RISK ASSESSMENT FORM - Gang Hideout

RISK ASSESSMENT FORM

Production Name & Number - One More

Shoot Dates - 24th May 2014

Production Manager - Ashley Hodges

Producer - Ashley Hodges

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
2	Animals/insects	YES	N	U	1
3	Audiences	NO
4	Camera cable/grip equipment	YES	N	U	1
5	Confined spaces	YES	L	U	2
6	Derelict buildings/dangerous structures	YES	M	U	2
7	Electricity/gas (other than normal supplies)	NO
8	Fatigue/long hours	YES
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	YES	S	P	3
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	YES	L	U	2
22	Special effects/explosives	NO
23	Special needs (elderly, disabled, inexperienced)	NO
24	Specialised rescue/first aid	NO
25	Stunts, dangerous activities	YES	L	P	2
26	Tall scenery/suspended ceilings	NO
27	Vehicles/speed	NO
28	Water/proximity to water	NO
29	Weapons	YES	N	VU	1
30	Working at heights	NO
31	Working overseas	NO
32	Other risks	NO

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:	14
Description of Hazard:	Broken Glass on the floor
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	Crew and Actors
Action to take:	Swiped up the glass and put it off set
Person/company responsible for action

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: Ashley Hodges Position: Director

Signature Date: 24th May 2-14