Risk Assesment Sheet

 

 

RISK ASSESSMENT FORM
Shoot date		Production Title		Page            of
13/10/2013		3 BLIND EYES
		Producer
		Tashana

                                                                               

Location:
Address:

 

RATINGS:

·          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)

·         risk factor from the table overleaf.

 

Hazard		Present?	Severity	Likelihood	Risk Factor
1	Alcohol/drugs	NO
2	Animals/insects	NO
3	Audiences	NO
4	Camera cable/grip equipment	YES	S	P	3
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	NO
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	NO
16	Noise – high sound levels	NO
17	Non standard manual handling	NO
18	Public/crowds	NO
19	Radiation	NO
20	Scaffold/Rostra	NO
21	Smoking on set	NO
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

 

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
Low	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):			3
Description	Could lose grip and drop the camera
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	(C)
Action to take	Make sure there’s no sudden movements and the equipment is gripped tightly
Person/company responsible for action	The crew
Exposed person(s) informed?	y	Agreed action taken? (y/n)		y	Risk removed? (y/n)		Y

 

 

 

Completed by:  Tashana                                    Position: Producer

 

Signature                                                                      Date: 8/09/2013