Risk Assessment Form Part A

Division / Studio

Maidstone Studios

Department / Series

Television Production Degree

Business Unit / Production

Fiction Adaptation Short Film

Producer / Editor

Sam Babington

Tel:

07817167274

Address

Mobile:
Start date

12th November

Distribution

Myself and the actors.

End date

Who gets a copy of the assessment

Outline of risk assessment

Filming on two days for my short film. Aim to film all scenes and wrap up filming.

Summary of what is proposed

Team members / experts / contractors /
contributors etc.

Myself and my two actors: Angela Harvey & Marcus Massey

List those involved

Locations

- Castle Grounds and High Street, Rochester.

Outline locations involved indicate any which are

hostile environments

- Chatham Historic Dockyard

Assessor

Name

- Bluebell Hill Viewpoint, Detling

Date completed

Signature

Authoriser

Name

(if not Assessor)

Signature

Date authorised

17th November

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

Tick

Assault by person

Physical / chemical hazards

Tick

Health hazards

Tick

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

Electric shock

Lack of oxygen

Drowning

Explosive blast

Physical fatigue

Entanglement in moving machinery

Explosive release of stored pressure

High atmospheric pressure

Fire

Hot environment

Hazardous substance

Stress / anxiety

Manual handling

Ionizing radiation

Venom poisoning

Object falling, moving or flying

Laser light

Obstruction / exposed feature

Lightning strike

Environmental hazards

Sharp object / material

Noise

Litter

Shot by firearm

Non-ionizing radiation

Nuisance noise / vibration

Stroboscopic light

Physical damage

Vibration

Waste substance released into air

Slippery surface

Trap in moving machinery

Repetitive action
X

Trip hazard

Static body posture

Waste substance released into soil / water

Vehicle impact / collision

Managerial / organisational hazards

Falls from height

Management factors (lack of communication, co-operation, coordination and competence)

Risk matrix use this to determine risk for each hazard i.e. how

Likelihood of Harm

bad and how likely

Remote

Very unlikely

Unlikely

Possible

Likely

e.g. <1 in 1000 chance

e.g. 1 in 200 chance

e.g. 1 in 50 chance

e.g. 1 in 10 chance

e.g. >1 in 3 chance

Negligible e.g. small bruise

Trivial

Trivial

Trivial

Low

Low

Slight e.g. small cut, deep bruise

Trivial

Trivial

Low

Low

Medium

Moderate e.g. deep cut, torn muscle

Trivial

Low

Medium

Medium

High

Severe e.g. fracture, loss of consciousness

Low

Medium

High

High

Extremely high

Very Severe e.g. death, permanent disability

Low

Medium

High

Extremely high

Extremely high

Severity of Harm

Risk Assessment Form Part B

Activity1 Each individual activity you are proposing: Filming Scenes 1,5 & 7

Location where this activity will take place: Bluebell Hill, Viewpoint

Dates / times:
12/11/14

Hazards2

Risk3

Who exposed

Risk3

Control measures

List what could cause harm from this activity

e.g. falls from height, trip hazard, fire, etc.

List who might be harmed

from this activity
e.g. staff, contractors,
contributors, public, etc.

For each hazard, decide

level of risk as if you were to
do the activity without your
controls

For each hazard, list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.

Slippery surface (if wet)

Me & my actors

Low

Taking caution when moving. Moving slowly. Putting down a grippy surface

Trivial

Assault by person
Me & my actors
Continue on separate sheet if necessary

Low

Not intimidating those who may be assaulting. Take no notice, not responding.

Low

1 complete separate table for each activity

2 - from hazard list in Part A

For each hazard,

decide level of risk
once all your controls
are in place

3 - from risk matrix in Part A

Risk Assessment Form Part B

Activity1 Each individual activity you are proposing: Scenes 3 & 6

Location where this activity will take place: Rochester area

Dates / times:

(High Street & Castle Grounds)

12/11/14

Hazards2

Risk3

Who exposed

Risk3

Control measures

List what could cause harm from this activity

e.g. falls from height, trip hazard, fire, etc.

List who might be harmed

from this activity
e.g. staff, contractors,
contributors, public, etc.

For each hazard, decide

level of risk as if you were to
do the activity without your
controls

For each hazard, list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.

For each hazard,

decide level of risk
once all your controls
are in place

Slippery surface (if wet)

Me & my actors

Low

Taking caution when moving. Moving slowly. Putting down a grippy surface

Trivial

Assault by person

Me & my actors

Low

Not intimidating those who may be assaulting. Take no notice, not responding.

Low

Risk Assessment Form Part B

Activity1 Each individual activity you are proposing: Scenes 2,4,5,8

Location where this activity will take place: Historic Dockyard, Chatham.

Dates / times:
17/11/14

Hazards2

Risk3

Who exposed

Risk3

Control measures

List what could cause harm from this activity

e.g. falls from height, trip hazard, fire, etc.

List who might be harmed

from this activity
e.g. staff, contractors,
contributors, public, etc.

For each hazard, decide

level of risk as if you were to
do the activity without your
controls

For each hazard, list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.

For each hazard,

decide level of risk
once all your controls
are in place

Slippery surface (if wet)

Me & my actors

Low

Taking caution when moving. Moving slowly. Putting down a grippy surface

Trivial

Assault by person

Me & my actors

Low

Not intimidating those who may be assaulting. Take no notice, not responding.

Low

Fire

Me & my actors

Low

Reducing the chance of fire. Being aware of fire exits

Trivial.