Location Risk Assessment Form- Part A: Basic Information &

Hazard list
Production Name: FMP insomnia Organisation Carlisle College
Production Address: Carlisle College Producer / Editor Jasmine Denney
Email: jasminedenney2000@gmail.com
Mobile: 07983042954
Start date 06/03/17 End date 15/05/17
Distribution Carlisle College

Outline of risk assessment richards house

Team members / experts / Jasmine Denney, Richard Dent, Alice Dunt, Brad Vaughan, Beth Hudson, Hannah Kay, Jessica
contractors / contributors McClenan, Tom Williamson, Lauren-Jade Wilson and Hayden Leeks
etc.
Hannah wakes up
Locations

Assessor Name Jasmine Denney Date completed 03/04/17

Signature Jasmine Denney
Authoriser Name Jasmine Denney Date authorised 03/04/17
(if not Assessor) Signature Jasmine Denney

Hazard list select your hazards from the list below and use these to complete Part B
Situational hazards Tic Physical / chemical hazards Tic Health hazards Tick
k k
Assault by person 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 Explosive release of stored pressure
machinery Repetitive action
High atmospheric pressure Fire Static body posture
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, co-
ordination and competence)

Risk matrix use this to determine

risk for each hazard i.e. how bad and how Likelihood of Harm
likely
Remote Very unlikely Unlikely Possible Likely
Severity of Harm e.g. <1 in 1000 e.g. 1 in 200 e.g. 1 in 50 e.g. 1 in 10 e.g. >1 in 3
chance chance chance chance 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 Low Medium High High Extremely high
consciousness
Very Severe e.g. death, permanent Low Medium High Extremely Extremely high
disability high
 Risk Assessment Form Part B: Hazards & Control
Measures

Hazards Who exposed Risk Control measures Risk

Trip Hazard Cast, Crew fall over watch where you're walking Low

Cast, Crew Cold in a forrest wear warm clothes Medium

Cold Environment

MANAGEMENT FACTORS (LACK Cast Crew, Someone could set plenty of reminders, stay in contact with each other throughout the process Medium
OF COMMUNICATION, CO- have not looked at and make sure we understand and also stick to the time table. Make sure you
OPERATION, CO-ORDINATION AND their reminders have equipment before you go.
COMPETENCE)

STRESS/ ANXIETY Cast, Crew could be worried plan it thoroughly Medium

about deadlines
Risk Assessment Form Part C: Emergency Contact information

Job Title Name Phone No. Email Emergency Contact/Relationship

Director Jasmine Denney 07983042954 jasminedenney2000@gmail.com 07515853660 (Mother)
Ex. Producer Edward Cooper
D.O.P Richard Dent 07402888358 ----------------------------------------------------------------------
------
Lighting Alice Dunt alicehdunt @gmail.com
07938100709
Social Media Beth Hudson 07503233401 bethhudson1999@gmail.com -------------------------------------------------------------
-----------------
Sound Brad Vaughan -------------------------------------------------------------
------------------

Cast Hannah Kay 07944687238 hankay97@hotmail.com 07872618897 (Father)

Jessica McClenan jj.mclenan@gmail.com
Hayden Leeks
Tom Williamson 07763444933
Lauren Jade Wilson
Address
Emergency Service CUMBRIA (101) ask for Carlisle Carlisle City Centre, Civic Centre, Rickergate CARLISLE COLLEGE MAIN RECEPTION CAN
CONSTABULARY City Centre NPT Carlisle
BE REACHED ON
CA3 8QG
Emergency Service CUMBERLAND 01228 523444 Newtown Rd, Carlisle 01228 822700
INFIRMARY CA2 7HY
Emergency Service FIRE 01228 221689 Eastern Way, Carlisle IN AN EMERGANCY ALWAYS CALL 999
SERVICE CA1 3RA