SHOOT DATE/S: November 2015 (Specifics TBC)

LOCATION THIS FORM RELATES TO: Ditchingham Heath

Complete the following table rating

each risks severity on scale from Negligible (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V)

each risks likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL)

Determine the risk factor from the table overleaf.

Hazard

Present?

1
2

Alcohol/drugs
Animals/insects

3
4

Audiences
Camera cable/grip equipment

5
6

Confined spaces
Derelict buildings/dangerous structures

7
8
9

Electricity/gas (other than normal supplies)

Fatigue/long hours
Fire/flammable materials

10
11

Hazardous substances
Heat/Cold/extreme weather

12
13

Laser/strobe effects
Machinery/industrial/ crane/hoist

14
15

Materials - glass, non-fire retardant set materials

Night operation

16
17
18

Noise high sound levels

Non standard manual handling
Public/crowds

19
20

Radiation
Scaffold/Rostra

21
22

Smoking on set
Special effects/explosives

23
24
25

Special needs (elderly, disabled, inexperienced)

Specialised rescue/first aid
Stunts, dangerous activities

26
27

Tall scenery/suspended ceilings

Vehicles/speed

28
29

Water/proximity to water
Weapons

30
31

Working at heights
Working overseas

32

Other risks

Calculate the Risk Factor:

Very Unlikely
Very severe
Severe
Moderate
Slight
Negligible

3
2
2
1
1

Decide the action to take:

5
Very severe
4
Severe
3
Moderate Risk
2
Low Risk
1
Negligible

Severity

Likelihood

Risk Factor

VU

Unlikely

Possible

Likely

Very Likely

4
3
2
2
1

4
3
3
2
2

5
3
3
3
2

5
5
3
3
3

Take immediate action

High priority
Programme for action
Action may be required
Probably acceptable

LOCATION RISK ASSESSMENT FORM

PRODUCTION TITLE: A2 Media Advanced Portfolio Music Video

Hazard no:
Description

2
Risk Factor (1-5)
1
Potential for public to be walking dogs around the general area. Risk of allergies
to animals. There will also be insects present as the location is outside.

Person(s) exposed (detail if

cast/crew (C), outside
company (O) or public (P) )
Action to take

C
Ensure that the section of the location we use is obscured from the general
public and risks. Also, ensure to ask band members whether they have allergies,
just in case.
Maisie Buck

Person/company
responsible for action
To be completed at agreed later date Exposed person(s)
Agreed action taken? (y/n)
informed? (y/n)

Risk removed? (y/n)

Hazard no:
Description

11
Risk Factor (1-5)
2
The location is outside and shooting will be taking place in November, meaning it
may be quite cold.

Person(s) exposed (detail if

cast/crew (C), outside
company (O) or public (P) )
Action to take

C
Warn cast members to wear warm clothing and dress appropriately for the
weather.

Person/company
Maisie Buck
responsible for action
To be completed at agreed later date Exposed person(s)
Agreed action taken? (y/n)
informed? (y/n)

Risk removed? (y/n)

Hazard no:
Description

18
Risk Factor (1-5)
2
The location is a public space. Crowds are unlikely but there is the potential for
us to interact with the general public.

Person(s) exposed (detail if

cast/crew (C), outside
company (O) or public (P) )
Action to take

C
Choose a more obscure part of the location where the general public are unlikely
to interrupt.

Person/company
Maisie Buck
responsible for action
To be completed at agreed later date Exposed person(s)
Agreed action taken? (y/n)
informed? (y/n)

Hazard no:

28

Risk Factor (1-5)

Risk removed? (y/n)

Description

A portion of the music video will be taking place in front of a moderately sized
body of water. Potential of falling in.

Person(s) exposed (detail if

cast/crew (C), outside
company (O) or public (P) )
Action to take

C
Ensure that no one ventures too close to the water.

Person/company
Maisie Buck
responsible for action
To be completed at agreed later date Exposed person(s)
Agreed action taken? (y/n)
informed? (y/n)
Completed by: Maisie Buck
Signature: Maisie Buck

Risk removed? (y/n)

Position: Director & Producer

Date: 02/11/2015