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RISK ASSESSMENT FORM
Shoot date Production Title Page of
2/4/17 A Young Understanding 1 of 1
Producer
Megan Byrne
Location:
Bus
Address:
Harlow
RATINGS:
• each risks severity on scale fromNegligable (N), Low risk(L), Moderate risk (M), Severe (S), Very severe (V)
• each risks likelihood on scale fromVery unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL)
• risk factor fromthe table overleaf.
Hazard Present? Severit
y
Likelihood Risk
Facto
r
1 Alcohol/drugs VU L U 2
2 Animals/insects VU N U 1
3 Audiences L M L 3
4 Camera cable/grip equipment L S VL 5
5 Confined spaces VU N VU 1
6 Derelictbuildings/dangerous structures VU N U 1
7 Electricity/gas (other than normal supplies) P L VU 1
8 Fatigue/long hours VU N U 1
9 Fire/flammable materials P M P 3
10 Hazardous substances U N VU 1
11 Heat/Cold/extreme weather VU N U 1
12 Laser/strobe effects U N U 1
13 Machinery/industrial/ crane/hoist U N VU 1
14 Materials - glass, non-fire retardantsetmaterials P M P 3
15 Nightoperation VU N U 1
16 Noise – high sound levels U N U 1
17 Non standard manual handling VU N VU 1
18 Public/crowds P M P 3
19 Radiation VU N VU 1
20 Scaffold/Rostra U N U 1
21 Smoking on set U M U 2
22 Special effects/explosives U N U 1
23 Special needs (elderly,disabled, inexperienced) P L P 2
24 Specialised rescue/firstaid U N U 1
25 Stunts, dangerous activities VU L VU 1
26 Tall scenery/suspended ceilings U N VU 1
27 Vehicles/speed VL M P 3
28 Water/proximity to water VU N VU 1
29 Weapons U N U 1
30 Working at heights VU N VU 1
31 Working overseas VU N VU 1
32 Other risks VU N VU 1
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
Low 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: 4 Risk Factor 5
Description Camera Equipment:
We will be using camera equipment when filming on the bus, this will
include a camera and other potential camera cables - this may be a
hazard to passengers on the bus as they could trip on potential
cables.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Any potential passengers on the bus may be exposed to camera
equipment as they could trip and fall on cables. The cast and crew
will also be exposed to the camera equipment, and could potentially
face similar hazards.
Action to take We will inform the bus company that we are to be filming and thus
they will be aware of potential dangers - all passengers will be
informed that we are filming and to stay away with a sign stating
“filming in progress”.
Person/company
responsible for action
Megan Byrne, Fern Disney
To be completed at agreed later date
Exposed person(s)
informed? (y/n)
Agreed action taken? (y/n) Risk removed?
(y/n)
Hazard no: Materials Risk Factor (1-5): 3
Description As we are to be on a bus, there is potential flammable materials such
as the bus chairs, glass materials such as the bus windows and other
dangerous materials we must be aware of. It is important that we are
aware of the potential dangers that follow these materials such as
someone cutting themselves on broken glass, or any flammable
materials catching fire.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
All passengers on the bus will be exposed to such materials, as will
the cast and crew of A Young Understanding - Therefore, it is
important that we stay aware of all potential dangers.
Action to take As we are on a bus, which is to have been safety checked, there will
be safety exits - we will make ourselves aware of these exits if any
material hazards occur. Also, all busses are equipped with a fire
extinguisher and other safety appliances which will be used in case of
an emergency.
Person/company
responsible for action
Megan Byrne Fern Disney
To be completed at agreed later date
Exposed person(s)
informed? (y/n)
Agreed action taken? (y/n) Risk removed?
(y/n)
Hazard no: Public/Crowds Risk Factor (1-5): 3
Description As we are to be filming on a bus we will be filming in front of potential
bus passengers it is important that we are aware of potential hazards.
This may include filming being interrupted by passengers,
passengers facing potential dangers around our equipment, and
potentially passengers being filmed when they are unaware.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
All cast and crew of A Young Understanding will be exposed to
potential passengers on the bus, it is important that we are aware of
potential dangers that follow.
Action to take We will place a sign on the bus stating “filming in progress” to warn
off any unwanted passengers, we will also inform the bus company
so that they are able to inform passengers too. Warning passengers
away will also remove them from further dangers such as tripping on
camera cables.
Person/company
responsible for action
Megan Byrne Fern Disney
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
(detail if 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: 11 Risk Factor (1-5):
Description
Person(s) exposed
(detail if 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
(detail if 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: 30 Risk Factor (1-5):
Description
Person(s) exposed
(detail if 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)
Completed by: Position:
Signature Date:

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Risk assessment form - Bus

  • 1. RISK ASSESSMENT FORM Shoot date Production Title Page of 2/4/17 A Young Understanding 1 of 1 Producer Megan Byrne Location: Bus Address: Harlow RATINGS: • each risks severity on scale fromNegligable (N), Low risk(L), Moderate risk (M), Severe (S), Very severe (V) • each risks likelihood on scale fromVery unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL) • risk factor fromthe table overleaf. Hazard Present? Severit y Likelihood Risk Facto r 1 Alcohol/drugs VU L U 2 2 Animals/insects VU N U 1 3 Audiences L M L 3 4 Camera cable/grip equipment L S VL 5 5 Confined spaces VU N VU 1 6 Derelictbuildings/dangerous structures VU N U 1 7 Electricity/gas (other than normal supplies) P L VU 1 8 Fatigue/long hours VU N U 1 9 Fire/flammable materials P M P 3 10 Hazardous substances U N VU 1 11 Heat/Cold/extreme weather VU N U 1 12 Laser/strobe effects U N U 1
  • 2. 13 Machinery/industrial/ crane/hoist U N VU 1 14 Materials - glass, non-fire retardantsetmaterials P M P 3 15 Nightoperation VU N U 1 16 Noise – high sound levels U N U 1 17 Non standard manual handling VU N VU 1 18 Public/crowds P M P 3 19 Radiation VU N VU 1 20 Scaffold/Rostra U N U 1 21 Smoking on set U M U 2 22 Special effects/explosives U N U 1 23 Special needs (elderly,disabled, inexperienced) P L P 2 24 Specialised rescue/firstaid U N U 1 25 Stunts, dangerous activities VU L VU 1 26 Tall scenery/suspended ceilings U N VU 1 27 Vehicles/speed VL M P 3 28 Water/proximity to water VU N VU 1 29 Weapons U N U 1 30 Working at heights VU N VU 1 31 Working overseas VU N VU 1 32 Other risks VU N VU 1 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 Low 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
  • 3. 2 Low Risk Action may be required 1 Negligible Probably acceptable Then list each risk identified Hazard no: 4 Risk Factor 5 Description Camera Equipment: We will be using camera equipment when filming on the bus, this will include a camera and other potential camera cables - this may be a hazard to passengers on the bus as they could trip on potential cables. Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Any potential passengers on the bus may be exposed to camera equipment as they could trip and fall on cables. The cast and crew will also be exposed to the camera equipment, and could potentially face similar hazards. Action to take We will inform the bus company that we are to be filming and thus they will be aware of potential dangers - all passengers will be informed that we are filming and to stay away with a sign stating “filming in progress”. Person/company responsible for action Megan Byrne, Fern Disney To be completed at agreed later date Exposed person(s) informed? (y/n) Agreed action taken? (y/n) Risk removed? (y/n) Hazard no: Materials Risk Factor (1-5): 3 Description As we are to be on a bus, there is potential flammable materials such as the bus chairs, glass materials such as the bus windows and other dangerous materials we must be aware of. It is important that we are aware of the potential dangers that follow these materials such as someone cutting themselves on broken glass, or any flammable materials catching fire. Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) All passengers on the bus will be exposed to such materials, as will the cast and crew of A Young Understanding - Therefore, it is important that we stay aware of all potential dangers. Action to take As we are on a bus, which is to have been safety checked, there will be safety exits - we will make ourselves aware of these exits if any material hazards occur. Also, all busses are equipped with a fire extinguisher and other safety appliances which will be used in case of an emergency. Person/company responsible for action Megan Byrne Fern Disney
  • 4. To be completed at agreed later date Exposed person(s) informed? (y/n) Agreed action taken? (y/n) Risk removed? (y/n) Hazard no: Public/Crowds Risk Factor (1-5): 3 Description As we are to be filming on a bus we will be filming in front of potential bus passengers it is important that we are aware of potential hazards. This may include filming being interrupted by passengers, passengers facing potential dangers around our equipment, and potentially passengers being filmed when they are unaware. Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) All cast and crew of A Young Understanding will be exposed to potential passengers on the bus, it is important that we are aware of potential dangers that follow. Action to take We will place a sign on the bus stating “filming in progress” to warn off any unwanted passengers, we will also inform the bus company so that they are able to inform passengers too. Warning passengers away will also remove them from further dangers such as tripping on camera cables. Person/company responsible for action Megan Byrne Fern Disney 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 (detail if 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)
  • 5. Hazard no: 11 Risk Factor (1-5): Description Person(s) exposed (detail if 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 (detail if 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: 30 Risk Factor (1-5):
  • 6. Description Person(s) exposed (detail if 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) Completed by: Position: Signature Date: