Risk Assessment

Production Name: Scorsese short film

Producers Name: Joe Brierley

Producer Signature: ………………………….

Location Name: My house

Location Signature: …………………………..

Assess each hazard for Severity on a scale of 1-5 (1 being lowest, 5 Highest)

Assess each hazard for Likelihood on a scale of 1-5 (1 being lowest, 5 Highest)

Determine Risk Factor by multiplying Severity and Likelihood together.

If Risk factor is 10 or above, determine what actions are needed to lower danger of hazard.

Present Severity Likelihood Risk

Hazard Y/N Factor Actions
For Example Y 3 4 12 Describe which actions
will be taken to lower
Risk of Hazard

Alcohol/Drugs N

Animals/Insects N

Audiences N

Camera cables / Grip Y 2 4 8

equipment

Confined spaces N

Dangerous Structures N

Electricity (other than N

normal sockets)
Fatigue/Long hours N

Fire/Flammable N
Materials

Gas N

Hazardous Materials N
/Substances

Heat/Cold/Extreme N
Weather

Industrial Equipment N
/Machinery

Laser/Strobe Effects N

Materials – e.g. Glass, N

cloths, set materials

Night time work N

Noise – high sound N

levels

Non-standard manual N
handling

Public/Crowds N

Radiation N

Scaffolding N
Special N
effects/explosives

Special needs – elderly, Y 1 3 3

disabled, inexperienced
crew

Specialised rescue/first N
aid

Stunts/dangerous N
activities

Suspended equipment N

Tall scenery N

Vehicles/speed N

Water/proximity to N
water

Weapons N

Working at heights N

Other Risks: