Risk Assessment

RISK ASSESSMENT FORM
Shoot date		Production Title		Page            of
		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	0
2	Animals/insects	0
3	Audiences	0
4	Camera cable/grip equipment	1	1	2	2
5	Confined spaces	0
6	Derelict buildings/dangerous structures	0
7	Electricity/gas (other than normal supplies)	0
8	Fatigue/long hours	2	2	3	6
9	Fire/flammable materials	0	0	0	0
10	Hazardous substances	0
11	Heat/Cold/extreme weather	0
12	Laser/strobe effects	0
13	Machinery/industrial/ crane/hoist	0
14	Materials - glass, non-fire retardant set materials	0
15	Night operation	0
16	Noise – high sound levels	0
17	Non standard manual handling	0
18	Public/crowds	0
19	Radiation	0
20	Scaffold/Rostra	0
21	Smoking on set	0
22	Special effects/explosives	0
23	Special needs (elderly, disabled, inexperienced)	0
24	Specialised rescue/first aid	0
25	Stunts, dangerous activities	0
26	Tall scenery/suspended ceilings	0
27	Vehicles/speed	0
28	Water/proximity to water	0
29	Weapons	0
30	Working at heights	0
31	Working overseas	0
32	Other risks	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: q	Fatigue		Risk Factor (1-5): 3
Description	Long hours of recording may lead to exhaustion possibly
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	C
Action to take	Allow times for breaks during the filming process to allow the crew to rest and recover.
Person/company responsible for action	Oliver Robinson
To be completed at agreed later date
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)			Risk removed? (y/n)

Hazard no: 2	Camera cable grip		Risk Factor (1-5): 2
Description	Camera cables may be a trip hazard which makes it important to have the leads carefully laid out on the set.
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	C,O & P
Action to take	Ensure all leads are carefully placed throughout the set
Person/company responsible for action	Kundai Muteweri
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:			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: 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: