RISK ASSESSMENT FORM
Production Name & Number - SamGoodfellowFILM
Shoot Dates - 10/05/2014 TBC
Production Manager - Sam Goodfellow
Producer - Sam Goodfellow
Guidance:
- Assess whether a hazard will be present, write YES or NO. Then for each hazard that you have said YES to do the following:
- Rate each risk on a Severity scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V)
- Rate 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.
P = Present / S = Severity / L = Likelihood / R = Risk Factor
Hazard
|
P
|
S
|
L
|
R
| |
1
|
Alcohol/drugs
|
NO
|
S
|
VU
|
2
|
2
|
Animals/insects
| NO |
L
| VU | 1 |
3
|
Audiences
| NO | L | VU | 1 |
4
|
Camera cable/grip equipment
| NO | L | VU | 1 |
5
|
Confined spaces
| NO |
M
| VU | 2 |
6
|
Derelict buildings/dangerous structures
| NO | V | VU | 3 |
7
|
Electricity/gas (other than normal supplies)
| NO | S | VU | 2 |
8
|
Fatigue/long hours
| NO | M | VU | 2 |
9
|
Fire/flammable materials
| NO | V | VU | 3 |
10
|
Hazardous substances
| NO | S | VU | 2 |
11
|
Heat/Cold/extreme weather
| YES | M | P | 3 |
12
|
Laser/strobe effects
| NO | M | VU | 2 |
13
|
Machinery/industrial/ crane/hoist
| NO | V | VU | 3 |
14
|
Materials - glass, non-fire retardant set materials
| YES | S | U | 3 |
15
|
Night operation
| NO | M | VU | 2 |
16
|
Noise – high sound levels
| NO | V | VU | 3 |
17
|
Non standard manual handling
| NO | L | VU | 1 |
18
|
Public/crowds
| NO | M | VU | 2 |
19
|
Radiation
| NO | M | VU | 2 |
20
|
Scaffold/Rostra
| NO | M | VU | 2 |
21
|
Smoking on set
| NO | S | VU | 2 |
22
|
Special effects/explosives
| NO | S | VU | 2 |
23
|
Special needs (elderly, disabled, inexperienced)
| NO | S | VU | 2 |
24
|
Specialised rescue/first aid
| NO | M | VU | 2 |
25
|
Stunts, dangerous activities
| YES | M | U | 2 |
26
|
Tall scenery/suspended ceilings
| NO | M | VU | 2 |
27
|
Vehicles/speed
| NO | S | VU | 2 |
28
|
Water/proximity to water
| NO | S | VU | 2 |
29
|
Weapons
| NO | S | VU | 2 |
30
|
Working at heights
| NO | M | VU | 2 |
31
|
Working overseas
| NO | N | VU | 2 |
32
|
Other risks
| NO | M | VU | 2 |
5. 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 Risk
|
1
|
2
|
2
|
3
|
3
|
Negligible
|
1
|
1
|
2
|
2
|
3
|
6. 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
|
7. Then list each risk identified
Hazard Number:
| 11 |
Description of Hazard:
| Heat/Cold/extreme weather |
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
| Cast and crew |
Action to take:
| Programme for action - my four main soldiers have to do a bit of running. I will make sure that if its too cold they will be wrapped up warm. If it's too hot I will not make them run fast and I will keep them very hydrated. |
Person/company responsible for action
| Myself |
Hazard Number:
| 14 |
Description of Hazard:
| Materials - glass, non-fire retardant set materials |
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
| Cast and crew |
Action to take:
| Programme for action - it the event of an absolute unfortunate emergency which would be extremely rare. The field could catch fire because of a bonfire etc. So if this happens we will evacuate through the front or rear exit. Depending on where we are. |
Person/company responsible for action
| N/A |
Hazard Number:
| 25 |
Description
| Stunts, dangerous activities |
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
| Cast |
Action to take:
| Action may be required - my soldiers will have to do some running and my characters George and Liam will have to duck down. So I won't put high pressure on them, I will make sure they feel safe and comfortable. |
Person/company responsible for action
| Myself |
To be completed at agreed later date -
| |||||
Exposed person(s) informed? (y/n)
| Y |
Agreed action taken? (y/n)
| Y |
Risk removed? (y/n)
| Y |
Completed by: Sam Goodfellow Position: Writer, director and producer
Signature Date: Friday the 2nd of May 2014
No comments:
Post a Comment