This risk assessment form summarizes the risks involved in filming a scene with a clown costume at a park at night. It identifies hazards such as tripping over objects, the clown mask potentially tangling hair or restricting breathing, and low visibility at night. The risks to the cameraman, actors, and director are rated as medium or high. Actions to minimize risks include having someone guide actors, checking the ground for hazards, ensuring the mask fits properly, and using torches to light the area without disrupting filming. Taking these actions would lower all risks to a low level. The form is completed by Shannon Webb on January 9, 2014.

1. Filming Risk Assessment Form
Event:
(1)
Activity /
Area of
concern
I.e: What is
taking place
as part of
the event?
Shooting
‘CLOWN’
Date:
(2)
Hazards
Identified
(3)
Persons at
Risk
I.e: What can
cause harm?
I.e. Who
could be
harmed by
the hazard?
09.01.2014
(4)
Current Risk
Factor
(High, medium
or low)
I.e. Determine
the level of risk
Filming the
action.
Any nearby
objects e.g.
Park
equipment or
fence.
The cameraman.
Medium
Acting
While acting,
stumbling or
tripping over
ground objects
at night can
happen.
The clown
Mask’s hair can
be tangled and
catch on
objects or
actor. Or the
mask may
cause
breathing
troubles
The Actress
and Actors
Medium
The actor
wearing this
mask.
Medium
Costumes
Venue:
The Dashes
Sports
Ground,
The Park.
(5)
Actions to be taken
to minimize each
Risk
I.e. What actions can
you take to lower the
level of risk
During the actual
filming of the opening,
one of the members of
the group e.g. Demi or
Shannon or Nathan
can keep an eye on all
the actions while the
camera goes into a
tracking movement
but also guide them
when necessary
To minimize the risk
of tripping, the ground
can be thoroughly
checked over with a
torch light before the
actors approach.
Helping with the
placement of the mask
on the actor can help
as the hair can be
placed correctly and
out of the way. While
the mask is on, before
the filming takes
place, constantly
check on the Actors
breathing with
breathing exercises .
(6)
New
Risk
Factor
(High,
medium
or low)
I.e: Risk
factor
after
action
taken to
minimize
the risk.
Low
Low
Low

2. The time of
filming.
Due to it being
evening, in the
winter the area
will become
extremely
dark, creating
it hard to be
able to see
clearly. This
leads to more
trip hazards
and causing
damage due to
contact with
park
equipment.
Cameraman.
Director,
Supervisor.
Actors and
Actress.
High
Before the filming, use
bright torches to be
able to calculate
distances from the
equipment and fences
from where the action
will be being placed.
While the filming
happens, use lower
light sourced torches
to only softly light up
the area so that the
area can be seen
clearly while causing
no disruption to the
filming itself.
Name of the person completing the Risk Assessment (Printed.): …..…Shannon
Webb………..
Signature: ……….SW…………… Date:…………09/01/2014……………
Low