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Risk Assessment Form –
Part A
ProductionName: Lucky Lew is Organisation Sunderland College
ProductionAddress: Durham Rd, Sunderland SR3
4AH
Producer / Editor
Tel:
Mobile:
Joseph Simmons
0191 497 2700
44 7917 841033
Start date End date Sunday 11th
March
Distribution
Who gets a copyof the assessment Neil Wilson
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Possible risk of harming during filming such as tripping hazards.
Team members / experts /
contractors / contributors etc.
List those involved
Mitchell Dempsey
Josh Pool
Robert Halligan
Locations
Outline locationsinvolved – indicate
any which are hostile environments
Seaburn next to leisure centre
Whitburn, Roberts house
Sunderland college, Bede campus, Preforming arts building
Assessor Name
Signature
Neil Wilson Date completed
Authoriser Name
(if not Assessor) Signature
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 x Contact with cold surf ace x 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 x Explosiv e blast Phy sical f atigue
Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action x
High atmospheric pressure Fire Static body posture
Hot env ironment Hazardous substance Stress / anxiety
Manual handling Ionizing radiation Venom poisoning
Object f alling, mov ing or f ly ing Laser light
Obstruction / exposed f eature Lightning strike Environmental hazards
Sharp object / material x Noise x Litter
Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration
Slippery surf ace x Stroboscopic light Phy sical damage
Trap in mov ing machinery Vibration Waste substance released into air
Trip hazard x Waste substance released into soil / water
Vehicle impact / collision x 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
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
Traffic Robert, Joseph Medium Colourful clothing w as worn; precautions were alwaystaken w hen crossing roads, such as
looking both w ays.
Low
RPI(repetitive strain injury) Joseph High Regular breaks w ere taken fromediting and research. Medium
Pot holes, grids Robert, Joseph Medium Suitable footwearwasworn,as wellas only shooting in areas w ith good lighting. Low
Trip hazards Any member of the
crew ,such as the actors
and editors for the
production
Medium Cables w illbe taped w ith easily visible tape dow n; smallobjects w ould be moved and placed
in out of reach places.
Low
Limited space(Roberts house) Joseph, Robert Medium Plan the space for the crew properly so it doesn’t slow down filming, as w ellas this the area
w as tidied before filming began
Low
Continue on separate sheet if necessary
1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A

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Risk Assessment Summary

  • 1. Risk Assessment Form – Part A ProductionName: Lucky Lew is Organisation Sunderland College ProductionAddress: Durham Rd, Sunderland SR3 4AH Producer / Editor Tel: Mobile: Joseph Simmons 0191 497 2700 44 7917 841033 Start date End date Sunday 11th March Distribution Who gets a copyof the assessment Neil Wilson Outline of risk assessment Summary of what is proposed in terms of sequences and set ups. Possible risk of harming during filming such as tripping hazards. Team members / experts / contractors / contributors etc. List those involved Mitchell Dempsey Josh Pool Robert Halligan Locations Outline locationsinvolved – indicate any which are hostile environments Seaburn next to leisure centre Whitburn, Roberts house Sunderland college, Bede campus, Preforming arts building Assessor Name Signature Neil Wilson Date completed Authoriser Name (if not Assessor) Signature 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 x Contact with cold surf ace x 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 x Explosiv e blast Phy sical f atigue Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action x High atmospheric pressure Fire Static body posture Hot env ironment Hazardous substance Stress / anxiety Manual handling Ionizing radiation Venom poisoning Object f alling, mov ing or f ly ing Laser light Obstruction / exposed f eature Lightning strike Environmental hazards Sharp object / material x Noise x Litter Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration Slippery surf ace x Stroboscopic light Phy sical damage Trap in mov ing machinery Vibration Waste substance released into air Trip hazard x Waste substance released into soil / water Vehicle impact / collision x 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 Traffic Robert, Joseph Medium Colourful clothing w as worn; precautions were alwaystaken w hen crossing roads, such as looking both w ays. Low RPI(repetitive strain injury) Joseph High Regular breaks w ere taken fromediting and research. Medium Pot holes, grids Robert, Joseph Medium Suitable footwearwasworn,as wellas only shooting in areas w ith good lighting. Low Trip hazards Any member of the crew ,such as the actors and editors for the production Medium Cables w illbe taped w ith easily visible tape dow n; smallobjects w ould be moved and placed in out of reach places. Low Limited space(Roberts house) Joseph, Robert Medium Plan the space for the crew properly so it doesn’t slow down filming, as w ellas this the area w as tidied before filming began Low Continue on separate sheet if necessary 1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A