1. Risk Assessment Form –
Part A
ProductionName: The History of Live Music Within
the North East
Organisation Sunderland College, Creative Media Practice
ProductionAddress: Bede Campus,
Durham Road,
Sunderland,
SR2 4AH
Producer / Editor
Tel:
Mobile:
Emma Wallace
Details on file
Details on file
Start date 03/01/2022 End date 03/01/2022
Distribution
Who gets a copyof the assessment
The Producer (me)
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Filming at the Empire Theatre for one day, the rest of my footage w illbe sourced fromcollege
Team members / experts /
contractors / contributors etc.
List those involved
Emma Wallace (me), Steph Durkin (Creative Learning Officer)
Locations
Outline locationsinvolved – indicate
any which are hostile environments
Sunderland Empire
Assessor Name
Signature
Emma Wallace Date completed January 3rd
2022
Authoriser Name
(if not Assessor) Signature
Emma Wallace Date authorised January 4th
2022
Hazard list – select your hazards from the list belowand use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person Contact with cold liquid / v apour Disease causativ e agent
Attack by animal Contact with cold surf ace Inf ection
Breathing compressed gas Contact with hot liquid / v apour Allergic reaction
Cold env ironment Contact with hot surf ace Lack of f ood / water
Crush by load Electric shock Lack of oxy gen
Drowning Explosiv e blast Phy sical f atigue
Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action
High atmospheric pressure Fire Static body posture
Hot env ironment Hazardous substance Stress / anxiety Y
Manual handling Ionizing radiation Venom poisoning
Object f alling, mov ing or f ly ing Laser light
Obstruction / exposed f eature Lightning strike Environmental hazards
Sharp object / material Noise Litter
Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration
Slippery surf ace Stroboscopic light Phy sical damage
Trap in mov ing machinery Vibration Waste substance released into air
Trip hazard Y Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls f rom height Y Management f actors (lack of communication,
co-operation, co-ordination and competence)
Risk matrix – use this to determine risk for
each hazard i.e. ‘how bad and how likely’ Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Very unlikely
e.g. 1 in 200 chance
Unlikely
e.g. 1 in 50 chance
Possible
e.g. 1 in 10 chance
Likely
e.g. >1 in 3 chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium
Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High
Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high
2. Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high
3. Risk Assessment Form – Part B
Activity1
– Each individual activity you are proposing:
Capturing footage at the Sunderland Empire
Location – w here this activity willtake place:
Sunderland Empire
Dates / times:
04/01/2022
Hazards2
List what could cause harm f rom this activ ity
e.g. falls from height, trip hazard, fire, etc.
Who exposed
List who might be harmed
f rom this activ ity
e.g. staff, contractors,
contributors, public, etc.
Risk3
For each hazard, decide
lev el of risk as if y ou were to
do the activ ity without y our
controls
Control measures
For each hazard, list the measures y ou will be taking to minimise the risk identif ied
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.
Risk3
For each hazard,
decide lev el of risk
once all y our controls
are in place
Trip Hazard Crew , Staff Negligible Making sure that w hen accessing venue, since Ihaven’t been in previously, I w atch my step
w hen walking around and up to different sectionsof the building.
Negligible
Falls from height Crew , Staff Negligible A shot I w illbe taking w illbe fromthe gallery in the Empire, w hich is the steepest part of the
building. I w illhave to ensure I put my safety first when filming and take each shot froma
distance.
Negligible
Stress / Anxiety Crew Slight Ensuring I communicate w ith the staff there, and plan ahead to w hat Iw illbe filming rather
than going in w ithout ideas.
Negligible
Continue on separate sheet if necessary
1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A
