FORM RA 002 (adapted for Student Media Productions)

Equipment booking
Name of hirer

Matt Provis

Facility / equipment required

Catalogue
code

Description

Hours/days

HDV camera
tripod
Tie microphone x2
Table mic x3

9 hours
9 hours
9 hours
9 hours

Unit
cost

Cost

Total

Issue
Return

Date
29/01/14
29/01/14

Time
9 A.M
4:00 P.M

Please give as much notice as possible. Location filming requests MUST be submitted at least
48 hours in advance to ensure batteries can be charged etc.

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FORM RA 002 (adapted for Student Media Productions)

Call sheet
Production title
Call sheet for (date)

InBread
29th January 2015

Production team
Names

Roles

Contact details

Ryan Miles
Aaron Crosskey
Bea Davies
Chloe Coleman
Kirsty Warren
Ash Gomez
Kris Randall
Jordan Liddell
Mollie Tuck

Sound Mixer
Camera Man
Camera Woman
Light operator
Autocue
Vision Mixer
Camera man
Director
Producer

07863638806
07516640964
07343464322
07545364366
07656536734
07543332353
07716725351
07857166155

Presenter
Presenter
Judge
Judge
Contestant
Contestant

07522854336
07863638806
077716421985
078643456326
074436793259
077732469432

07581886740

Actors
Matt Provis
Ollie sands
Derryn Fry
Jack Daniels
Ben Saint
Jake Moore

Base address and contact details: In College (TV studio)

Location address:
Map attached.
Access info:
Contact details:
Travel arrangements: Normal College commutes

Times
Meet time at base 8:40
On location 8:40
Shoot time (s) and scene numbers 9:40 first rehearsal, 10:20 actual shoot
Planned breaks and catering arrangements multiple, well spaced breaks will be given throughout the course of the day,
Projected wrap time 12:30
Back at base time 12:30

Weather report (if outside)

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FORM RA 002 (adapted for Student Media Productions)

Special considerations with regard to location/weather/activities etc

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FORM RA 002 (adapted for Student Media Productions)

RISK ASSESSMENT FOR LOCATION FILMING

DATE OF
ACTIVITY

TASK / ACTIVITY : Inbread Multi camera production.

DATE
ASSESSED

29th January 2015

BRIEF DESCRIPTION
InBread is a multi camera production that includes a sandwhich making competition, with 2 presenters, 2 contestants and 2
judges, filmed on 3 stationary cameras and one handheld.
See Risk Assessment Assistant (Page 3) for scoring.

RISK RATING
(likelihood consequence = )

Include the risk word (i.e. acceptable, adequate, tolerable, unacceptable).

PEOPLE 15

NUMBER OF PEOPLE UNDERTAKING TASK

DURATION OF TASK

PERSONNEL PROFILE / TRAINING GIVEN

PERSONNEL

INSTRUCTED

STAFF
STUDENT

PERSONNEL
TALENT

15

4 hours

INSTRUCTED
6

PERSONNEL
WORKING ALONE

DISABLED

SPECIALIST TRAINED
PERSONNEL

PERSONNEL

INSTRUCTED

YOUNG PERSON

CONTRIBUTORS

PUBLIC

15

VISITOR

CONTROL MEASURES IN PLACE (Guarding, Safe Systems of Work, PPE, etc)

Must remember to keep wires for cameras out of the way, as there will be lots of them, must also be careful not to interfere with lights, as
they are hot and expensive.

TO BE COMPLETED BY STAFF ASSESSOR(S) (Ctrl+Tab to add tab stops between columns)

EXTRA ACTIONS REQUIRED TO CONTROL SIGINIFICANT RISKS

ACTIONED BY

DATE

STUDENT ASSESSOR(S)
STAFF ASSESSOR(S)

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FORM RA 001

HAZARD IDENTIFICATION
HAZARD TYPE
1. Mechanical / Physical Hazards

1.1 Slips / Trips / Falls

PRESENT
YES

1.4 Falling Equipment

HAZARD TYPE
4. Production Hazards

4.2 Lifting / Handling

Tripod may get in the way, will

keep out of the way and store
when not in use.

There is potential for the camera

to fall off the tripod if not secured
4.4 Restricted Visibility (viewfinder)
correctly, we will ensure that all
equipment is secured correctly.

1.x Other Mechanical Hazards

2. Electrical Hazards

COMMENTS

N
YES

2.1 Direct Contact

NO

COMMENTS

2.2 Indirect Contact

2.3 Short Circuit / Overload

PRESENT
YES

May trip over film equipment such

as wires. Will make sure to keep
4.1 Stressful Postures
these out of the way and wires
tidy.

1.2 Vehicles

1.3 Camera Grip Equipment

NO

ACTIVITY / TASK InBread Multi camera production.

Indirect contact with electricity in

the form of wires (mic and
headphones) will keep away from
water and use responsibly.
Light bulbs may go, must make
sure not to use them unless

NO

Will have to lift heavy objects,

such as the camera and parts of
the set. Will use correct lifting
method and share the wait with
other crew members.

4.3 Inadequate Breaks

4.5 Camera Tracking/Crabbing

4.6 Working at Height

4.x Other Workplace Hazards

5. Hazardous Substances

5.1 Explosive / Biological / Chemical

COMMENTS

YES

NO

COMMENTS

N
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FORM RA 001

needed.
2.4 Source of Ignition

5.2 Substances in set construction

2.5 Proximity to Water

5.x Other Hazardous Substances

3. Production Activities

YES

NO

6. Environmental Hazards

YES

NO

3.1 Extreme Sports

6.1 Localised Hot / Cold Surfaces

3.2 Animals (working with or proximity to)

6.2 High / Low Ambient Temp.

3.3 Fight sequences

6.3 Poor Lighting

3.4 Potential Intervention from Public

6.4 Confined spaces

3.5 Potential for Assault

6.5 Poor Weather

3.6 Noise pollution

6.6 Uneven/Slippery Surfaces

3.7 Smoking

6.7 Unsafe structures

3.8 Alcohol

6.8 Sharps & breakages

6.x Other Environmental Hazards

3.x Other Production Activity Hazards

Food will be involved, keep this

away from cameras and other
equipment.

COMMENTS

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FORM RA 001

RISK ASSESSMENT ASSISTANT

These are the basic terms that apply to a Risk Assessment:
A hazard is anything that has the potential to cause harm. This could be something as specialised as a piece of
complicated machinery, or as commonplace as a cup of coffee. If it could be harmful in any way, then its a
hazard.
A hazardous event takes place when someone or something interacts with the hazard and allows it to cause
harm. Take a hole in the ground for example. The hole (the hazard), by itself isnt causing any harm, but if
someone tripped over it (the hazardous event) then it would become harmful. Every hazardous event has a
likelihood and a consequence.
Likelihood is a measure of the chance that the hazardous event will occur. If the hole is in a busy area, such as
a shop entrance, its more likely someone will trip over it. However if its in an area that doesnt get a lot of traffic,
such as a back yard, tripping over it would be less likely.
The consequence is the outcome of the hazardous event. If you tripped over a hole, there could be several
possible outcomes; you might land on your feet with no damage at all, you might drop whatever you are carrying,
or perhaps you could end up with a sprained ankle or even a fracture.
Risk is the combination of the likelihood of a hazardous event occurring and the consequence of the event.

Risk = likelihood x consequence

Below is a table to help you work out the score for the likelihood and consequence. Once you have done this,
multiply the two numbers to get the Risk Rating.

Likelihood

Risk
Score

Consequence

Very unlikely might happen once in 5 years

No injury

Unlikely would not happen in 2-3 years

Minor - minor injury requiring first aid

Fairly Likely would expect to happen once a year

Moderate - up to three days absence

Likely could occur 2-3 times a year

Major more than three days absence

Very Likely likely to happen 2-3 times a week

Catastrophic Death or multiple deaths

Risk Matrix this is used for estimating and evaluating the risk it is a commonly used tool. Usually the higher the
risk level, the more serious the risk and the more likely youll need to take action.

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 CONSEQUENCE

FORM RA 001

UNACCEPTABLE Stop the activity and make

15immediate
20 improvements
25
17-25
12
16
20

10

9 TOLERABLE
12
15 look to improve within a specified
timescale
10-16
6
8
10

4
5
ADEQUATE Look to improve at next review
LIKELIHOOD
5-9

1-5
If you are still not sure or just have a question, please do not hesitate in contacting the Health & Safety
Department We are here to help!

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