Risk Assessment Form page 1/2

Location

Crawley

Student

Jamie Gearing

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

E.g. Blocking stair to fire exit

2

Moving cars

Y

Y

Y

N

Y

Y

2

3

Slippery pavements due to wet weather

Y

Y

Y

N

Y

Y

1

4

Park equipment

Y

Y

Y

Y

Y

1

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
2	Cars driving round could hit you	be careful when crossing roads or in car parks	Jamie Gearing
3	The paths could be slippery due to the wet weather	Walk carefully don't run	Jamie Gearing
4	Park equipment such as the swings could hit someone	don't mess about when near the equipment.	Jamie Gearing