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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 No L VU 1
2 Animals/insects No N U 1
3 Audiences No N VU 1
4 Camera cable/grip equipment Yes L U 2
5 Confined spaces No N U 1
6 Derelict buildings/dangerous structures No M VU 2
7 Electricity/gas (other than normal supplies) No L U 1
8 Fatigue/long hours No N U 1
9 Fire/flammable materials No M U 2
10 Hazardous substances No L VU 1
11 Heat/Cold/extreme weather No L U 1
12 Laser/strobe effects No L VU 1
13 Machinery/industrial/ crane/hoist No M VU 2
14 Materials - glass, non-fire retardant set materials No L U 2
15 Night operation Yes L L 3
16 Noise – high sound levels No L U 2
17 Non standard manual handling No L VU 1
18 Public/crowds Yes L L 3
19 Radiation No M VU 2
20 Scaffold/Rostra No M VU 2
21 Smoking on set Yes L VL 3
22 Special effects/explosives No L VU 1
23 Special needs (elderly, disabled, inexperienced) Yes S U 3
24 Specialised rescue/first aid No L VU 1
25 Stunts, dangerous activities No M VU 2
26 Tall scenery/suspended ceilings No M VU 2
27 Vehicles/speed Yes L P 2
28 Water/proximity to water No L VU 1
29 Weapons No L U 2
30 Working at heights No L VU 1
31 Working overseas No M VU 2
32 Other risks No L U 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: 23 Risk Factor (1-5) 3
Description Type 1 Diabetes, controlled by insulin. Risk of hypoglycaemia from
activity.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Em Leeman – Cast
Action to take If fallen unconscious due to low blood glucose- 999 immediately.
Person/company
responsible for action
Other crew members
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action taken? (y/n) Risk removed?
(y/n)
3
Hazard no: 4 Risk Factor (1-5) 2
Description Camera equipment
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Cast/crew
Action to take Keep equipment in bags and turned off when not using
Person/company
responsible for action
Cast/crew
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action taken? (y/n) Risk removed?
(y/n)
Hazard no: 15 Risk Factor (1-5) 3
Description Filming at night
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Cast/crew
Action to take Film somewhere with adequate lighting and have ways of contacting
others.
Person/company
responsible for action
Cast/crew
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action taken? (y/n) Risk removed?
(y/n)
Hazard no: 18 Risk Factor (1-5) 3
Description Filming in public places including crowded areas.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Cast/crew, public
Action to take Do not film people if they express discomfort, try to get the most quite
public area to film in, as to not disturb others.
Person/company
responsible for action
Cast/crew
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action taken? (y/n) Risk removed?
(y/n)
4
Hazard no: 21 Risk Factor (1-5) 3
Description Crew members smoking
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Cast/crew
Action to take No smoking in public places, also making sure smoking is permitted in
places.
Person/company
responsible for action
Cast/crew
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action taken? (y/n) Risk removed?
(y/n)
Hazard no: 27 Risk Factor (1-5) 2
Description Using vehicles to travel in between locations.
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Cast/crew
Action to take Using safe ways of transportation.
Person/company
responsible for action
Cast/crew
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:

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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 No L VU 1 2 Animals/insects No N U 1 3 Audiences No N VU 1 4 Camera cable/grip equipment Yes L U 2 5 Confined spaces No N U 1 6 Derelict buildings/dangerous structures No M VU 2 7 Electricity/gas (other than normal supplies) No L U 1 8 Fatigue/long hours No N U 1 9 Fire/flammable materials No M U 2 10 Hazardous substances No L VU 1 11 Heat/Cold/extreme weather No L U 1 12 Laser/strobe effects No L VU 1 13 Machinery/industrial/ crane/hoist No M VU 2 14 Materials - glass, non-fire retardant set materials No L U 2 15 Night operation Yes L L 3 16 Noise – high sound levels No L U 2 17 Non standard manual handling No L VU 1 18 Public/crowds Yes L L 3 19 Radiation No M VU 2 20 Scaffold/Rostra No M VU 2 21 Smoking on set Yes L VL 3 22 Special effects/explosives No L VU 1 23 Special needs (elderly, disabled, inexperienced) Yes S U 3 24 Specialised rescue/first aid No L VU 1 25 Stunts, dangerous activities No M VU 2 26 Tall scenery/suspended ceilings No M VU 2 27 Vehicles/speed Yes L P 2 28 Water/proximity to water No L VU 1 29 Weapons No L U 2 30 Working at heights No L VU 1 31 Working overseas No M VU 2 32 Other risks No L U 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: 23 Risk Factor (1-5) 3 Description Type 1 Diabetes, controlled by insulin. Risk of hypoglycaemia from activity. Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Em Leeman – Cast Action to take If fallen unconscious due to low blood glucose- 999 immediately. Person/company responsible for action Other crew members To be completed at agreed later date - Exposed person(s) informed? (y/n) Agreed action taken? (y/n) Risk removed? (y/n)
  • 3. 3 Hazard no: 4 Risk Factor (1-5) 2 Description Camera equipment Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Cast/crew Action to take Keep equipment in bags and turned off when not using Person/company responsible for action Cast/crew To be completed at agreed later date - Exposed person(s) informed? (y/n) Agreed action taken? (y/n) Risk removed? (y/n) Hazard no: 15 Risk Factor (1-5) 3 Description Filming at night Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Cast/crew Action to take Film somewhere with adequate lighting and have ways of contacting others. Person/company responsible for action Cast/crew To be completed at agreed later date - Exposed person(s) informed? (y/n) Agreed action taken? (y/n) Risk removed? (y/n) Hazard no: 18 Risk Factor (1-5) 3 Description Filming in public places including crowded areas. Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Cast/crew, public Action to take Do not film people if they express discomfort, try to get the most quite public area to film in, as to not disturb others. Person/company responsible for action Cast/crew To be completed at agreed later date - Exposed person(s) informed? (y/n) Agreed action taken? (y/n) Risk removed? (y/n)
  • 4. 4 Hazard no: 21 Risk Factor (1-5) 3 Description Crew members smoking Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Cast/crew Action to take No smoking in public places, also making sure smoking is permitted in places. Person/company responsible for action Cast/crew To be completed at agreed later date - Exposed person(s) informed? (y/n) Agreed action taken? (y/n) Risk removed? (y/n) Hazard no: 27 Risk Factor (1-5) 2 Description Using vehicles to travel in between locations. Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Cast/crew Action to take Using safe ways of transportation. Person/company responsible for action Cast/crew 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: