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RISK ASSESSMENT FORM 5
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Shoot
date
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Production Title
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Page of
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17/10/15
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JEALOUS TYPE
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Producer
SUMAYA
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Location:
Jubilee bridge
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Address: Hungerford
Bridge and Golden Jubilee Bridges
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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
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Present?
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Severity
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Likelihood
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Risk Factor
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1
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Alcohol/drugs
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NO
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2
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Animals/insects
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NO
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3
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Audiences
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NO
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4
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Camera
cable/grip equipment
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NO
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5
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Confined
spaces
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NO
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6
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Derelict
buildings/dangerous structures
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NO
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7
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Electricity/gas
(other than normal supplies)
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NO
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8
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Fatigue/long
hours
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NO
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9
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Fire/flammable
materials
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NO
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10
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Hazardous
substances
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NO
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11
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Heat/Cold/extreme
weather
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YES
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M
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P
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3
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12
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Laser/strobe
effects
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NO
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13
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Machinery/industrial/
crane/hoist
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NO
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14
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Materials
- glass, non-fire retardant set materials
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NO
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15
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Night
operation
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NO
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16
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Noise
– high sound levels
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NO
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17
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Non
standard manual handling
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NO
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18
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Public/crowds
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YES
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M
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P
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3
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19
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Radiation
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NO
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20
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Scaffold/Rostra
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NO
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21
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Smoking
on set
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NO
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22
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Special
effects/explosives
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NO
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23
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Special
needs (elderly, disabled, inexperienced)
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NO
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24
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Specialised
rescue/first aid
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NO
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25
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Stunts,
dangerous activities
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NO
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26
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Tall
scenery/suspended ceilings
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NO
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27
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Vehicles/speed
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NO
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28
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Water/proximity
to water
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NO
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29
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Weapons
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NO
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30
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Working
at heights
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NO
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31
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Working
overseas
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NO
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32
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Other risks
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NO
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Calculate
the Risk Factor:
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Very Unlikely
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Unlikely
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Possible
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Likely
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Very
Likely
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Very
severe
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3
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4
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4
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5
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5
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Severe
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2
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3
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3
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3
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5
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Moderate
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2
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2
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3
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3
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3
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Low
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1
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2
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2
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3
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3
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Negligible
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1
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1
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2
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2
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3
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Decide
the action to take:
5
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Very
severe
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Take
immediate action
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4
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Severe
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High
priority
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3
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Moderate
Risk
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Programme
for action
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2
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Low
Risk
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Action
may be required
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1
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Negligible
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Probably
acceptable
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Then list each risk identified
Hazard no:
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1
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Risk Factor (1-5):
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2
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||||
Description
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Heat/Cold/extreme weather
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||||||
Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
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C,O
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Action to take
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DRESS WARM
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Person/company responsible for action
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PRODUCER
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
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y
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Agreed action taken? (y/n)
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y
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Risk removed? (y/n)
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Y
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Hazard no:
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2
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Risk Factor (1-5):
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2
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Description
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Public/crowds
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
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C.O
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Action to take
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FILM AWAY FROM PEOPLE
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Person/company responsible for action
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PRODUCER
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Completed by: Maraam Position:
Producer
Signature Maraam Date:05/10/2015
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