RISK ASSESSMENT SHEET

RISK ASSESSMENT FORM

Production Name & Number         -

Shoot Dates                                -

Production Manager                     -

Producer                                    -

Guidance:

1.     Assess whether a hazard will be present, write YES or NO.  Then for each hazard that you have said YES to do the following:

2.     Rate each risk on a Severity scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V)

3.     Rate each risks Likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL)

4.     Determine the Risk Factor from the table overleaf.

P = Present      /           S = Severity     /           L = Likelihood  /           R = Risk Factor

	Hazard	P	S	L	R
1	Alcohol/drugs	YES	S	P	3
2	Animals/insects	YES	N	L	2
3	Audiences	YES	N	L	2
4	Camera cable/grip equipment	NO
5	Confined spaces	NO
6	Derelict buildings/dangerous structures	NO
7	Electricity/gas (other than normal supplies)	NO
8	Fatigue/long hours	YES	M	P	3
9	Fire/flammable materials	NO
10	Hazardous substances	NO
11	Heat/Cold/extreme weather	NO
12	Laser/strobe effects	NO
13	Machinery/industrial/ crane/hoist	NO
14	Materials - glass, non-fire retardant set materials	NO
15	Night operation	NO
16	Noise – high sound levels	YES	M	P	3
17	Non standard manual handling	NO
18	Public/crowds	YES	M	L	3
19	Radiation	NO
20	Scaffold/Rostra	NO
21	Smoking on set	YES	LR	L	3
22	Special effects/explosives	NO
23	Special needs (elderly, disabled, inexperienced)	NO
24	Specialised rescue/first aid	NO
25	Stunts, dangerous activities	YES	VS	L	5
26	Tall scenery/suspended ceilings	NO
27	Vehicles/speed	NO
28	Water/proximity to water	NO
29	Weapons	NO
30	Working at heights	NO
31	Working overseas	NO
32	Other risks	NO

5. 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 Risk	1	2	2	3	3
Negligible	1	1	2	2	3

6. 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

7. Then list each risk identified

Hazard Number:
Description of Hazard:	FOTIGUE
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	EVERYBODY INVOLVED
Action to take:	REGULAR BREAKS
Person/company responsible for action	DIRECTOR
Hazard Number:
Description of Hazard:	NOISE
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	PUBLIC
Action to take:	KEEP THE NOISE DOWN
Person/company responsible for action	PRODUCER/DIRECTOR
Hazard Number:
Description	PUBLIC/CROWDS
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	CAST
Action to take:	HAVE RUNNERS OR SIGNS
Person/company responsible for action	DIRECTOR
Hazard Number:
Description	SMOKING ON SET
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	THE CAST, THE SHOTS.
Action to take:	ASK SMOKERS NOT TO SMOKE NEAR THE CAMERA AND THE CAST.
Person/company responsible for action	DIRECTOR
Hazard Number:
Description	DANGEROUS ACTIVITIES
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	CAST,CREW.
Action to take	ASK PUBLIC NOT TO PLAY THESE ACTIVITIES WHILE FILMING
Person/company responsible for action	PRODUCER/DIRECTOR.

To be completed at agreed later date -
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)		Risk removed? (y/n)

Completed by: MADELEINE GOVIER              Position: DIRECTOR

Signature MADDIE GOVIER                                                                Date: 03/10/13