risk assessment

Risk Assessment Form                                                                                                             page 1/2

Location Southwater woods and park

Student

Brandon-Lee Bloor

Signature

Date

13/12/11

Tutor Signature

Hazards

Persons at Risk

Severity of Hazard (S)

Likelihood of Hazard (L)

Risk Rating (S x L)

A

S

C

V

3

2

1

3

2

1

1

Tree roots

y

y

y

y

y

2

2

Slippery mud

y

y

y

y

y

1

3

park equipment

y

y

y

y

y

1

4

5

6

Tutors must sign this form before                                          A: Actors                             3: Death or major injury                            3: High (near certain)                9: Unacceptable

you start filming                                                                                    S: Students                            2: Over 3 days injury                            2: Medium (frequent)                6: Urgent             

C: Crew                            1: Minor injury                                          1: Low (seldom)                            4/3: Important

V: Visitors                                                                                                                              2/1: Low priority

Complete this Table for all Hazards with a risk rating of 3 or more.                            Page 2/2

Hazard Number	Specific hazard description	Additional controls required	Responsibility
1	Tree Roots	Look where were walking	Brandon
2	Slippery Mud	don`t stand near anything slippery	Brandon
3	Park Equipment	film away from the equipment	Brandon