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The Production is bound by law to take reasonable care and measures to ensure that a healthy and safe
working environment is created and maintained for all. Failure to follow appropriate Health & Safety
procedures may invalidate any insurance.
Shoot Dates:
20/12/17
15/1/18
Location this form relates to: [a separate form should be completed for each location]
Outside location- Unthank Road, Norwich, NR2
Notes/Comments:
Using the checklist below, indicate any potential hazard relating to the activity.
No. Hazard Indicate No. Hazard Indicate
if if
relevant relevant
1 Access Difficulties 25 Manual Handling
3 Animals 27 Noise
Identify the likelihood of the hazard taking place and the severity of the hazard as High, Medium,
Low.
Likelihood: Almost Certain; Probable; Possible; Remote; Improbable
Severity: Multiple fatality; Fatality; Major injury; Minor injury; Negligible impact
Low
Medium
High
No. at Risk
8 Crew This is a public location, Y Film early in the morning to avoid as much of
Actor the public may therefore the public as possible. Ensure equipment is kept
be present around the away from public.
area, this is unlikely to
present any danger to
crew/ actor, or members
of the public, but may
affect the shoot in other
ways- noise, distraction,
limited hours.
10 Crew Tripods may cause a trip Y Extra care taken to keep equipment visible and
Actor hazard to members of the out of harm’s way at all times, as well as keeping
cast and crew. Heavy and everyone present aware of its place.
expensive equipment may
fall/ be dropped. This
could cause minor injury.