PRODUCTION RISK ASSESSMENT FORM

PRODUCTION TITLE: Youre Mine Now

PRODUCTION NO: 1
STUDIO DATES: 23/01/2016
STUDIO ADDRESS:

Production Office Phone: 01202 764826

FILMING/OB DATES: 05/01/2016 25/01/2016
LOCATION ADDRESS:
N/A
The New Forest

Unit Manager: Molly Wallcraft

Office Phone: 01202 764826

DETAILED Description of the activity / production

Actors will be running down a path to symbolise that Lola is being chased by Alex.

Mobile: 07862516397

HAZARD CHECKLIST
Tick

Access/egress blocked/restricted

2
3

Alcoholic drinks/hospitality
Animals/insects (wild, performing etc.)

Tick

Tick

35

Scenic/set materials - not fire retardant/

toxicity tested

19
20

Hazardous substances: chemicals/dust/

fumes/poisons/asbestos/battery acid etc./
waste disposal
Heat/cold, extreme weather climate
Heavy loads on studio floor/rostra

36
37

Scenery manual handling difficulties

Scenic materials: glass/polystyrene

21

L.P.G./bottled gases

38

Smoking on set/studio

22

Lasers/other bright lights/strobes

39

Special flying/technical rigs

23

40

Special needs/children/elderly/disabled

24

Lifting equipment, e.g. forklift

LOLER
Live electrical equipment

41

25

Machinery proximity

42

Special visual effects: rain/snow/fire/

smoke/steam/dry ice/heat
Scenery/props storage on premises

9
10

Any special prop, tool etc., under the

direct control of the presenter, artist etc.
Audience safety/public/crowds/violence/
civil unrest
Compressed gas/cryogenics/low
temperature
Confined space/ tanks/mines/caves/
tunnels
Derelict buildings/dangerous structures/
isolation of services/waste control
Diving operations
Explosives, pyrotechnics, fireworks

26
27

Night operations
Noise/high sound levels

11

Falling objects

28

Portable tools above 110v

45

Stunts/dangerous activities/hazardous props

Technocrane/camera cables/camera
movement/special cable runs/scanners
Vehicles/motorcycles/speed

12

29

Practical flame/fires/flambeaux

46

Water/proximity to water/tanks

13

Fatigue/long hours/physical
exertion/stress
Fire Prevention/Evacuation Procedures

30

Radiation - sources/equipment etc.

47

Weapons/knives/firearms

14

First Aid/Medical Requirements

31

48

Work at height: zip-up/ladders/talascope etc.

15

32

49

Working on grid/ truss etc.

16

Flammable materials: painting/spraying

needed
Flying/aircraft/balloons/parachutes

Recording/shooting outside of LWT

studios/OBs/PSC
Risk of infection

33

Scaffolds/rostra/decking/platforms/
practical staircase/walkways on set

50

Working/storage under seating

17

Freelance crews, scenic ops

34

Scenery/flats over 12 ft x 10 ft/non-standard

shape/centre of gravity. Flown from grid

51

Other

5
6
7
8

18

Identify which hazards are involved in the production and tick the appropriate box
above.
State overleaf whether risks associated with each identified hazard is either high,
medium or low.
Specify control measures to be adopted to reduce risk state to an acceptable level, and
state the resulting risk factor.
Inform those persons exposed to any risk of the control measures to be adopted.
The form must be signed by the originator and the producer, and copied to:

43
44

Unit manager

Molly Crew / Cast

Ollie

M
c
K
e
n
z
i
e
S
c
o
t
t
B

Head of Production
HODs

Hazard Number
+
Identity of
Persons
Exposed

Molly Wallcraft
Scott Bishop
Oliver
McKenzie

Molly
Wall
craft
Molly H&S Advisor
Wall
cratf

please type or write clearly - an illegible form is null and void !

MAIN RISKS IDENTIFIED (Describe risks and
EXISTING & ADDITIONAL CONTROLS TO MANAGE RISKS
state if considered to be high (H), medium (M) or
Include names of experts or contractors to be used. Indicate the risk state after
low (L) before any controls are introduced.
control initiatives are introduced.(H/M/L)
Specify who is to ensure the measures are implemented and that they are
effective.
Access/egress blocked/restricted

To look at the path that the actors and crew will be running down and understand if any of the paths
are blocked or restricted.

Molly
First Aid/Medical Requirements
Wallcraft
Carry round certain medical equipment so I am covered if anything happens to actors and crew.
Scott Bishop
Oliver
McKenzie
Molly
Night operations
Wallcraft
To walk the path that the actors will run down to enable to see if the actors can be seen by the
Scott Bishop
camera or not.
Oliver
McKenzie
Molly Wallcraft
Stunts/dangerous activities/hazardous props
Scott Bishop
Running down the path to see if there are any trip hazards etc
Oliver
McKenzie
Molly Wallcraft
Scott Bishop
Other
Trip Hazards and wild animals running around. Not only are tree stumps dangerous, but if someone
Oliver
hurts an animal obviously filming would have to stop to help it.
McKenzie
State whether persons at risk are: Staff(S), Freelance(F), Contractor(C), Performer/Presenter(P), Public(U)
If necessary, continue on extra sheets
NUMBER OF ADDITIONAL SHEETS ATTACHED
COMPLETED BY: (print)
POSITION:
SIGNATURE: Molly Wallcraft

DATE: 23/01/2016

i
s
h
o
p
e
Molly
Wallcr
atf

Final risk
level is
acceptable

Medium

Medium

Medium

Medium

Medium

I am satisfied that the above constitutes a proper and adequate risk assessment in respect of this production. If any changes are made, the risk assessment will be
reviewed.
PRODUCER:(print name)
Molly Wallcraft

SIGNATURE:

Molly Wallcraft

DATE: 04/01/2015

PRODUCTION RISK ASSESSMENT FORM

PRODUCTION TITLE: Youre Mine Now
PRODUCTION NO: 2
STUDIO DATES: 24/01/2016
STUDIO ADDRESS:

Production Office Phone: 01202 764826

FILMING/OB DATES: 05/01/2016 25/01/2016
LOCATION ADDRESS:
N/A
Throop River

Unit Manager: Molly Wallcraft

Office Phone: 01202 764826

Mobile: 07862516397

DETAILED Description of the activity / production

Actors will be running to symbolise that Lola is being chased by Alex. They will reach the river so it also symbolises that Lola is going to commit
suicide.

HAZARD CHECKLIST
Tick

Access/egress blocked/restricted

2
3

Alcoholic drinks/hospitality
Animals/insects (wild, performing etc.)

Tick

Tick

35

Scenic/set materials - not fire retardant/

toxicity tested

19
20

Hazardous substances: chemicals/dust/

fumes/poisons/asbestos/battery acid etc./
waste disposal
Heat/cold, extreme weather climate
Heavy loads on studio floor/rostra

36
37

Scenery manual handling difficulties

Scenic materials: glass/polystyrene

21

L.P.G./bottled gases

38

Smoking on set/studio

22

Lasers/other bright lights/strobes

39

Special flying/technical rigs

23

40

Special needs/children/elderly/disabled

24

Lifting equipment, e.g. forklift

LOLER
Live electrical equipment

41

25

Machinery proximity

42

Special visual effects: rain/snow/fire/

smoke/steam/dry ice/heat
Scenery/props storage on premises

9
10

Any special prop, tool etc., under the

direct control of the presenter, artist etc.
Audience safety/public/crowds/violence/
civil unrest
Compressed gas/cryogenics/low
temperature
Confined space/ tanks/mines/caves/
tunnels
Derelict buildings/dangerous structures/
isolation of services/waste control
Diving operations
Explosives, pyrotechnics, fireworks

26
27

Night operations
Noise/high sound levels

11

Falling objects

28

Portable tools above 110v

12

29

13

Fatigue/long hours/physical
exertion/stress
Fire Prevention/Evacuation Procedures

14

First Aid/Medical Requirements

15

32

16

Flammable materials: painting/spraying

needed
Flying/aircraft/balloons/parachutes

17

Freelance crews, scenic ops

5
6
7
8

18

45

Stunts/dangerous activities/hazardous props

Technocrane/camera cables/camera
movement/special cable runs/scanners
Vehicles/motorcycles/speed

Practical flame/fires/flambeaux

46

Water/proximity to water/tanks

30

Radiation - sources/equipment etc.

47

Weapons/knives/firearms

31

Recording/shooting outside of LWT

studios/OBs/PSC
Risk of infection

48

Work at height: zip-up/ladders/talascope etc.

49

Working on grid/ truss etc.

33

Scaffolds/rostra/decking/platforms/
practical staircase/walkways on set

50

Working/storage under seating

34

Scenery/flats over 12 ft x 10 ft/non-standard

shape/centre of gravity. Flown from grid

51

Other

Identify which hazards are involved in the production and tick the appropriate box
above.
State overleaf whether risks associated with each identified hazard is either high,
medium or low.
Specify control measures to be adopted to reduce risk state to an acceptable level, and
state the resulting risk factor.
Inform those persons exposed to any risk of the control measures to be adopted.
The form must be signed by the originator and the producer, and copied to:

43
44

Unit manager

Molly Crew / Cast

Ollie

M
c
K
e
n
z
i
e
S
c
o
t
t
B

Head of Production
HODs

Hazard Number
+
Identity of
Persons
Exposed

Molly Wallcraft
Scott Bishop
Oliver
McKenzie
Molly
Wallcraft
Scott Bishop
Oliver
McKenzie
Molly
Wallcraft
Scott Bishop
Oliver
McKenzie
Molly Wallcraft
Scott Bishop
Oliver
McKenzie
Molly Wallcraft
Scott Bishop
Oliver
McKenzie

Molly
Wall
craft
Molly H&S Advisor
Wall
cratf

please type or write clearly - an illegible form is null and void !

MAIN RISKS IDENTIFIED (Describe risks and
EXISTING & ADDITIONAL CONTROLS TO MANAGE RISKS
state if considered to be high (H), medium (M) or
Include names of experts or contractors to be used. Indicate the risk state after
low (L) before any controls are introduced.
control initiatives are introduced.(H/M/L)
Specify who is to ensure the measures are implemented and that they are
effective.
Access/egress blocked/restricted

i
s
h
o
p
e
Molly
Wallcr
atf

Final risk
level is
acceptable

To look at the path that the actors and crew will be running down and understand if any of the paths
are blocked or restricted.

Medium

First Aid/Medical Requirements

Carry round certain medical equipment so I am covered if anything happens to actors and crew.

Medium

Night operations

To walk the path that the actors will run down to enable to see if the actors can be seen by the
camera or not.

Medium

Stunts/dangerous activities/hazardous props

Running down the path to see if there are any trip hazards etc

Medium

If flooring of bridge is wet it could result in actor slipping and falling in the river. Before we start
filming I will have a look at the bridge to make sure there are no slip hazards and eveything looks
safe.

High

Water/proximity to water/tanks

State whether persons at risk are: Staff(S), Freelance(F), Contractor(C), Performer/Presenter(P), Public(U)
If necessary, continue on extra sheets
NUMBER OF ADDITIONAL SHEETS ATTACHED
COMPLETED BY: (print)
POSITION:

SIGNATURE: Molly Wallcraft

DATE: 24/01/2016

I am satisfied that the above constitutes a proper and adequate risk assessment in respect of this production. If any changes are made, the risk assessment will be
reviewed.
PRODUCER:(print name)
Molly Wallcraft

SIGNATURE:

Molly Wallcraft

DATE: 04/01/2015