s

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
2 Animals/insects Yes L P 2
3 Audiences No
4 Camera cable/grip equipment Yes N VU 1
5 Confined spaces No
6 Derelict buildings/dangerous structures No
7 Electricity/gas (other than normal supplies) No
8 Fatigue/long hours No
9 Fire/flammable materials Yes M L 3
10 Hazardous substances No
11 Heat/Cold/extreme weather No
12 Laser/strobe effects No
13 Machinery/industrial/ crane/hoist No
14 Materials - glass, non-fire retardant set materials No
15 Night operation Yes M L 3
16 Noise – high sound levels No
17 Nonstandard manual handling No
18 Public/crowds Yes N U 1
19 Radiation No
20 Scaffold/Rostra No
21 Smoking on set Yes L U 2
22 Special effects/explosives No
23 Special needs (elderly, disabled, inexperienced) No
24 Specialised rescue/first aid No
25 Stunts, dangerous activities No
26 Tall scenery/suspended ceilings No
27 Vehicles/speed No
28 Water/proximity to water No
29 Weapons No
30 Working at heights No
31 Working overseas No
32 Other risks No

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: 2 Risk Factor (1-5) 2
Description Will be filming in woods/forest. Possibility of insect bites/stings
Person(s) exposed
(detail if cast/crew (C),
outside company (O) or
public (P) )
Cast and Crew
Action to take None Necessary
Person/company
responsible for action
Individuals
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) 1
Description Camera mounts will be being used but not for long hours or for
multiple days so strain related injuries are not a major issue
Person(s) exposed
(detail if cast/crew ©,
outside company (O) or
public (P) )
Crew
Action to take Take Frequent Breaks
Person/company
responsible for action
Sam Bond
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action taken? (y/n) Risk removed?
(y/n)
Hazard no: 9 Risk Factor (1-5) 3
Description Fire is likely to be used on set
Person(s) exposed
(detail if cast/crew ©,
outside company (O) or
public (P) )
Cast and crew
Action to take Ensure safety precautions are stored on set with first aid
Person/company
responsible for action
Sam Bond
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: 15 Risk Factor (1-5) 3
Description Will finish shooting at night in forests/woods
Person(s) exposed
(detail if cast/crew ©,
outside company (O) or
public (P) )
Cast and Crew
Action to take Ensure that all members involved have sufficient lighting for leaving
Person/company
responsible for action
Sam Bond
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) 1
Description Will be shooting in public/crowded areas. Do not pose any significant
risk to cast or crew
Person(s) exposed
(detail if cast/crew ©,
outside company (O) or
public (P) )
Cast and Crew
Action to take Be aware of all members locations
Person/company
responsible for action
Sam Bond
To be completed at agreed later date -
Exposed person(s)
informed? (y/n)
Agreed action taken? (y/n) Risk removed?
(y/n)

5. 5
Hazard no: 21 Risk Factor (1-5) 2
Description It is likely that member will be smoking on set but doesn’t pose any
significant risk to other members due to short filming time
Person(s) exposed
(detail if cast/crew ©,
outside company (O) or
public (P) )
Cast and Crew
Action to take Smoke away from set
Person/company
responsible for action
Sam Bond
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: