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Copy of film production risk assessment form
1. FILM PRODUCTION RISK ASSESSMENT
LIKELIHOOD
CONSEQUENCES
Insignificant Minor Moderate Major Catastrophic
Almost Certain HIGH HIGH EXTREME EXTREME EXTREME
Likely MODERATE HIGH HIGH EXTREME EXTREME
Moderate LOW MODERATE HIGH EXTREME EXTREME
Unlikely LOW LOW MODERATE HIGH EXTREME
Rare LOW LOW MODERATE HIGH HIGH
Give careful consideration to the availability of information and ability to make contactin the event of problems.
Examples to consider:-
● Is there mobile ‘phonereception in the area ?
● How will you keep up to date with changes in the weather ?
● How will you be informed of changes in tidal waters ?
● How easy is it for members of the emergency services to reach you ? (cliffs, beaches, quarries, etc)
2. FILM PRODUCTION RISK ASSESSMENT
Company Name
Billionaire records
Production Title
‘Right Thru Me’ Video shoot
Production Date(s)
Producer Name
Rachel Burton
Director Name
Rachel Burton
Date of Risk Assessment
17/10/17
Risk Assessment conducted by
Rachel Burton
Hazard Persons who may
be harmed
Property which
may be damaged
Risk controls already
in place
Risk Assessment
LOW, MODERATE,
HIGH, EXTREME
(see table)
Further action
required to control
risk ***
Glass being
smashed
Anyone on set. Anything
surrounding the
glass
Make sure no one stands
in front of her while
smashing it, never have
bare feet.
High Give a direct indication
of where to throw the
frame.
Battery life N/A N/A Make sure that the
camera is fully charged
before use.
Low Make sure I have Spare
batteries.
Weather N/A Footage N/A Moderate N/A
Driving Anyone Car/Surrounding
area
Make sure no one is
behind the wheel who’s
not insured or has a
driving license.
Low N/A
3. Setting Anyone N/A Make sure mobile phone
is charged in case of
difficulty. don’t go at
night time or when the
weather is bad.
Moderate Make sure someone
else knows that we are
going there to film.
Copyto additional sheet(s) if further spaceis needed
***Where further actions are required, complete the action plan on the following page
FILM PRODUCTION RISK ASSESSMENT
ACTION PLAN
Further action(s) required By Whom Date Completed
Give a direct indication of where to throw the frame. Me Recording Day.
Make sure I have Spare batteries. Me Recording Day.
4. Make sure someone else knows that we are going there to film. Everyone on set Recording Day.
5. FILM PRODUCTION RISK ASSESSMENT
Essential Contact Numbers
EmergencyServices
Fire Brigade 999
Ambulance 999
Police 999
Coastguard 999
TransportPolice 999
Delete contents of table below and input details specific to your production
Persons / property Contact name & Relationship
(if applicable)
Business Hours Mobile Out of hours
Child actors
George Smith
Pam Black
Mary Smith – Mother
John Black – Father
9-5 07285604121 07285604121
Locations
Beach & Forest Mr White
9-5 07861245981 07861245981