RISK ASSESSMENT RECORDING FORM

Location or
Address: House, Hornchurch Drive, Great
Sankey, Warrington, WA5 1ZN
Activity or
Situation: Photoshoot
(1)

Hazard

Tripping
Slipping
Radiator
Electric Cords/Cables/Wires

Date Assessment
Undertaken: 2nd March 2016

Assessment undertaken
By: Christian Crampton

Review
Date: 16th March 2016

Signature

Risk

(2) Who might be harmed and

how?

(3) What controls exist to reduce

risk

(4) What action can be taken

to further reduce risk?

4a+3b=12c
4a+3b=12c
2a+3b=6c
4a+3b=12c

Crew, Actor/Model and

Photographer- Tripping over the
table and chairs could result in
bruises, burns or possibly even a
serious injury
Crew, Actor/Model and
Photographer- Slipping over water,
the tiles on the floor etc could
result in minor or serious injury
Crew, Actor/Model and
Photographer- Any body part
touching the radiator could result
in burns
Crew, Actor/Model and
Photographer- With wires, cords
and cables there is a possibility of
it being a trip hazard as well as
possibility of electrocution and
choking hazard

Move the table and chairs out of

the way so nobody trips
Dry any spills/liquids using
kitchen roll
Make sure the radiator is off or on
a low setting
Make sure wires arent tangled up
or securely taped down, never
bring any drinks as if spilled on
wires or power plugs could result
in electrocution, injuries and
possibly damage to equipment as
well as deaths

Tuck in chairs
Make sure every person is
wearing shoes as this reduces
the risk of slipping. Make sure
nobody is just wearing socks
If the radiator is on a high setting
the use of temporary cover like
clothes, towels etc would
prevent serious burns
The wires you are not using
must be put away

1. List hazards something with the potential to cause harm here:

Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.
2. List groups of people who are especially at risk from the significant hazards which you have identified
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you expect to
gain.

(1)

Hazard

Risk

(2) Who might be harmed and how?

(3) What controls exist to reduce

risk

(5) What action can be taken

to further reduce risk?

RISK RATING
a SEVERITY

b LIKELIHOOD

c FINAL SCORE RATING: what needs to be done

Dying or being permanently disabled

Will almost certainly happen

Serious injury/long term illness

Highly likely to happen

Temporary disability/3 days off sick

Not so likely

Will need medical attention

Even less likely

Minor injury eg. Bruise, graze

Unlikely to happen at all

16-25 Stop! Do not start activity again until risk is

controlled
10-15 High risk level, High priority. Take action
straight away to control the risk
6-9
Medium risk level. Tighten up controls and
make a plan to do something about risk
3-5
Fairly low risk level. Low priority but keep
possible action in mind
1-2
Low or trivial risk. No further action
required.

SO: a x b = c
Action Required

Responsible Person

Date for Completion