Risk Assessment Form Part A

Production Name:

XPRODUCTION

Organisation

XPRODUCTION

Production Address:

Central Foundation Sixth Form

Producer / Editor

Rohima 07952338582

Harley Grove

Tel:

Aima 07950795713

E3 2AT

Mobile:

Thahmina - 07852176962

End date

December 2014

BOW
Start date

December 2014

Distribution

Luke Williams, Aima Begum, Thahmina Akthar, Rohima Begum

Who gets a copy of the assessment

Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Team members / experts /
contractors / contributors etc.

Rohima, Aima, Thahmina, Mizannur, Faizur, Ibrahim

List those involved

Central Foundation Sixth Form, Simple Gifts Church, Victoria Park

Locations
Outline locations involved indicate
any which are hostile environments
Assessor

Name

Date completed

Signature
Authoriser

Name

(if not Assessor)

Signature

Date authorised

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

Tick
x

Physical / chemical hazards

Tick

Health hazards

Tick

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

Repetitive action

High atmospheric pressure

Fire

Static body posture

Hot environment

Hazardous substance

Stress / anxiety
Venom poisoning

Attack by animal
Breathing compressed gas
Cold environment

Manual handling

Ionizing radiation

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

Vibration

Waste substance released into air

Trap in moving machinery

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

Likelihood of Harm

each hazard i.e. how bad and how likely

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

Medium

High

Severity of Harm

Trivial

Low

Medium

Severe e.g. fracture, loss of consciousness

Low

Medium

High

High

Extremely high

Very Severe e.g. death, permanent disability

Low

Medium

High

Extremely high

Extremely high

Risk Assessment Form Part B

Activity1 Each individual activity you are proposing:

FILMING SCENES from 1 - 9
Hazards2

Who exposed

List what could cause harm from this activity

e.g. falls from height, trip hazard, fire, etc.

List who might be harmed

from this activity
e.g. staff, contractors,
contributors, public, etc.

Could fall over props in the basement

in Scene 3.

Actors could be harmed

as it will be dark in the
basement.
Also the directors could
be harmed if they fall
over any of the props
when filming,

Because it is filmed in December it will

be cold, therefore might get catch a
fever in Scenes 4-5.

Both actors and

directors could get
harmed because they
may fall ill, so will be
unable to act or film.

If we are not supervised, then an

accident could happen especially in
scene 3 with the basement.

All members will be

affected as there will not
be anyone to help us if
we are in a bad situation

Trip hazards from the lighting

equipment in all scenes.

Those handling the

equipment will be
harmed as they have to
make sure that they are
placed in a safe way
and held in a safe way.

Location where this activity will take place:

GRAVEYARD, SCHOOL, BASEMENT, CHURCH, VICTORIA PARK.
Risk3
For each hazard, decide
level of risk as if you were
to do the activity without
your controls

Control measures

Dates / times:
December 2014

Risk3

For each hazard, list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.

For each hazard,

decide level of risk
once all your controls
are in place

To ensure that we dont come across this we will make sure that all members know where the
props are placed to make sure that they are aware of its location.

Very unlikely,
negligible.

We will make sure that we are dressed appropriately for the weather. We will also check the
weather beforehand so that we know what it will be at the time and tell our actors to get extra
jumpers of jackets in case of a change in weather.

Very unlikely,
negligible.

Moderate, possible.

We will make sure that before we go to our locations, as well as asking for permission we will
also make sure that someone is available on that day to supervise us.

Very unlikely,
negligible.

Moderate, possible.

To prevent this we will make sure we help each other when holding the equipment and make
sure that we are all aware of where they are being placed, so that no one trips over.

Very unlikely,
negligible.

Moderate, possible.

Moderate, possible.

Very unlikely,
negligible.
Continue on separate sheet if necessary
1 complete separate table for each activity

2 - from hazard list in Part A

3 - from risk matrix in Part A