Division of Computing

BTEC National Diploma in Media

Health and Safety
You need to complete one a health and safety proforma for each
location you intend to use
Project title

Animation

Form completed
by
Date

Luke Dolman
3rd October

Contacts
Producer

Name
Luke Dolman

Director

Luke Dolman

Location
Manager
First Aider

Luke Dolman

Phone Number

Luke Dolman

Emergency Services
Phone Number

Address

Local Police
Laughton Rd, Dinnington,
Sheffield S25 2PP

Local Fire Service

0114 272 7202

197 Eyre Street

Sheffield
S1 3FG

Local Hospital
Prince of Wales Rd,
Sheffield, South
Yorkshire, S9 4EU

Division of Computing

OCR National Extended Diploma in Media

Hazard Identification
Hazard
Alcohol/drugs
Animals
Asbestos
Audiences and groups
Building and construction
sites
Cables/grip equipment
Confined spaces and
underground
Costume/make-up
Dangerous terrain
Derelict buildings and land
Diving and underwater
filming
Electricity, lights and cables
Explosives and pyrotechnics
Extreme weather conditions
Fire
Firearms and weapons
First aid person present
Flying / Airports
Manual handling/lifting
Night operations
Noise
Person with special needs
Protective equipment
Restricted access
Roads/Driving
Scaffolding/working at
height
Slipping, tripping, falling
Special effects
Stunts
Water safety
Other

Is the hazard present?

Yes
No
N
Y
N
N
N
Y
N
N
N
N
N
Y
N
N
Y
N
Y
N
N
N
Y
Y
N
N
Y
N
Y
N
N
N

Division of Computing

OCR National Extended Diploma in Media

Risk Reduction
Risk

Probabilit
y
1 Very
Low
2 Low
3 Medium
4 High
5 Very
High

Risk

Probabilit
y
1 Very
Low
2 Low
3 Medium
4 High
5 Very
High

Risk

Probabilit
y
1 Very
Low
2 Low
3 Medium
4 High
5 Very

Action to be
taken
1 Eliminate

How?

2 Reduce or
substitute
3 Isolate
4 Control
5 Personal
Protective
equipment
Action to be
taken
1 Eliminate

How?

2 Reduce or
substitute
3 Isolate
4 Control
5 Personal
Protective
equipment
Action to be
taken
1 Eliminate
2 Reduce or
substitute
3 Isolate
4 Control
5 Personal

How?

Division of Computing

Risk

High

Protective
equipment

Probabilit
y
1 Very
Low
2 Low

Action to be
taken
1 Eliminate

3 Medium
4 High
5 Very
High
Risk

Probabilit
y
1 Very
Low
2 Low
3 Medium
4 High
5 Very
High

Risk

Probabilit
y
1 Very
Low
2 Low
3 Medium
4 High
5 Very
High

Risk

Probabilit
y
1 Very
Low
2 Low
3 Medium
4 High

2 Reduce or
substitute
3 Isolate
4 Control
5 Personal
Protective
equipment
Action to be
taken
1 Eliminate
2 Reduce or
substitute
3 Isolate
4 Control
5 Personal
Protective
equipment
Action to be
taken
1 Eliminate
2 Reduce or
substitute
3 Isolate
4 Control
5 Personal
Protective
equipment
Action to be
taken
1 Eliminate
2 Reduce or
substitute
3 Isolate
4 Control

How?

How?

How?

How?

Division of Computing
5 Very
High
Risk

Probabilit
y
1 Very
Low
2 Low
3 Medium
4 High
5 Very
High

5 Personal
Protective
equipment
Action to be
taken
1 Eliminate
2 Reduce or
substitute
3 Isolate
4 Control
5 Personal
Protective
equipment

How?