Risk assessment

RISK ASSESSMENT FORM
Shoot date		Production Title		Page            of
6/4/17		Young boys
		Producer
		Oliver Robinson

                                                           

Location:
Address:

RATINGS:

·       each risks severity on scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V)

·       each risks likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL)

·       risk factor from the table overleaf.

Hazard		Present?	Severity	Likelihood	Risk Factor
1	Alcohol/drugs	N	N	Vu
2	Animals/insects	N	N	Vu	0
3	Audiences	N	N	Vu	0
4	Camera cable/grip equipment	Y	1	1	1
5	Confined spaces	N	N	Vu	0
6	Derelict buildings/dangerous structures	N	N	Vu	0
7	Electricity/gas (other than normal supplies)	N	N	Vu	0
8	Fatigue/long hours	N	N	Vu	0
9	Fire/flammable materials	N	N	Vu	0
10	Hazardous substances	N	N	Vu	0
11	Heat/Cold/extreme weather	N	N	Vu	0
12	Laser/strobe effects	N	N	Vu	0
13	Machinery/industrial/ crane/hoist	N	N	Vu	0
14	Materials - glass, non-fire retardant set materials	N	N	Vu	0
15	Night operation	N	N	Vu	0
16	Noise – high sound levels	N	N	Vu	0
17	Non standard manual handling	N	N	Vu	0
18	Public/crowds	Y	L	P	2
19	Radiation	N	N	Vu	0
20	Scaffold/Rostra	N	N	Vu	0
21	Smoking on set	N	N	Vu	0
22	Special effects/explosives	N	N	Vu	0
23	Special needs (elderly, disabled, inexperienced)	N	N	Vu	0
24	Specialised rescue/first aid	N	N	Vu	0
25	Stunts, dangerous activities	N	N	Vu	0
26	Tall scenery/suspended ceilings	N	N	Vu	0
27	Vehicles/speed	N	N	Vu	0
28	Water/proximity to water	N	N	Vu	0
29	Weapons	Y	2	2	4
30	Working at heights	N	N	Vu	0
31	Working overseas	N	N	Vu	0
32	Other risks	N	N	vu	0

Calculate the Risk Factor:

	Very Unlikely	Unlikely	Possible	Likely	Very Likely
Very severe	3	4	4	5	5
Severe	2	3	3	3	5
Moderate	2	2	3	3	3
Low	1	2	2	3	3
Negligible	1	1	2	2	3

Decide the action to take:

5	Very severe	Take immediate action
4	Severe	High priority
3	Moderate Risk	Programme for action
2	Low Risk	Action may be required
1	Negligible	Probably acceptable

Then list each risk identified

Hazard no: 1	Camera cable
Description	The leads of the cameras may possibly be a trip hazard if placed in a wreckless manner.
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	C
Action to take	Ensure that the cables for the cameras are placed in a safe manner so that they do not become a trip hazard
Person/company responsible for action	Kundai
To be completed at agreed later date
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)			Risk removed? (y/n)

Hazard no:	Weapon		Risk Factor (1-5):			5
Description	The use of a prop gun may impose legal risks if mistaken for an authentic weapon. Especially in the public and college environment.
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	P,O,C
Action to take	Ensure that when not in use the prop is kept in a bag.
Person/company responsible for action	Ollie
To be completed at agreed later date
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)			Risk removed? (y/n)
Hazard no:			Risk Factor (1-5):
Description
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take
Person/company responsible for action
To be completed at agreed later date
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)			Risk removed? (y/n)

Hazard no:	Trip Hazards (Folders, cabinets)		Risk Factor (1-5):			3
Description	The folders and cabinets which currently occupy the set impose a possible trip hazards.
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take	Removing these items prior the films recording.
Person/company responsible for action
To be completed at agreed later date
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)			Risk removed? (y/n)

Hazard no: 11			Risk Factor (1-5):
Description
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take
Person/company responsible for action
To be completed at agreed later date
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)			Risk removed? (y/n)

Hazard no:			Risk Factor (1-5):
Description
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take
Person/company responsible for action
To be completed at agreed later date
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)			Risk removed? (y/n)

Hazard no: 30			Risk Factor (1-5):
Description
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take
Person/company responsible for action
To be completed at agreed later date
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)			Risk removed? (y/n)

Completed by:                                                             Position:

Signature                                                                     Date: