider all of the circumstances.
                   Precautions:   Consider what you could do to minimise / negate the risk.
                   In Place:      Will the precautionary measures be in place at the time of the activity?
                   Review Date:   When would it be reasonable to review your assessment? Remember it might be whilst you are undertaking the activity.
                   Reviewer:      Name of the person responsible for completing the risk assessment.
                                                     A copy of this form should be taken on the activity or visit by the Reviewer.
V9/PALL/sspi/reviewedOct2010

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Risk assessment form

  • 1. V9 RISK ASSESSMENT RISK IN REVIEW ACTIVITY HAZARD H/M/L PRECAUTIONS PLACE DATE REVIEWER Walking through forest Watch out sharp objects on M Check ground before shoot Y 24/4/12 the ground Watch out for twigs and L Check ground before shoot Y 24/4/12 branches that you can trip on When camera man is L Watching stepping Y 24/4/12 walking backwards watch step Please leave this section blank: Risk Assessment checked by: Name Sarah Ives-Rider…………………………………………….. Signed…SLIR…………………… Date …6/12/11………………… KEY: Activity : Describe the component part of your pursuit. Hazard : List the things you anticipate might cause harm or the things associated with your activity that have the potential to cause harm. Consider the likely harm. Risk: Assess the risk as either H (High), M (Medium) or L (Low). When concluding your assessment consider all of the circumstances. Precautions: Consider what you could do to minimise / negate the risk. In Place: Will the precautionary measures be in place at the time of the activity? Review Date: When would it be reasonable to review your assessment? Remember it might be whilst you are undertaking the activity. Reviewer: Name of the person responsible for completing the risk assessment. A copy of this form should be taken on the activity or visit by the Reviewer. V9/PALL/sspi/reviewedOct2010