FORM RA 002 (adapted for Student Media Productions)

Equipment booking

Name of hirer Matthew Wheeler

Facility / equipment required

Catalogue Description Hours/days Unit Cost
code cost
XA25 4 Days

Total

Date Time
Issue 04/12/2018 4PM
Return 07/12/2018 1PM

Please give as much notice as possible. Location filming requests MUST be submitted at least
48 hours in advance to ensure batteries can be charged etc.

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 FORM RA 002 (adapted for Student Media Productions)

Call sheet

Production title Everything You Want To Hear

Call sheet for (date)

Production team
Names Roles Contact details
Matthew Wheeler Director 07914554991

Actors

First aider

Base address and contact details:

6 Severn Road Melksham Wiltshire sn12 8bq
07914554991

Location address:

Map attached.

Access info:

Contact details:

Travel arrangements:

Times
Meet time at base - 18:30

On location – 18:40

Shoot time (s) and scene numbers

Planned breaks and catering arrangements

Projected wrap time

Back at base time 20:30

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 FORM RA 002 (adapted for Student Media Productions)
Weather report (if outside)

It says predicted rain for the production perioid.

Special considerations with regard to location/weather/activities etc

I will be bringing a heavy duty umbrella to protect equipment if the weather report is correct. The camera will be protected and safe
at all times.

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 FORM RA 002 (adapted for Student Media Productions)

RISK ASSESSMENT FOR LOCATION DATE OF

05/12/18
ACTIVITY
FILMING
TASK / ACTIVITY Filming a dystopian atmosphere DATE
02/12/18
ASSESSED

BRIEF DESCRIPTION

I will be filming a series of atmospheric shots.

See Risk Assessment Assistant (Page 3) for scoring.

RISK RATING
5
(likelihood × consequence = )
Include the risk ‘word’ (i.e. acceptable, adequate, tolerable, unacceptable).

PEOPLE NUMBER OF PEOPLE UNDERTAKING TASK 1

DURATION OF TASK Hour and a half

PERSONNEL PROFILE / TRAINING GIVEN

PERSONNEL INSTRUCTED PERSONNEL INSTRUCTED PERSONNEL INSTRUCTED

STAFF TALENT YOUNG PERSON

STUDENT CONTRIBUTORS VISITOR

PERSONNEL
PUBLIC
WORKING ALONE

SPECIALIST
DISABLED TRAINED
PERSONNEL

CONTROL MEASURES IN PLACE (Guarding, Safe Systems of Work, PPE, etc)

TO BE COMPLETED BY STAFF ASSESSOR(S) (Ctrl+Tab to add tab stops between columns)

EXTRA ACTIONS REQUIRED TO CONTROL SIGINIFICANT RISKS ACTIONED BY DATE

STUDENT ASSESSOR(S)

STAFF ASSESSOR(S)

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 FORM RA 001
ACTIVITY / TASK
HAZARD IDENTIFICATION
HAZARD TYPE PRESENT HAZARD TYPE PRESENT
COMMENTS COMMENTS
1. Mechanical / Physical Hazards YES NO 4. Production Hazards YES NO

The ground could be wet so best

to make sure we are wearing
1.1 Slips / Trips / Falls x 4.1 Stressful Postures x
gripped shoes and watch where
we walk.

1.2 Vehicles x 4.2 Lifting / Handling x

1.3 Camera Grip Equipment x 4.3 Inadequate Breaks x

Will be dark by the time we film

1.4 Falling Equipment x 4.4 Restricted Visibility (viewfinder) X but will have artificial light with
the scene to counter this.

1.x Other Mechanical Hazards x 4.5 Camera Tracking/Crabbing x

2. Electrical Hazards YES NO COMMENTS 4.6 Working at Height x

2.1 Direct Contact x 4.x Other Workplace Hazards x

2.2 Indirect Contact x 5. Hazardous Substances YES NO COMMENTS

2.3 Short Circuit / Overload x 5.1 Explosive / Biological / Chemical x

2.4 Source of Ignition x 5.2 Substances in set construction x

2.5 Proximity to Water x 5.x Other Hazardous Substances x

3. Production Activities YES NO 6. Environmental Hazards YES NO COMMENTS

3.1 Extreme Sports x 6.1 Localised Hot / Cold Surfaces x

3.2 Animals (working with or proximity to) x 6.2 High / Low Ambient Temp. x

3.3 Fight sequences x 6.3 Poor Lighting x Will be dark by the time we film
but will have artificial light with

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 FORM RA 001
the scene to counter this.

3.4 Potential Intervention from Public x 6.4 Confined spaces x

The ground could be wet so

best to make sure we are
3.5 Potential for Assault x 6.5 Poor Weather x wearing gripped shoes and
watch where we walk. Will also
have umbrellas.

The ground could be wet so

best to make sure we are
3.6 Noise pollution x 6.6 Uneven/Slippery Surfaces x wearing gripped shoes and
watch where we walk. Will also
have umbrellas.

3.7 Smoking x 6.7 Unsafe structures x

3.8 Alcohol x 6.8 Sharps & breakages x

3.x Other Production Activity Hazards x 6.x Other Environmental Hazards x

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 FORM RA 001

RISK ASSESSMENT ASSISTANT

These are the basic terms that apply to a Risk Assessment:

A hazard is anything that has the potential to cause harm. This could be something as specialised as a piece of
complicated machinery, or as commonplace as a cup of coffee. If it could be harmful in any way, then it’s a
hazard.

A hazardous event takes place when someone or something interacts with the hazard and allows it to cause
harm. Take a hole in the ground for example. The hole (the hazard), by itself isn’t causing any harm, but if
someone tripped over it (the hazardous event) then it would become harmful. Every hazardous event has a
likelihood and a consequence.

Likelihood is a measure of the chance that the hazardous event will occur. If the hole is in a busy area, such as
a shop entrance, it’s more likely someone will trip over it. However if it’s in an area that doesn’t get a lot of traffic,
such as a back yard, tripping over it would be less likely.

The consequence is the outcome of the hazardous event. If you tripped over a hole, there could be several
possible outcomes; you might land on your feet with no damage at all, you might drop whatever you are carrying,
or perhaps you could end up with a sprained ankle or even a fracture.

Risk is the combination of the likelihood of a hazardous event occurring and the consequence of the event.

Risk = likelihood x consequence

Below is a table to help you work out the score for the likelihood and consequence. Once you have
done this, multiply the two numbers to get the Risk Rating.

Risk
Likelihood Consequence
Score
Very unlikely – might happen once in 5 years 1 No injury

Unlikely – would not happen in 2-3 years 2 Minor - minor injury requiring first aid

Fairly Likely – would expect to happen once a year 3 Moderate - up to three days’ absence

Likely – could occur 2-3 times a year 4 Major – more than three days’ absence

Very Likely – likely to happen 2-3 times a week 5 Catastrophic – Death or multiple deaths

Risk Matrix – this is used for estimating and evaluating the risk it is a commonly used tool. Usually the higher the
risk level, the more serious the risk and the more likely you’ll need to take action.

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 FORM RA 001

UNACCEPTABLE – Stop the activity and make

5 10 15immediate
20 improvements
25
17-25
 CONSEQUENCE 

4 8 12 16 20

3 6 9 TOLERABLE
12 15– look to improve within a specified
timescale 10-16
2 4 6 8 10

1 2 3 4 5
ADEQUATE – Look to improve at next review
 LIKELIHOOD 
5-9

1-5

If you are still not sure or just have a question, please do not hesitate in contacting the Health & Safety
Department – We are here to help!

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