1. Risk Assessment Form – Part A
ProductionName: Grimm Production Organisation
ProductionAddress: CFGS Producer / Editor
Tel:
Mobile:
Start date End date
Distribution
Who gets a copyof the assessment
Taslima Begum, Tasnim Ali, Nuzhat Ahmed and Farheen Rahman
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Team members / experts /
contractors / contributors etc.
List those involved
Taslima Begum, Tasnim Ali, Nuzhat Ahmed and Farheen Rahman
Locations
Outline locationsinvolved – indicate
any which are hostile environments
Lorry House, CFGS
Assessor Name
Signature
Katie Richards-Gross Date completed
Authoriser Name
(if not Assessor) Signature
Luke Williams Date authorised
Hazard list – select your hazards from the list belowand use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person Contact with cold liquid / v apour Disease causativ e agent
Attack by animal Contact with cold surf ace Inf ection
Breathing compressed gas Contact with hot liquid / v apour Allergic reaction
Cold env ironment X Contact with hot surf ace Lack of f ood / water
Crush by load Electric shock Lack of oxy gen
Drowning Explosiv e blast Phy sical f atigue
Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action
High atmospheric pressure Fire Static body posture
Hot env ironment Hazardous substance Stress / anxiety
Manual handling X Ionizing radiation Venom poisoning
Object f alling, mov ing or f ly ing X Laser light
Obstruction / exposed f eature Lightning strike Environmental hazards
Sharp object / material Noise Litter
Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration X
Slippery surf ace Stroboscopic light Phy sical damage
Trap in mov ing machinery Vibration Waste substance released into air
Trip hazard Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls f rom height Management f actors (lack of communication,
co-operation, co-ordination and competence)
Risk matrix – use this to determine risk for
each hazard i.e. ‘how bad and how likely’ Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Very unlikely
e.g. 1 in 200 chance
Unlikely
e.g. 1 in 50 chance
Possible
e.g. 1 in 10 chance
Likely
e.g. >1 in 3 chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium
Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High
Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high
Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high
2. Risk Assessment Form – Part B
Activity1
– Each individual activity you are proposing: Location – w here this activity willtake place: Dates / times:
Hazards2
List what could cause harm f rom this activ ity
e.g. falls from height, trip hazard, fire, etc.
Who exposed
List who might be harmed
f rom this activ ity
e.g. staff, contractors,
contributors, public, etc.
Risk3
For each hazard, decide
lev el of risk as if y ou were to
do the activ ity without y our
controls
Control measures
For each hazard, list the measures y ou will be taking to minimise the risk identif ied
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.
Risk3
For each hazard,
decide lev el of risk
once all y our controls
are in place
Tripping hazards – cast/crew
could possiblytrip over the
equipmentor wires
The cast and crew Low To prevent this,we would putwires to one side and make sure everyone is aware
of where the wires are and be careful.We could also tie up loose wires and cables
to stop them from moving and spreading everywhere.Also to prevent anyone from
tripping on this we can place mats on the top of the wires to make them smooth to
walk over.
High
Weather – our film is being filmed
during the winter so temperatures
are going to be much lower and a
person maycatch a cold, or in
extreme cases hypothermia.
The cast and crew High All members ofthe team will be well dressed for the weather,covered in thick
clothing.In extreme cases,ifit rains/snows or gets too cold we should take
precaution and go inside to film to warm up and then head outside later to film.
Low
Filming in a kitchen – we need to
be careful if we’re going to use a
stove as there are fire and
electrical risks.Where indivsuals
may burn themselves or get
accidently electrocuted.
The cast and crew High We need to be careful using the stove and switching itoff when we are done. We
also need to take precaution with equipment in the kitchen as they could get
damaged.
Low
Stunts- Some of our shots include
our main actress struggling on a
surgerytable, there’s a risk of her
falling off and injuring herself,or
as she is struggling she mayhit
her head againstthe table or her
hands and feet, which could lead
to bruises and other injuries.
Main actress Medium To prevent this we could have pillows or other soft items placed around the surgery
table in case she falls,also we could place a pillow under her head so she doesn’t
hit her head hard on the table, this can be edited out later to ensure
professionalism.
In addition to ensure she doesn’treceive any bruises on her wrists or legs,we
have to make sure the ropes that she’s tied down with are tied looselyand are
slightlypadded to reduce the harshness ofthe rope.
Medium
3. Lifting hazards – a person should
be careful when lifting heavy items
as it could strain a muscle.
The crew Low The way to prevent this would be to put wires to one side and make sure everyone
is aware of the location of wires.We can also tape loose wires and cables to the
ground to stop them from moving around and gathering together,to prevent
anyone from tripping on these we can place mats on top of them to make them
smooth to walk over.
High
Equipmentfalling over – such as
tripod, lighting stands and
cameras have a chance of falling
over and falling onto a person or
their feet and could seriously
injure them.
The crew and cast Medium The risk of this is high as the locations we are filming in are small rooms so there is
less space to place equipment; this leads to the chance of items being knocked
over and possiblyfalling onto another person.To prevent this we can place the
equipmentwe aren’tusing atthe time in the corner of the location,out of reach of
others.We can also make everyone on the team aware of their surroundings so
they also take precaution when moving around.
High