A Risk Assessment Form-My Version

Risk Assessment
Site: Location: Assessed By: Date: Signature:

Ref ACTIVITY HAZARD WHO MIGHT BE CURRENT CONTROL MEASURES Severity Likelihood RISK RATING FURTHER CONTROL MEASURES By
No: HARMED? Rating REQUIRED Whom
(A) (B) = AxB
Nature of the activity being Look only for hazards which could reasonably List groups of List existing controls here or where the 1=Trivial 1=Vunlikely Prioritise Apply "ERIC PD" in the following order to Initials
carried out be expected to result in significant harm under people, rather than information may be found: 2=First Aid 2=Unlikely actions by minimise the risks, i.e.: Eliminate, Reduce,
the conditions in the workplace individuals. Pay 3=Minor 3=Likely highest number Isolate, Control, PPE, Discipline
particular attention 4=Major>3day 4=Vlikely first
to those more 5=Fatality Treat 5=Certain (see reference Consider the following controls: Process,
vulnerable 4 or 5 as High to severity of 4 Equipment, Procedural, Behavioural,
Risk or 5 in A) Material, Environmental, Emergency,
Management
Risk Rating of 1-4 Low Priority(Acceptable), 5-9 Medium Priority (Acceptable for Adults further control desirable for under 16), 10-16 Medium Priority (Advise adults and lower risk or exclude under 16), 17-20 High Priority
(reduce risk or seek advice from H&S Advisor) 20-25 Do not proceed!
We will only carry one

box at a time, we will also
walk up in pairs( one
person without a box) to
spot when carrying. We
There are narrow steep stairs
will variate what we do
The Get in/ Out to get into the performance
The Cast over " mind the step" by
1 (Playhouse theatre, space, there for carrying set 4 3 12
either passing the box to
Cheltenham) and props is a hazard, there
the empty handed person
are also two "mind the step"
over the step or having
someone spot them. We
will walk up the stairs in
single file and only in
pairs.
We will ensure that the

To access the space we have timings of our
School may have lanyards
The get in/ Out to walk through the playground arrival/performance work
The Cast for visitors, ensure we're
(stroud Valley which may have children around 'playtime' so that
2 Young 2 1 2 signed in and wear these
Community Primary playing, we also have to walk we aren't carrying set
People around the school, where
school) down a stairway to get to the whilst the children are at
applicable.
playground. play.We will also carrying
one block at a time.
Risk Assessment

(A) (B) = AxB
Management
As our appliance doesn't

need a PAT test I will
ensure I'm not over
charging it, using it whilst
The Cast it charges. Before every
Wireless speaker There is a risk of electric shock
3 The performance I will check 2 2 4
as sound system or the speaker exploding.
audience the outside of the speaker
for any abnormalities. I
also play a song via my
phone prior to check that
the connectivity works.
Risk Assessment

(A) (B) = AxB
Management
To try and prevent

accidents with phones,
we should all have
secured our phones in
pockets (by angling it in
We have to use phones during
the pocket) when the
performances, we are all taking
phone isn't needed in a
responsibility for our own
scene. In the event a
technology. One of the risks is
The use of phones The Cast phone does fall on the
dropping the phone, this could
4 during the The floor, we will try and move 2 4 8
cause the screen to splintering
performance audience it ( if we're not able to pick
which would be a health and
it up. ) However if the
safety risk. If a phone were to
phone splinters, we will
fall on the floor there would be
temporarily suspend the
a slip/trip risk.
performance, as glass on
the floor is a slip risk and
health and safety as a
child or cast member
could cut them selves.
Risk Assessment

(A) (B) = AxB
Management
We can control this risk

One of the concerns is crowd
by marking out our spce
control, in a space such as;
on the floor with tape ,
Gloucester Library there may
one square for our space
be a maximum amount of
with a gap and then
people able to be in a space or
another line for the
at the Playhouse as it's a
audience to sit behind. At
smaller space we need to be
The cast alll of our venues we will
aware of the size of our
5 Crowd Control The have a Adult responsible 3 2 6
audience. It could also effect
audience for the children/ venue
the safety of the audience if
who can assist in crowd
they're too close to our
control. In the instance of
performance space as there is
a performance at the
a lift involved and if he lift were
lbrary a librarian could
to go wrong it could put the
section off the
audience at risk aswell as the
performance space after
cast member.
a certain amount of time.
Risk Assessment

(A) (B) = AxB
Management
We can reduce the risk of

the lift by thoroughly
We have a lift in the practising lifting with and
performance which could pose without Natalie, we have
a threat to us doing the lifting if incorperated a spot I nto
we don't lift Natalie properly the performance and
The Cast
Performing at ( cause strain). We could injure practised with two spots
6 The 4 1 4
Heights Natalie if we were to drop her. and a crash mat. When
Audience
Natalie also has to stand on a she has to stand on the
block during the performance block, all three of us
whih could be a risk if she were assist her and surround
to slip/trip off the block. her, almost like multiple
spots and ensuring
stability.
Risk Assessment

(A) (B) = AxB
Management
It is a risk when travelling set, if

we can fit the set in the drivers
car, we need to ensure it's all
secured down so if the driver
needs to break sharpely it We can reduce the risk by
won't fly forard and hit a cast all securing and taking
member. However we may responsibility for set, we
need van hire, in which case will then as a cast
7 transporting set The Cast 5 1 5
the cast will use public conduct a inspection
transport to get to the tour before going on the road,
locations, as the driver wouldn't to ensure that everything
be insured to carry us with set, is secure.
this is a health and safety risk
as it would be illegal and if
there we're an accident no-one
would be covered for injurys.
To reduce this risk we can

As our performance is in the
, take out seating/staging
round, with audience in four
area with gaps next to set
sides, set in the corners, it is The Cast
Set blocking fire in the corners.
8 imperitive that we don't block The 5 1 5
exits We could also re-
fire exits, otherwise we could Audience
angle the round space so
cause harm to everyone in the
that an emptier corner is
room.
closest to the fire exit.
9 0 0
Risk Assessment

(A) (B) = AxB
Management
10 0 0 0
11 0 0 0
Key In terms of risk

Minor
Average
Risk Assessment
Review:
By Date Com-
When pleted
Date Date
r 16), 17-20 High Priority

Risk Assessment
Review:
By Date Com-
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Date Date

Risk Assessment
Review:
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Date Date

Risk Assessment
Review:
By Date Com-
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Risk Assessment
Review:
By Date Com-
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Risk Assessment
Review:
By Date Com-
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Risk Assessment
Review:
By Date Com-
When pleted
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A Risk Assessment Form-My Version

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Risk Assessment

Site: Location: Assessed By: Date: Signature:

We will only carry one

We will ensure that the

Site: Location: Assessed By: Date: Signature:

As our appliance doesn't

Site: Location: Assessed By: Date: Signature:

To try and prevent

Site: Location: Assessed By: Date: Signature:

We can control this risk

Site: Location: Assessed By: Date: Signature:

We can reduce the risk of

Site: Location: Assessed By: Date: Signature:

It is a risk when travelling set, if

To reduce this risk we can

Site: Location: Assessed By: Date: Signature:

Key In terms of risk

r 16), 17-20 High Priority

r 16), 17-20 High Priority

r 16), 17-20 High Priority

r 16), 17-20 High Priority

r 16), 17-20 High Priority

r 16), 17-20 High Priority

r 16), 17-20 High Priority

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