1. RISK ASSESSMENT FORM
Title of project: Irn Bru Man
Name and Number: 01904 770200
Address: Sim Balk Ln, Bishopthorpe, York YO23 2BB
Complete the following table rating
• each risks severity on scale from Negligible (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? S
e
v
e
ri
t
y
L
i
k
e
li
h
o
o
d
Risk
Fact
or
1 Alcohol/drugs N
2 Animals/insects N
3 Audiences N
4 Camera cable/grip equipment N
5 Confined spaces N
6 Derelict buildings/dangerous structures N
7 Electricity/gas (other than normal supplies) N
8 Fatigue/long hours N
9 Fire/flammable materials N
10 Hazardous substances N
11 Heat/Cold/extreme weather N
12 Laser/strobe effects N
13 Machinery/industrial/ crane/hoist N
14 Materials - glass, non-fire retardant set materials N
15 Night operation N
16 Noise – high sound levels N
17 Non-standard manual handling Y L P 2
18 Public/crowds Y L U 2
19 Radiation N
20 Scaffold/Rostra N
21 Smoking on set N
22 Special effects/explosives N
23 Special needs (elderly, disabled, inexperienced) N
24 Specialised rescue/first aid N
25 Stunts, dangerous activities N
26 Tall scenery/suspended ceilings N
27 Vehicles/speed N
28 Water/proximity to water N
29 Weapons N
2. 30 Working at heights N
31 Working overseas N
32 Other risks: Trips and slips Y M P 3
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:. 17. Risk Factor (1-5) 2
Description Non-standard manual handling.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Alexander Sullivan-Cree (C)
Jay Birkin (C)
Ayrton Starkey (C)
James Case (C)
Action to take Provide a detailed safety talk before handling the equipment.
Person/company
responsible for action
Alexander Sullivan-Cree (C)
Jay Birkin (C)
Ayrton Starkey (C)
James Case (C)
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. Hazard no: 18. Risk Factor (1-5) 2
Description Public/crowds.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Alexander Sullivan-Cree (C)
Jay Birkin (C)
Ayrton Starkey (C)
James Case (C)
Action to take Provide a detailed safety talk before moving to the location and when
we start recording. Also, we will have spotters about to prevent the
public from harming themselves around are equipment.
Person/company
responsible for action
Alexander Sullivan-Cree (C)
Jay Birkin (C)
Ayrton Starkey (C)
James Case (C)
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: 32. Risk Factor (1-5) 2
Description Other risks: Trips and slips.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Alexander Sullivan-Cree (C)
Jay Birkin (C)
Ayrton Starkey (C)
James Case (C)
Action to take Provide a detailed safety talk before moving to the location and when
we start recording. We will make sure the wire and tripod will be
secure safely to prevent the public and cast from tripping or falling.
Person/company
responsible for action
Alexander Sullivan-Cree (C)
Jay Birkin (C)
Ayrton Starkey (C)
James Case (C)
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
Completed by: Alexander Sullivan-Cree Position: Producer
