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Hazard list select your hazards from the list below and use these to complete Part B

Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person Contact with cold liquid / vapour Disease causative agent
Attack by animal Contact with cold surface Infection
Breathing compressed gas Contact with hot liquid / vapour Allergic reaction
Cold environment Contact with hot surface Lack of food / water
Crush by load lectric shock Lack of o!ygen
Drowning !plosive blast "hysical fatigue
ntanglement in moving machinery !plosive release of stored pressure #epetitive action
$igh atmospheric pressure %ire & 'tatic body posture
$ot environment $a(ardous substance 'tress / an!iety
)anual handling & Ioni(ing radiation *enom poisoning
+b,ect falling- moving or flying Laser light
+bstruction / e!posed feature Lightning strike Environmental hazards
'harp ob,ect / material .oise Litter
'hot by firearm .on/ioni(ing radiation .uisance noise / vibration
'lippery surface 'troboscopic light "hysical damage &
0rap in moving machinery *ibration 1aste substance released into air
0rip ha(ard & 1aste substance released into soil / water
*ehicle impact / collision Managerial / organisational hazards
%alls from height )anagement factors 2lack of communication- co/operation- co/
ordination and competence3
Risk matrix use this to determine risk for each hazard i.e. how
bad and how likely Likelihood o Harm
Severity o Harm
Remote
e.g. <1 in 1000 chance
!ery unlikely
e.g. 1 in 00 chance
"nlikely
e.g. 1 in !0 chance
Possi#le
e.g. 1 in 10 chance
Likely
e.g. "1 in # chance
$egligi#le e4g4 small bruise Trivial Trivial
Trivial
Lo% Lo%
Slight e.g. small cut$ deep bruise Trivial Trivial
Lo%
Lo% Medium
Moderate e.g. deep cut$ torn muscle Trivial
Lo%
Medium Medium High
Severe e.g. fracture$ loss of consciousness
Lo%
Medium High High Extremely high
!ery Severe e.g. death$ permanent disability
Lo%
Medium High Extremely high Extremely high
Risk &ssessment 'orm Part (
&ctivity
)
5 ach individual activity you are proposing6 %ilming at 7ake8s house6 Day 9 and
Day :
Location 5 where this activity will take place6 7ake8s house 2see call sheet3- Aylesford4 *ates / times6
9;6;;/9<6;;
Hazards
+
List what could cause harm from this activity
e.g. falls from height$ trip hazard$ fire$ etc.
,ho ex-osed
List who might be harmed
from this activity
e.g. staff$ contractors$
contributors$ public$ etc.
Risk
.
%or each ha(ard- decide
level of risk as if you were to
do the activity without your
controls
/ontrol measures
%or each ha(ard- list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons$ training recei%ed$ planning and rehearsals$ use of personal protecti%e
e&uipment$ pro%ision of first aid$ etc.
Risk
.
%or each ha(ard-
decide level of risk
once all your controls
are in place
%ire Crew- 7ake "nlikely As we are filming in 7ake8s house- there is always a risk of fire4 =uick e!its should be aware
of- fire alarms on- anything e!posed to fire should be maintained
"nlikely
)anual $andling Crew "nlikely Allocating equipment equally and fairly 5 making sure the crew do not overload whilst
carrying4 Bringing bags for camera- tripod cases- e!tra bags for other equipment- etc4 0his is
very remote as we are filming cutaways and interviews at 7akes therefore equipment will
barely be moved
Remote
0rip $a(ard Crew- 7ake Possi#le )aking all wires checked away- looking before stepping- reminding people of potential trip
ha(ards 2i4e4 tripod3- creating a big enough area for people to walk past4
"nlikely
'ontinue on separate sheet if necessary
1 ( complete separate table for each acti%ity ) from hazard list in Part * # ) from risk matri+ in Part *

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