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PART A - Hazard list select your hazards from the list below and use these to complete Part B
Tick N N N N N N
Tick N N Y Y N N
Hazard Sharp object / material Slippery surface Trip hazard Vehicle impact / collision Working at height Electric shock
Tick N Y N N Y N
Hazard Fire Explosive Materials Hazardous substance Physical damage to Kit Working Alone Other (please specify in Part B)
Tick N N N N N Y
Hazards
List what could cause harm from this activity e.g. working at height, trip hazard, fire, etc.
Who exposed
List who might be harmed from this activity e.g. staff, contractors, contributors, public, etc.
Risk
Decide the level of risk as if you were to do the activity without your controls VERY LOW LOW MEDIUM HIGH EXTREMELY HIGH VERY LOW LOW MEDIUM HIGH EXTREMELY HIGH VERY LOW LOW MEDIUM HIGH EXTREMELY HIGH VERY LOW LOW MEDIUM HIGH EXTREMELY HIGH VERY LOW LOW MEDIUM HIGH EXTREMELY HIGH
Control measures
For each hazard, list the measures you will be taking to minimise the risk identified e.g. appointing competent persons, training received, planning, use of personal protective equipment, provision of first aid, etc.
Risk
Now decide level of risk once all your controls are in place VERY LOW
Lifting Equipment
Crew
Bend knees not back when lifting heavy equipment Two people lifting if it weighs too much
LOW MEDIUM HIGH EXTREMELY HIGH VERY LOW LOW MEDIUM HIGH EXTREMELY HIGH VERY LOW LOW MEDIUM HIGH EXTREMELY HIGH VERY LOW LOW MEDIUM HIGH EXTREMELY HIGH VERY LOW LOW MEDIUM HIGH EXTREMELY HIGH
Manual Handling
Crew
Bend knees not back when lifting heavy equipment Two people lifting if it weighs too much
Slippery Surface
Make sure surface is not wet by bringing towels to soak up any unwanted water
Working at height
Actor
Have crew members on standby to help the actor catch the actor if he was to fall
Choking Hazard
Actor
Make sure item round actors neck does not choke him Make sure item is not attached to anything else apart from neck, have scissors ready if anything happens