Production Risk Assessment

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.

Production title: Selena Gomez Birthday

Shoot Dates:
26/11/17
28/11/17
03/12/17

Location this form relates to:

65 Suffolk Square
NR2 2BN
Norwich
Norfolk

Production contact & phone:

Sandra Palpuchowska - 07714419101

Signature of Assessor: Assessment Date:

Palpuchowska 16/11/2017
Checklist

No. Hazard Indicate if No. Hazard Indicate if

relevant relevant
1 Access Difficulties N/A 25 Manual Handling N/A

2 Alcohol / Hospitality N/A 26 Night Operations N/A

3 Animals N/A 27 Noise N/A

4 Artist using specialist equipment N/A 28 Portable Power Tools N/A

5 Audience / Stewarding N/A 29 Prop Hazards N/A

6 Compressed Gas / Cryogenics N/A 30 Radiation N/A

7 Confined Spaces etc. N/A 31 Risk of Infection N/A

8 Crowds / Public N/A 32 Scaffolds / Platforms / Stairs / Walkways N/A

9 Children / Young People N/A 33 Scenery Hazards Movement, Shape, N/A

Suspended, Flown
10 Camera Ops. Cranes / Cables, YES 34 Scene Dock Storage N/A
Remotes / Steadicam

11 Building Issues / Structures, etc. N/A 35 Smoking N/A

12 Design / Construction / Materials N/A 36 Special Assistance Elderly / Disabled N/A

13 Electricity / Electrical Appliances N/A 37 Special Visual Effects Snow, Smoke, N/A
Dry Ice, Rain, etc.
14 Excavation N/A 38 Sporting Activities N/A

15 Explosives / Pyrotechnics N/A 39 Stunts N/A

16 Fatigue / Exertion / Stress N/A 40 Temperature Extremes Heat, Cold N/A

17 Fire / Flame N/A 41 Vehicles / Motorcycles Used in N/A

Filming, Artists Driving
18 Flammable Substances Petrol, N/A 42 Water Work on or near Tanks / N/A
Paint, Sprays Boats / Diving / Use in Studio

19 Flight Aircraft, Balloon, Parachutes N/A 43 Weapons Firearms, Sharps, etc. N/A

20 Food Preparation YES 44 Work at Height Ladders, Roof, Steps, N/A

etc.
21 Glass N/A 45 Working Overseas N/A

22 Hazardous Substances Dusts, N/A 46 Weather Extremes N/A

Vapours, Fumes, Corrosives, etc.

23 Lasers / Strobes MAYBE 47 Possible Violence N/A

24 Lifting Equipment Fork Lift, Trucks, N/A 48 Other N/A

Cranes
Evaluation and Controls
 For each hazard identified in the checklist, state who is at risk (crew / public / audience / artist / etc.),
the nature of the risk, and how it will be controlled.

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

Hazard Who is Risk Control Measure

Low
um
Medi
High
No. at Risk

20 Director Risk of cutting or S By making sure that gloves are worn at all
burning during times and that the food is prepared in a
food preparation. careful and safe manner.
Food could go off
and might have to Food will be stored in the fringe in plastic
be prepared again. compartments.

Likelihood - Remote
23 Director Temporary loss of S By making sure that laser lights or strobes
vision. are not pointed at anyones head or eyes.
Eye damage.

Likelihood - Improbable
10 Director Using a tripod for S By making sure the location of the video is
the camera could made clear to allow camera movement.
be a trip hazard.

Likelihood Improbable