1. Name:
Thriller coursework pre-production paperwork
RISK ASSESSMENT FORM)
Production name _______________________________ Tel Number ____________________
Shoot dates _________________________ Producers Name __________________________
List of location(s) form relates to ________________________________
Complete the following table rating:
● Each risks severity on scale fromNegligable (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (VS)
● Each risks likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL)
● Determine the risk factor fromthe table overleaf.
Hazard
P
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e
s
e
n
t
?
S
e
v
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t
y
Li
k
el
ih
o
o
d
R
i
s
k
F
a
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r
1 Alcohol/drugs vu n vu
2 Animals/insects vu n vu
3 Audiences p l p
4 Camera cable/grip equipment vl m vl
5 Confined spaces u n u
6 Derelict buildings/dangerous structures vu n vu
7 Electricity/gas (other than normal supplies) p m p
8 Fatigue/long hours u n u
9 Fire/flammable materials vu n vu
10 Hazardous substances u n u
11 Heat/Cold/extreme weather p m p
12 Laser/strobe effects p s p
13 Machinery/industrial/ crane/hoist vu n vu
14 Materials - glass, non-fire retardant set materials u n u
15 Night operation u n u
16 Noise – high sound levels p l p
17 Non standard manual handling u n u
18 Public/crowds p l p
19 Radiation vu n vu
20 Scaffold/Rostra u n u
21 Smoking on set vu n vu
22 Special effects/explosives p l p
23 Special needs (elderly, disabled, inexperienced) u n u
24 Specialised rescue/first aid vl vs vl
25 Stunts, dangerous activities u n u
26 Tall scenery/suspended ceilings u n u
27 Vehicles/speed vu n vu
28 Water/proximity to water p l p
29 Weapons p m p
30 Working at heights p vs p
2. Name:
Thriller coursework pre-production paperwork
31 Other risks u n u
32
Calculate the Risk Factor:
Very Unlikely (VU) Unlikely (U) Possible (P) Likely (L) Very Likely (VL)
Very severe (VS) 3 4 4 5 5
Severe (S) 2 3 3 3 5
Moderate (M) 2 2 3 3 3
Low Risk(L) 1 2 2 3 3
Negligible (N) 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: Risk Factor (1-5)
Description low risk 2
Person(s) exposed,
cast/crew (C), outside
company (O) or public (P)
cast/crew
Action to take caution carefulof camera cables
Person/company
responsible for action
the w hole company
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action
taken? (y/n)
Risk removed?
(y/n)
Hazard no: Risk Factor (1-5)
Description
Person(s) exposed,
cast/crew (C), outside
company (O) or public (P)
Action to take
Person/company
responsible for action
3. Name:
Thriller coursework pre-production paperwork
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action
taken? (y/n)
Risk removed?
(y/n)
Hazard no: Risk Factor (1-5)
Description
Person(s) exposed,
cast/crew (C), outside
company (O) or public (P)
Action to take
Person/company
responsible for action
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action
taken? (y/n)
Risk removed?
(y/n)
Hazard no: Risk Factor (1-5)
Description
Person(s) exposed,
cast/crew (C), outside
company (O) or public (P)
Action to take
Person/company
responsible for action
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action
taken? (y/n)
Risk removed?
(y/n)
Copy and paste this table for each of the hazards, then get the form signed. If the producer has
not completed the risk assessment, then they should countersign this form.
Completed by: Position:
Signature Date:
Countersigned by: PRODUCER
Signature Date:
