1. Risk Assessment Form –
Part A
ProductionName: After you Organisation Sunderland college
ProductionAddress: 15 F**ld Square, SR* 0DF Producer / Editor
Tel:
Hollie Joice
07860***841
Start date Beginning of February End date Mid February
Distribution
Who gets a copyof the assessment
Hollie Joice, Georgia Ow ens, Ben Walmsley
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Chase scene involving 2 people into the bathroom, fake knife and stabbing scene in the kitchen,
Team members / experts /
contractors / contributors etc.
List those involved
Georgia Ow ens, Ben Walmsley, Hollie Joice
Locations
Outline locationsinvolved – indicate
any which are hostile environments
Ben Walmsley’s private property, 15 F***d Square – not hostile
Assessor Name
Signature
Hollie Joice
Hollie Joice
Date completed 28/01/2020
Authoriser Name
(if not Assessor) Signature
Neil Wilson
Neil Wilson
Date authorised 28/01/2020
Hazard list – select your hazards from the list belowand use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person Contact with cold liquid / v apour Disease causativ e agent
Attack by animal Contact with cold surf ace Inf ection
Breathing compressed gas Contact with hot liquid / v apour Allergic reaction
Cold env ironment Contact with hot surf ace Lack of f ood / water
Crush by load Electric shock Lack of oxy gen
Drowning Explosiv e blast Phy sical f atigue
Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action
High atmospheric pressure Fire Static body posture
Hot env ironment / Hazardous substance Stress / anxiety
Manual handling Ionizing radiation Venom poisoning
Object f alling, mov ing or f ly ing Laser light
Obstruction / exposed f eature Lightning strike Environmental hazards
Sharp object / material Noise Litter
Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration
Slippery surf ace / Stroboscopic light Phy sical damage
Trap in mov ing machinery Vibration Waste substance released into air
Trip hazard / Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls f rom height Management f actors (lack of communication,
co-operation, co-ordination and competence)
Risk matrix – use this to determine risk for
each hazard i.e. ‘how bad and how likely’ Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Very unlikely
e.g. 1 in 200 chance
Unlikely
e.g. 1 in 50 chance
Possible
e.g. 1 in 10 chance
Likely
e.g. >1 in 3 chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium
Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High
Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high
Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high
2. Risk Assessment Form – Part B
Activity Location Dates / times:
Hazards2
List what could cause harm f rom this activ ity
e.g. falls from height, trip hazard, fire, etc.
Who exposed
List who might be harmed
f rom this activ ity
e.g. staff, contractors,
contributors, public, etc.
Risk3
For each hazard, decide
lev el of risk as if y ou were to
do the activ ity without y our
controls
Control measures
For each hazard, list the measures y ou will be taking to minimise the risk identif ied
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.
Risk3
For each hazard,
decide lev el of risk
once all y our controls
are in place
Trip hazard Staff Could slip during a
running scene e.g.
down the stairs
Planning and rehearsals of the scenes willtake place to make sure there is no tendency for
the staircase or the floors to have a trip hazard, and if there is a trip hazard found it w ill either
be removed from the situation or w e willfilm in another area.
Low
Slippery surface Staff
Could be a wetsurface
on bathroom or
kitchenfloor where we
film
Before filming the house w illbe scouted for health and safety to see w hether the locations we
are filming in have any slippery or w et surfaces, we willplan and rehearse multiple times to
make sure this hazard is eradicated.
Low
Hot environment Staff and producer
Cast and crew could
overheat, temp of
house may be too high
which could cause
distress
If this happens w e w ould turn the heating dow n/off or provide a fan.
Low
