Risk Assessment Form

Risk Assessment Form                                                                                                             page 1/2

Location: Crawley Town

Student

Charlotte Tamplin

Signature

Date

16th November 2011

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	Tripping			1				1			1	1
2	Getting hit by a Car			1			1				1	2
3
4
5
6

Tutors must sign this form before  you start filming                     
A: Actors                           3: Death or major injury          3: High (near certain)                               9: Unacceptable
                                                   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	Tripping	Having laces tied. Paying attention to the surroundings	Students own.
2	Getting run over.	Paying attention to the road.  Not listening to music when crossing the street.	Students own.