Location Risk Assessment Form- Part A: Basic Information &

Hazard list
Production Name:

Music Video

Organisation

Carlisle College

Production Address:

Carlisle College

Producer / Editor

Alice Dunt

Email:

ahd44w@hotmail.co.uk

Mobile:

07938100709

End date

27/02/17

Start date

09/01/17

Distribution

Carlisle College

Outline of risk assessment

Forrest

Team members / experts /

contractors / contributors
etc.

Alice Dunt, Jess MCclenan, Jasmine Denney, Lauren-Jade Wilson, Sally Lenghen

Locations

Where Jess gets off the bus there is a forrest

Assessor
Authoriser

Name

Jasmine Denney

Signature

Jasmine Denney

Name

Jasmine Denney

(if not Assessor) Signature

Date completed

23/01/17

Date authorised

23/01/17

Jasmine Denney

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

Tic
k

Assault by person
Attack by animal

Breathing compressed gas

Cold environment

Physical / chemical hazards

Tic
k

Health hazards

Contact with cold liquid / vapour

Disease causative agent

Contact with cold surface

Infection

Contact with hot liquid / vapour

Allergic reaction

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

Repetitive action
Static body posture

Tick

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

Slippery surface

Stroboscopic light

Physical damage

Trap in moving machinery

Vibration

Waste substance released into air

Trip hazard

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 bad and how

likely

Likelihood of Harm
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

Low

Medium

High

High

Extremely high

Low

Medium

High

Extremely
high

Extremely high

Severity of Harm

Severe e.g. fracture, loss of

consciousness

Very Severe e.g. death, permanent

disability

Risk Assessment Form Part B: Hazards & Control

Measures
Hazards

Who exposed

Risk

Control measures

Risk

Cast, Crew

fall over

watch where you're walking

Low

Cast, Crew

Cold in a forrest

wear warm clothes

Medium

MANAGEMENT FACTORS (LACK

OF COMMUNICATION, COOPERATION, CO-ORDINATION AND
COMPETENCE)

Cast Crew,

Someone could
have not looked at
their reminders

set plenty of reminders, stay in contact with each other throughout the process
and make sure we understand and also stick to the time table. Make sure you
have equipment before you go.

Medium

STRESS/ ANXIETY

Cast, Crew

could be worried
about deadlines

plan it thoroughly

Medium

Trip Hazard

Cold Environment

Risk Assessment Form Part C: Emergency Contact information

Job Title
Director
Exec. Producer
Producer

Name
Jasmine Denney
Edward Cooper
Alice Dunt

Phone No.
07983042954

Email
jasminedenney2000@gmail.com

Emergency Contact/Relationship
07515853660 (Mother)

07938100709

alicehdunt @gmail.com

D.O.P

Jess MCclenan

07464787537

jj.mcclenan@gmail.com

Assistant Producer

Lauren- Jade Wilson

laurenjade1102@gmail.com

Editor

Sally Lenaghan

-----------------------------------------------------------------------------------

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Cast

Jess MCclenan
Emily MCclenan

Emergency Service

CUMBRIA
CONSTABULARY

(101) ask for Carlisle

City Centre NPT

Emergency Service

CUMBERLAND
INFIRMARY
FIRE
SERVICE

01228 523444

Emergency Service

01228 221689

sallylenaghan1998@gmail.com

Address
Carlisle City Centre, Civic Centre, Rickergate
Carlisle
CA3 8QG
Newtown Rd, Carlisle
CA2 7HY
Eastern Way, Carlisle
CA1 3RA

CARLISLE COLLEGE MAIN RECEPTION CAN

BE REACHED ON
01228 822700

IN AN EMERGANCY ALWAYS CALL 999