Location Risk Assessment Form- Part A: Basic Information &

Hazard list
Production Name:

The Birds Recreation Scene

Organisation

Carlisle College

Production Address:

Carlisle College

Producer / Editor

Lauren-Jade Wilson

Email:

laurenjadewilson@hotmail.co.uk

Mobile:

fish15213@gmail.com
07986880256

Start date

20/10/16

Distribution

Carlisle College

Outline of risk assessment

Filming in the black box studio

Team members / experts /

contractors / contributors
etc.

Lauren-Jade Wilson, Alex Herring, Brad Vaughn, Hayden Leeks, Luke Davidson, Jasmine Denney

Locations

Carlisle College Black Box Studio

Assessor
Authoriser

Name

Lauren-Jade Wilson

Signature

Lauren-Jade Wilson

Name

Lauren-Jade Wilson

(if not Assessor) Signature

End date

25/10/16

Date completed

18/10/16

Date authorised

18/10/16

Lauren-Jade Wilson

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

Tic
k
/

Physical / chemical hazards

Tic
k

Health hazards

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
machinery

Explosive release of stored pressure

Repetitive action

Tick

High atmospheric pressure

Fire

Static body posture

Hot environment

Hazardous substance

Stress / anxiety
Venom poisoning

Manual handling

Ionizing radiation

Object falling, moving or flying

Laser light

Obstruction / exposed feature

Lightning strike

Sharp object / material

Noise

Environmental hazards
Litter

Non-ionizing radiation

Nuisance noise / vibration

Slippery surface

Stroboscopic light

Physical damage

Trap in moving machinery

Vibration

Waste substance released into air

Shot by firearm

Trip hazard

Waste substance released into soil /

water

Vehicle impact / collision

Managerial / organisational
hazards

Falls from height

Management factors (lack of

communication, co-operation, coordination and competence)

Risk matrix use this to determine

risk for each hazard i.e. how bad and how
likely

Likelihood of Harm
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

Trivial

Low

Medium

Medium

High

Low

Medium

High

High

Extremely high

Low

Medium

High

Extremely
high

Extremely high

Severity of Harm

Severe e.g. fracture, loss of

consciousness

Very Severe e.g. death, permanent

disability

Risk Assessment Form Part B: Hazards & Control

Measures
Hazards

Who exposed

Risk

Control measures

Risk

Cast, Crew

Light Can fall down

Stay out of the way and make sure to react fast

Low

Cast, Crew

Could trip over

cables

Walk carefully

Medium

MANAGEMENT FACTORS (LACK

OF COMMUNICATION, COOPERATION, CO-ORDINATION AND
COMPETENCE)

Cast Crew,

Someone could
have not looked at
their reminders

set plenty of reminders, stay in contact with each other throughout the process
and make sure we understand and also stick to the time table.

Medium

STRESS/ ANXIETY

Cast, Crew

could be worried
about deadlines

plan it thoroughly

Medium

OBJECT MOVING FALLING OR

FLYING

TRIP HAZARD

Risk Assessment Form Part C: Emergency Contact information

Job Title
Director
Exec. Producer
Producer

Name
Brad Vaughn
Edward Cooper
Lauren-Jade Wilson

Phone No.

Email
thecoddy22@live.com

-----------------------------------------

laurenjade1102@gmail.com

D.O.P

Alex Herring

Assistant Producer
Sound
Lighting

Jasmine Denney
Hayden Leeks
Luke Davidson

07986880256
07983042954

fish15213@gmail.com
jasminedenney2000@gmail.com

Cast

Jasmine Denney

Emergency Service

CUMBRIA
CONSTABULARY

(101) ask for Carlisle

City Centre NPT

Emergency Service

CUMBERLAND
INFIRMARY
FIRE
SERVICE

01228 523444

Emergency Service

Emergency Contact/Relationship

01228535705 (Home)
07515853660 (mother)

lukedavidson77@gmail.com

01228 221689

Address
Carlisle City Centre, Civic Centre, Rickergate
Carlisle
CA3 8QG
Newtown Rd, Carlisle
CA2 7HY
Eastern Way, Carlisle
CA1 3RA

CARLISLE COLLEGE MAIN RECEPTION CAN

BE REACHED ON
01228 822700

IN AN EMERGANCY ALWAYS CALL 999