RISK ASSESSMENT FORM

MCC Productions, 07455296395

17/3/16
Canal Street, Manchester, Greater Manchester.
Josh Richmond 07455296395
Complete the following table rating
each risks severity on scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S),
Very severe (V)
each risks likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L),
Very likely (VL)
Determine the risk factor from the table overleaf.
Hazard

Present?

1
2
3

Public/crowds
Vehicles/speed
Water/proximity to
water
Calculate the Risk Factor:

Y
Y
Y

Very Unlikely
3
2
2
1
1

Very severe
Severe
Moderate
Slight
Negligible

Severity

L
L
L

Unlikely
4
3
2
2
1

Likelihood

U
U
VU

Possible
4
3
3
2
2

Risk Factor

2
2
1

Likely
5
3
3
3
2

Very Likely
5
5
3
3
3

Decide the action to take:

5
4
3
2
1

Very severe
Severe
Moderate Risk
Low Risk
Negligible

Take immediate action

High priority
Programme for action
Action may be required
Probably acceptable

Then list each risk identified

Hazard no:
Description

1
Risk Factor (1-5)
2
Working in a public place, possibility of people being in the way
(collisions etc.)

Person(s) exposed
Action to take

Field Reporter (C), Camera Operator (C)

Try to film out the way of general direction which public will be walking
to ensure less chance of hassle.

Person/company
Producer
responsible for action
To be completed at agreed later date Exposed person(s)
Agreed action taken? (y/n)
informed? (y/n)

Risk removed?
(y/n)

Hazard no:
Description

2
Risk Factor (1-5)
2
The street we will be filming on is a road, despite being a not very
popular road for vehicles there is still a possibility of vehicles being
present.

Person(s) exposed
Action to take

Field Reporter (C), Camera Operator (C)

Try and film earlier in the day to ensure less possibility of vehicles
being present, if not possible ensure the filming is out the way of
vehicles to ensure safety.

Person/company
Producer
responsible for action
To be completed at agreed later date Exposed person(s)
Agreed action taken? (y/n)
informed? (y/n)

Risk removed?
(y/n)

Hazard no:
Description

3
Risk Factor (1-5)
1
Filming next to a canal, very low chance of anything drastic (such as
falling in) happening due to high railing above canal.

Person(s) exposed
Action to take

Field Reporter (C), Camera Operator (C)

Film either on road or opposite side of the road to ensure the hazard is
neutralized.

Person/company
Producer
responsible for action
To be completed at agreed later date Exposed person(s)
Agreed action taken? (y/n)
informed? (y/n)

Risk removed?
(y/n)

Copy and paste this table for each of the hazards, then get the form signed. If the producer has
not completed the risk assessment, then they should countersign this form.
Completed by:

Position:

Signature

Date:

Countersigned by:

PRODUCER

Signature

Date: