RISK ASSESSMENT FORM 6
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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
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jumana
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Location:
Hyde park
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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
|
Present?
|
Severity
|
Likelihood
|
Risk Factor
|
|
1
|
Alcohol/drugs
|
no
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2
|
Animals/insects
|
yes
|
M
|
P
|
2
|
3
|
Audiences
|
no
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4
|
Camera
cable/grip equipment
|
no
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5
|
Confined
spaces
|
No
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6
|
Derelict
buildings/dangerous structures
|
No
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7
|
Electricity/gas
(other than normal supplies)
|
No
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8
|
Fatigue/long
hours
|
Yes
|
M
|
P
|
2
|
9
|
Fire/flammable
materials
|
Yes
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10
|
Hazardous
substances
|
No
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11
|
Heat/Cold/extreme
weather
|
Yes
|
M
|
P
|
2
|
12
|
Laser/strobe
effects
|
No
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13
|
Machinery/industrial/
crane/hoist
|
No
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14
|
Materials
- glass, non-fire retardant set materials
|
No
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15
|
Night
operation
|
No
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16
|
Noise
– high sound levels
|
No
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17
|
Non
standard manual handling
|
No
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18
|
Public/crowds
|
Yes
|
M
|
P
|
2
|
19
|
Radiation
|
No
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20
|
Scaffold/Rostra
|
No
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21
|
Smoking
on set
|
No
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22
|
Special
effects/explosives
|
no
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23
|
Special
needs (elderly, disabled, inexperienced)
|
No
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24
|
Specialised
rescue/first aid
|
No
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25
|
Stunts,
dangerous activities
|
No
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26
|
Tall
scenery/suspended ceilings
|
No
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27
|
Vehicles/speed
|
No
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28
|
Water/proximity
to water
|
No
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29
|
Weapons
|
No
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30
|
Working
at heights
|
No
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31
|
Working
overseas
|
no
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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:
|
1
|
Risk Factor (1-5):
|
3
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Description
|
Animals/insects
|
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
|
CAST/ CREW
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Action to take
|
Film away from animals/insects
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Person/company responsible for action
|
Crew
|
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
|
Y
|
Agreed action taken? (y/n)
|
y
|
Risk removed? (y/n)
|
Y
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Hazard no:
|
2
|
Risk Factor (1-5):
|
2
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Description
|
Fatigue/long hours
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
|
C,O,P
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Action to take
|
Give breaks in-between
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Person/company responsible for action
|
Crew
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
|
Y
|
Agreed action taken? (y/n)
|
y
|
Risk removed? (y/n)
|
Y
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Hazard no:
|
3
|
Risk Factor (1-5):
|
2
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Description
|
Fire/flammable materials
|
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
|
C,O,P
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Action to take
|
Follow instructions carefully, release smoke bomb away
from people at a safe distance
|
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Person/company responsible for action
|
producer
|
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
|
Y
|
Agreed action taken? (y/n)
|
y
|
Risk removed? (y/n)
|
y
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Hazard no:
|
4
|
Risk Factor (1-5):
|
2
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Description
|
Heat/Cold/extreme weather-winter
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
|
C,O,P
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Action to take
|
Tell actors and camera crew and actors to dress warm
|
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Person/company responsible for action
|
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Completed by: Maraam Position: Producer
Signature:maraamk Date:5/10/15
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