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Risk assessment form
1. 1
Risk Assessment
Complete the following table rating;
Each risks severity on scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S),
Very severe (V)
Each risks likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very
likely (VL)
Determine the risk factor from the table overleaf.
Hazard
Present?
Severity Likelihood Risk Factor
1 Alcohol/drugs No N VU 1
2 Animals/insects Yes L U 2
3 Audiences No N VU 1
4 Camera cable/grip equipment No N VU 1
5 Confined spaces No N VU 1
6 Derelict buildings/dangerous structures No N VU 1
7 Electricity/gas (other than normal supplies) No N VU 1
8 Fatigue/long hours No N VU 1
9 Fire/flammable materials No N VU 1
10 Hazardous substances No N VU 1
11 Heat/Cold/extreme weather No N VU 1
12 Laser/strobe effects No N VU 1
13 Machinery/industrial/ crane/hoist No N VU 1
14 Materials - glass, non-fire retardant set materials No N VU 1
15 Night operation No N VU 1
16 Noise – high sound levels No N VU 1
17 Non standard manual handling No N VU 1
18 Public/crowds Yes M U 2
19 Radiation No N VU 1
20 Scaffold/Rostra Maybe L U 2
21 Smoking on set No N VU 1
22 Special effects/explosives No N VU 1
23 Special needs (elderly, disabled, inexperienced) No N VU 1
24 Specialised rescue/first aid No N VU 1
25 Stunts, dangerous activities No N VU 1
26 Tall scenery/suspended ceilings No N VU 1
27 Vehicles/speed No N VU 1
28 Water/proximity to water Yes L U 2
29 Weapons No N VU 1
30 Working at heights No N VU 1
31 Working overseas No N VU 1
32 Other risks Yes L U 2
2. 2
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
Slight 1 2 2 3 3
Negligible 1 1 2 2 3
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
Then list each risk identified
Hazard no: 2 Risk Factor (1-5) 2
Description In the woods there is a variety of animals and insects present. Such as
dogs that are probably the most dangerous.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
All 4 of our cast/crew is exposed, and the public who walk around in
there.
Action to take Stand still and quiet, and don’t wind them up.
Person/company
responsible for action
Production Crew/Dog owners
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
y Agreed action taken? (y/n) y Risk removed?
(y/n)
y
3. 3
Hazard no: 18 Risk Factor (1-5) 2
Description A big crowd could object to our filming in town, and become angry
towards us.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
All of the cast/crew is exposed.
Action to take Try not to provoke large crowds.
Person/company
responsible for action
Production crew
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
y Agreed action taken? (y/n) y Risk removed?
(y/n)
y
Hazard no: 28 Risk Factor (1-5) 2
Description When we are filming next to the river, even though there is a wall
separating us from the river, we have to be sensible/responsible and
for example not climb on/over the wall.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
The whole cast/production crew is exposed to the minimal risk.
Action to take Don’t climb on or over the wall to become close to the river.
Person/company
responsible for action
Production Crew
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
y Agreed action taken? (y/n) y Risk removed?
(y/n)
y
Jack Allinson
Completed by:
Signature;
Countersigned by: Simon Smith
Signature; Date: 21/10/14