TFOM - Risk Assessment Form - Field (near The Ivory Rooms)

RISK ASSESSMENT FORM

Production Name & Number     - SamGoodfellowFILM

Shoot Dates   - 10/05/2014 TBC

Production Manager                     - Sam Goodfellow

Producer                                        - Sam Goodfellow

Guidance:

1. Assess whether a hazard will be present, write YES or NO.  Then for each hazard that you have said YES to do the following:
2. Rate each risk on a Severity scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V)
3. Rate each risks Likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL)
4. 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