This details hazards and risks involved in shooting at the decided location.

1. Page 1 of 8
Safety Assessment Form
Location Shoot
To be used for shoots that would not be covered under a course generic risk assessment.
Before completing this form please refer to the Film & Photography Health & Safety
Location Shoot Handbook for guidance, to ensure your shoot is as safe as is reasonably
practicable.
Organiser details
Name: Joseph Evans Tel: 07514 120291
Course:
Level:
LEVEL 4 Student
Number:
295221
Module
Leader:
Paul Booth
Title of Shoot: This is not a cult
Shoot Date(s): From: 25/11/20 To: 26/11/20
Number of participants:
Total number of all persons involved. For legal reasons please
provide details of any participants under 18.
10
Shoot Location: MEANWOOD VALLEY PATH
SUGAR WELL RD
SUGAR WELL MOUNT
Location approval received from:
If on University premises(outside of course studios) this is
required fromEstatesbefore the shoottakes place
Public access
State which paperwork has been submitted/received from the list below:
(As a University we do not have controlof how the externally owned venues we may want to use for exhibitions are
managed. It is therefore important that we make checks that buildings are safe and meet legislative compliance as a
public venue before we use them. We can do this by asking the venue owner/ operator to provide the relevant
documents listed below)
 Fire risk assessment & Evacuation
Procedures
(This will inform you how fire risks are managed and what to do
in an evacuation)
N/A
Openoutdoorspace.
 Periodic/Fixed Electrical Testing
Certificates
(These ensure that the electricalsystems are safe to use in a
building)
N/A
Openoutdoorspace.
No accessto electrical outlets.
 Venue Sound Level risk assessment –
music
(A venue may have a policy or risk assessment for sound level
control, ensuring it does not exceed levels where it has the
potentialto cause damage to hearing?)
N/A
Openoutdoorspace.
 Public Liability Insurance
(All public venues are required to have public liability
insurance, to ensure theyare covered should an incident occur)
N/A
Openoutdoorspace.
Filmingonflatgrassyarea.
 Asbestos Risk Assessment/Report
(All propertiesbuilt up until 1992 have the potentialto contain
asbestos materials, even accidentaldamage to these materials
can be hazardous. Mostvenuesof this age will have had
asbestos surveys undertaken and will have reports which give
information about how asbestos is managed if present. It is
N/A
Openoutdoorspace.

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Description of the shoot – Include all details such as the schedule, equipment to be
used, any props, main safety precautions, type of shoot, activities, transport, any
external contributors, chemicals etc.
The shoot will take place at night (7:30-9:30pm). The location is a 5-minute walk from
Carr Mills Accommodation which is where the whole cast is situated. As it is a night
shoot it will be cold, therefore cast and crew should have warm clothing available.
Hand warmers will be given to the cast and crew for time between takes, another issue
of filming later is food, to counter this all cast and crew will be encouraged to eat
before they come out. Small snacks will be supplied. The weather is forecast to be
cloudy/sunny for both Wednesday and Thursday, however, in the event of rain the cast
and crew can move to Carr Mills accommodation and resume filming the next day. If
the weather does make a serious change for the whole week, filming can be done in
the studio and the cast will work from the indoor version of the script.
Schedule
Wednesday:
-Filming 7:30-9:30pm.
-Crew arrives at the first location Sugar Well Rd for 7:00pm to set up equipment.
-Cast arrives at Sugar Well Rd for 7:30pm to begin filming.
-Once filming is done at Sugar Well Rd the cast and crew will move back to the path
opposite Meanwood valley farm.
-Pack away equipment at 9:15pm to leave for 9:30pm
Thursday:
-Filming 6:00-9:30pm.
-Crew arrives at Meanwood Valley Path for 5:30pm to set up equipment.
-Cast arrives at Meanwood Valley Path for 6:00pm to begin filming.
-Pack away equipment at 9:15pm to leave for 9:30pm.
Equipment
Camera:
-Panasonic EVA-1 Camera.
-16mm XEEN lens.
-35mm XEEN lens.
-Manfrotto tripod 504.
-2x EVA-1 Batteries.
-2x 128gb SD cards.
-Clapper board.
-Steadicam.
Lighting:
-3x ARRI light stands.
-3x 2x1 light panels.
-A3 red lighting gel.
-3x V-lock batteries.
Sound:
-Rode boom pole.
-Zoom F8N Audio Recorder.
Props
important you know this before installing an exhibition in a
venue.)

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-Fake blood gel.
-Retractable fake knife.
-3x red cloaks.
-2x brown cloaks.
-Lightsaber.
-Glass bottle.
-Candles.
-Lantern.
-Rope.
-Black paint.
Identifying, evaluating, controlling and rating risk
Risk Rating Guidance
Severity of potential risk Likelihood of potential risk
High
 Hazards capable of resulting in death,
severe injury, disability or serious illness
 High cost both to individualand
organisation
3
High
 Likely to occur at any time during the
shoot 3
Medium
 Hazard capable of resulting in moderate
personalinjury/illness/damage/loss
capability
2
Medium
 May occur during the shoot 2
Low
 Hazard resulting in minor injury requiring
first aid treatment
 A minor loss event to the individualor
the organisation
1
Low
 Unlikely to occur
1
The risk rating guidance above should be used to assist you in determining the severity of
the potential risk and likelihood of potential risk of hazards. In the table below tick the
items that you believe are potential hazards (any not listed put in ‘other hazards’).
Having identified the hazards, you then have to consider how likely it is that harm will occur
and to who; i.e. the level of risk and what to do about it. Risk is a part of everyday life and
you are not expected to eliminate all risks. What you must do is make sure you know about
the main risks and the things you need to do to manage them responsibly.
The risk rating guidance above should be used to assist you in determining the severity of
the potential risk and likelihood of potential risk in the table below.
When you allocate the rating you do so after taking into consideration any measures – called
control measures - that you have/or will put in place to reduce the risks.

4. Page 4 of 8
Potential
hazards or
hazardous
activity
(please tick)
Who may be
affected¹ and
how?²
Action taken to remove, reduce
or control risks
Severityof
potentialrisk
Likelihoodof
potentialrisk
Access/ Egress □
(obstructions, doors &
access routes)
There is one
slope cast/crew
members could
slip on.
Cast and crew will be encouraged
to wear hiking/high ankle support
shoes.
2 1
Animals/reptiles/
birds □
N/A N/A N/A N/A
Audience/
members of the
public □
Location 1 is on
a cul-de-sac,
possibility of
hassle from the
public.
The shoot will take place late on
therefore the road will not be
busy.
2 1
Chemicals or
substances
hazardous to
health □
(e.g. compressed air,
dust, sand, fake blood
etc)
Fake blood will
be used in one
scene. Slim
chance of blood
being ingested
or getting in
someone’s eyes.
The blood will be used on the
actor’s thigh. Therefore, it is a
safe distance from their mouth or
eyes.
2 1
Confined spaces
□
N/A N/A N/A N/A
Cranes, hoists,
lifts & access
platforms □
N/A N/A N/A N/A
Dangerous
structures □
N/A N/A N/A N/A
Drones & aerial
cameras □
N/A N/A N/A N/A
Electrical □ Crew will be
using filming
equipment.
The equipment is tested regularly
by the Uni (All passed their
electrical test).
N/A N/A
Falling objects □ Lights will be
placed on
stands, a
chance that
cast or crew
could trip on
them.
Crew will make sure that all
stands/tripods are stable and
placed on even ground.
2 1
Fire or heat □ A candle will be
used in a
lantern, slim
chance cast
could burn
The candle will be kept in the
confines of the lantern, this
greatly lowers the risk of anyone
burning themselves. The ground is
also wet so there’s no risk of any
fires being created.
3 1

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themselves on
it.
Food & drink
(e.g.allergens) □
Cast and crew
may be allergic
to certain
foods.
Cast and crew will be asked to eat
prior to filming.
3 1
Heat/cold □ The shoot will
take place at
night, therefore
cast and crew
could get cold.
Cast and crew will be asked to
bring warm clothing for between
takes. Hand warmers will also be
supplied to the cast and crew.
2 1
Lighting &
visibility □
(e.g.reduced light, fog,
smoke)
As we’re filming
at night
visibility will be
low.
Cast and crew have torches on
their phones for access and egress.
The set will also be well lit.
2 1
Lone working □ N/A N/A N/A N/A
Manual Handling
(e.g. lifting and
carrying)□
Lighting and
camera
equipment will
be moved
around to and
from sets.
Heavier
equipment
could result in
injury.
The walk between sets is not very
far. Furthermore, we will make
sure that there isn’t one person
carrying any excess weight.
1 1
Noise □
(e.g. loud machinery,
music, address systems)
Buildings and
people nearby
may cause
disruptions.
As we’re filming at night public
footpaths won’t be as busy.
1 1
People at higher
risk □
(e.g.pregnant women,
infants/children,
elderly, vulnerable
persons, known medical
conditions of any
participants)
N/A N/A N/A N/A
Props &
equipment □
Lights will be
put high up on
stands to light
the area, could
fall onto
someone.
Any props or equipment will be
placed onto flat ground.
Equipment will also be handled
appropriately and carefully.
1 1
Security/ Theft □ Risk of theft. We will be working in a large
group; this means that the
likelihood of someone stealing is
lower. Furthermore, at least one
3 1

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person will always have an eye on
the equipment.
Slip, trip or fall □ Some slippery
areas on the
path, people
could fall over.
Cast and crew will be asked to
wear shoes with suitable tread for
dirt paths.
2 2
Stunts &
hazardous
activities □
(including being near
vehicles)
N/A N/A N/A N/A
Special effects □
e.g. fireworks,
pyrotechnics
N/A N/A N/A N/A
Violence,
aggression (realor
simulated) □
Scene where an
actor gets
stabbed in the
leg with a
retractable fake
knife, slim
chance of
getting injured.
The knife blade is blunt and
retractable, the thigh muscle is
also hard enough that it doesn’t
hurt the actor. A layer of padding
will be placed underneath the
actors trouser as extra precaution.
3 1
Working in/near
water □
We will be
working next to
a small shallow
stream, an
actor or crew
member could
fall in.
We will clearly mark out the
steam so that no cast or crew goes
near it.
3 2
Working at
heights □
N/A N/A N/A N/A
Other hazards
not listed above
N/A N/A N/A N/A
1
E.g. staff, student, member of the public
2
E.g. cuts, bruises, fractures, electric shock, burns, allergic reactions
Overall Risk Rating
Having identified and assessed the risks above, use the table below to consider an overall
rating for the activity on the basis of the severity and likelihood of it leading to severe injury
or severe impact on the health of anyone involved.
Tick next to the risk level
Severity:
With control measures in place
what is the potential severity of an
injury or health effect?
Low
1
Medium
2
High
3
Likelihood: Low
1
Medium
2
High
3

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How likely is the most significant
hazard to cause harm?
Total risk score:
(severity multiplied by likelihood)
Low
1-2
Medium
3-4
High
6-9
Is the shoot of a sensitive nature or likely
to cause offense to the beliefs or values of
others?
(Information may need to be given to involved parties or
audiences, advice can be soughtfromthe Module Leader
or Course Leader)
Declaration
Name:
Date:
This form should be emailed to the Module Leader who will need to consult and seek
approval from the members of staff detailed below where the risk is medium/high. Students
should not carry out any further work until this risk assessment has been approved.
Staff Authorisation
The staff below are confirming they have read and understood this risk assessment, and
where necessary discussed further with the student prior to authorising. It is noted that
the control measures are considered appropriate unless additional controls are
identified in the box below.
Position Risk Name and Signature Date
Module Leader Low
Course Leader Medium
Programme Director High
Estates (Risk & Safety) High
Additional control measures required by any of the above named?
Once authorised, the member of staff should give this form to the HE Administrative
Assistants who will scan and file a copy in the course S Drive and email a copy to the student.

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This form should be saved in the organisers name using the convention
initial.surname.dd.mm.yy.SAF (date of event).