1. PRODUCTION COMPANY
Film' l,ocJclauro
Director: IaFic-*nn
Producer: [. a l- ic -,t^n1
Production Manager
1't Assistant Director
2nd Assistant Director
Date Bl
Unit Call
Costume
Make-Up
Weather Report
Sunrise/Sunset
PRODUCTION OFFICE UNIT OFFICE
WnPurA
LOCATION/STUDIO Location Contact:
Prcsl' *ood €,J
Sets Sc. No D/N vE Paqes Location Synopsis Cast No
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PRODUCTION REQUIREMENTS
MAKEUP/COSTUME:
ART DEPT:
CAMERfuRUSHES:
LIGHTING:
ACTION VEHICLES:
SFXAruEAPONS
CONSTRUCTION:
MEDICAL:
CATERING:
TRANSPORT: (lNC. LIST, MAPS, DIRECTIONS)
PARKING:
TOILETS:
FACILITIES:
SPECIAL NOTES: ''
ADVANCE SCHEDULE:
CHANGES:
ESTIMATED WRAP:
CALL SHEET NO....,.
2. PRODUCTION COMPANY
Film: locJC&.,r.
Director: IaFic-*nn
Producer:[.a Fic-,tn1
Production Manager
1't Assistant Director
2nd Assistant Director
Date Bl
Unit Call
Costume
Make-Up
Weather Report
Sunrise/Sunset
PRODUCTION OFFICE UNIT OFFICE
Wn1^rA
LOCATION/STUDIO Location Contact:
Prcsl- -ood €,J
Sets Sc. No D/N vE Paqes Location Synopsis Cast No
6 0,1 I iV)ro.o
F$ii,,^*u
(
No Cast Character P/U W/R M/U On Set
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I
STAND INS
CROWDS
PRODUCTION REQUIREMENTS
MAKEUP/COSTUME:
ART DEPT:
CAMERfuRUSHES:
LIGHTING:
ACTION VEHICLES:
SFXAA/EAPONS
CONSTRUCTION:
MEDICAL:
CATERING:
TRANSPORT: (lNC. LIST, MAPS, DIRECTIONS)
PARKING:
TOILETS:
FACILITIES:
SPECIAL NOTES: 't
ADVANCE SCHEDULE:
CHANGES:
ESTIMATED WRAP:
CALL SHEET NO....,.
3. APPENDICES
B.HEALTH AND SAFETY:
THE BBC RISK ASSESSIVI ENT FORIVI
EIEIts General Risk Assessment Form
- Part A
April 2007- DC
l&r^-tt1."1"l
Business Unit / Production
Address Pral r'roocrt
got
Producer / Editor
Tel:
Mobile:
llc"h'.a -f'nn
Period covered by assessment Version number
Outline of risk assessment
Sumnary of what is prcposed ffit^lltt,.^ gr'.rh, c,*
af *+a,lS
Team members / experts /
contractors / etc.
List those involved
lcal^c-,Ana
Site/Office/Location
Outline site/ l@ations involved
0cclp etooJ gc,l'
Assessor Name
Signature
k*h *An"
Date completed
Authoriser Name
(if not Assessor) Signature
Date authorised
Hazard list - setect your hazards frcm the list below and use these to complete Paft B (add others where appropiate)
Situational hazards 'lick Physical / chemical hzards Tick Tick
Asbestos Contact with cold liquid / vapour Disease causative agent
Assault by person Contact with @ld surface
Attacked by animal Contact with hot liquid / vapour Lack of food / water
Breathing 60mpressed gas Contact with hot surface Lack of orygen
Cold environment Electric shock Physi€lfatigue
Crush by load Explosive blast Repetitive action
Droming Explosive release of stored pressure Static body posture
Entanglement in moving machinery Fire Stress
Hot environment Hazardous substance
lonizing Ediation
Lifting Equipment Laser light Environmental haards
Manual handling Lightning skike Litter
Object falling, moving or flying Noise Nuisance noise / vibration
Obstruction / exposed feature Non-ion izing radiation Physialdamage
Sharp object / material Stroboscopic light Vhste substance released into air
Slippery surface Vibration Waste substance released into soil / water
Trap in moving machinery
Trip hazard "{ Other
Vehicle impact / collision
Working at height
RiSk matfix - use this to determine risk fot
each hazatd i.e. 'how bad and how likely' Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Unlikely
e.g. 1 in 200 chance
Possible
e.g. 1 in 50 chance
Likely
e.9.1 in l0chance
Probable
e.g. >1 in 3 chance
Negligible e.g. small bruise
Slight e.g. small cut, dee p bruise Medium
Medium Medium
Severe e.g. fractule, /oss ofcorsclousress Medium ExtEmely high
Medium Ertremely high ExtGmely high
NUJ Commission on multi-media working 2007 53
Division / Studio Department / Series
Health hzards
lnfection
lntimidation
Moderate e-9. deep cut, tom nuscle Hish
Hiqh Hioh
Very Severe e.g death, pemanent disability Hiqh
4. APPENDICES
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5. APPENDICES
B.HEALTH AND SAFETY:
THE BBC RISK ASSESSIIENT FORIVI
EIEIEI General Risk Assessment Form
- Part A
April 2007- DC
Division / Studio
b-Aonlt
Business Unit / Production
Address
PreS t- r^roocl
e,.L
Producer / Editor
Tel:
Mobile:
Itd,c'l.nn
Period eovered by assessment Jl- 2- Version number
Outline of risk assessment
Summary of what is proposed
Flt{,r,lr.rr ia Vco). JUr t-l'.1n
arAq"IJ.
Or Vri*i3 T
Team members / experts /
contractors / etc.
List those involved
lea{.a-Aon
Site/Office/Location
Outline site/ l@ations involved
?caSb t roool
Assessor Name
Signature a.r,{€-An^
Date completed
z?^t
Authoriser Name
(if not Assessor) Signature
g Date authorised
ze- 4b
Hazafd list - selrct your hazards from the list below and use these to complete Pad B (add otherc wherc appropiate)
Situational haards Tick Physical / chemical haards Tick Health haards
Asbestos Contactwith cold liquid / vapour Disease causative agent
Assault by person Contact with cold surface lnfection
Attacked by animal Contaclwith hot liquid / vapour Lack of food / water
Brealhing @mpressed gas Contact with hot surface Lack of orygen
Cold environment Electric shock Physical fatigue
Crush by load Explosive blast Repetitive action
Droming Explosive release of stored pressure Static body posture
Entanglement in moving machinery Fire Stress
Hot environment Hazardous substance
lnlimidation lonizjng radiation
Lifting Equipment Laser light Environmental hzards
iranual handling Lightning strike Litter
Object fallin g, moving or flying Noise Nuisance noise / vibration
Obstruclion / exposed fealure Non-ionizing radiation Physical damage
Sharp object/ material Stroboscopic light
Slippery surface Vibration Waste substance released into soil / water
Trap in moving machinery
Trip hazard Other
Vehicle impact / collision
Working at height
RiSk matfix - use this to determine isk for
each hazard i-e- 'how bad and how likely' Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Unlikely
e.g. 1 in 200 chance
Possible
e.9. 1 in 50 chance
Likely
e.g. 1 in 10 chance
Probable
e.g. >1 in 3 chance
Negligible e.g. small bruise Very low Low
Slight e.g. small cut, deep bruise Very low Medium
Moderate e.g. deep cut, torn muscle Medium Medium
SeY ere e.g. fracturc, /oss of @rsclorsress Medium Extremely high
Very Severe e.g. death, petmanent di,ability Medium Extrcmely high ExtEmely high
NUJ Commission on multi-media working 2007 53
Department / Series
Tick
Waste substance released into air
Hish
Hish High
Hioh
6. APPENDICES
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