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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 n
2 Animals/insects n
3 Audiences n
4 Camera cable/grip equipment y L u 2
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 y M P 3
12 Laser/strobe effects n
13 Machinery/industrial/ crane/hoist n
14 Materials - glass, non-fire retardant set materials n
15 Night operation y N vu 1
16 Noise – high sound levels n
17 Non standard manual handling n
18 Public/crowds y M P 3
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 y M P 3
28 Water/proximity to water y L vu 1
29 Weapons n
30 Working at heights n
31 Working overseas n
32 Wooded area Y L P 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:4 Risk Factor (1-5) 2
Description
Cables, etc.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Miles, Felicity, Hannah, Lloyd
Action to take Ensure no trailing cables (secure with tape)
Ensure tripod and slider are set up appropriately
Keep production space clear
Person/company
responsible for action
Crew
Hazard no:11 Risk Factor (1-5) 3
Description
Extreme weather
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Crew, esp. Felicity
Action to take Ensure warm clothing available, especially for Felicity to wear between
shots
Person/company
responsible for action
Crew
3. 3
Hazard no:18 Risk Factor (1-5) 3
Description
Crowds
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Cast & Crew
Action to take Ensure public are kept away from production space and that crew are
aware of members of public around the production
Person/company
responsible for action
Crew
Hazard no:27 Risk Factor (1-5) 3
Description
Vehicles/ speed
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Cast- especially Lloyd and Felicity
Action to take Do not exceed speed limit
Take precaution of public
Person/company
responsible for action
Crew
Hazard no: 32 Risk Factor (1-5) 2
Description
Wooded area
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Cast & crew
Action to take Trips & slips, so take care when filming and walking on branches,
rabbit warrens and wet leaves
Person/company
responsible for action
Crew
5. 5
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: 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:
Signature;
Countersigned by:
Signature; Date: