Académique Documents
Professionnel Documents
Culture Documents
Division / Studio
Department / Series
Tekkers TV
Producer / Editor
Helen Welsh
Tel:
07432113869
Address
Mobile:
Start date
Distribution
End date
Danny Hewitt, Helen Welsh, Chris Sarmiento, Pole Persona Class Participants, Angie Marie.
Assessor
Name
Helen Welsh
Date completed
Signature
Authoriser
Name
Signature
Date authorised
17/10/14
Hazard list select your hazards from the list below and use these to complete Part B
Situational hazards
Tick
Tick
Health hazards
Assault by person
Attack by animal
Infection
Allergic reaction
Cold environment
Crush by load
Electric shock
Lack of oxygen
Drowning
Explosive blast
Physical fatigue
Repetitive action
Fire
Hot environment
Hazardous substance
Stress / anxiety
Venom poisoning
Manual handling
Ionizing radiation
Laser light
Tick
Lightning strike
Environmental hazards
Noise
Litter
Shot by firearm
Non-ionizing radiation
Stroboscopic light
Physical damage
Vibration
Slippery surface
Risk matrix use this to determine risk for each hazard i.e. how
Likelihood of Harm
Remote
Very unlikely
Unlikely
Possible
Likely
e.g. 1 in 50 chance
e.g. 1 in 10 chance
Trivial
Trivial
Trivial
Low
Low
Trivial
Trivial
Low
Low
Medium
Trivial
Low
Medium
Medium
High
Low
Medium
High
High
Extremely high
Low
Medium
High
Extremely high
Extremely high
Severity of Harm
Hazards2
List what could cause harm from this
activity
e.g. falls from height, trip hazard, fire, etc.
Who exposed
List who might be harmed from this activity
e.g. staff, contractors, contributors, public, etc.
Employees; Artists;
Control measures
Risk3
For each
hazard,
decide level
of risk as if
you were to
do the
activity
without your
controls
For each hazard, list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons, training received, planning and rehearsals, use of personal
protective equipment, provision of first aid, etc.
For each
hazard,
decide
level of
risk once
all your
controls
are in
place
Low
Low
Working in an unfamiliar
venue - Lack of awareness of
safety critical venue
information (e.g.
fire/emergencies/evacuation)
Accidents due to lack of
knowledge of local
procedures/ emergency
information.
Risk3
Dates /
times:
Low
Low
Low
Low
Employees
Low
Fire Risk
Low
injury to operators/other
people in proximity Jibs:
Being hit by moving
arm. trips over cables.
Manual handling of the kit
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
per pole, no inverts or lifts. All moves with fall potential are spotted
Low
by trained professional.
Sports injuries, Sporting and
dance activities may be
strenuous and can cause
bruising, sprains, strains and
other more serious injuries.
Low
Low