Level 2 Location Risk Assessment Sheet

Production Title Seeing double Location for Scene No(s).

Location home Activity

PART B – Risk Assessment

Hazards Who exposed Risk Control measures Risk
List what could cause harm from this List who might be harmed from this activity e.g. Decide the level of risk as For each hazard, list the measures you will be taking to minimise the risk identified Now decide level of risk
activity e.g. working at height, trip staff, contractors, contributors, public, etc. if you were to do the e.g. appointing competent persons, training received, planning, use of personal once all your controls are
hazard, fire, etc. activity without your protective equipment, provision of first aid, etc. in place
controls
Wet floor (slip over) me VERY LOW Make sure floor isn’t to wet but it needs to be visibly wet to VERY LOW
LOW
make it look like its been its been cleaned. LOW a
MEDIUM a MEDIUM
HIGH HIGH
EXTREMELY HIGH EXTREMELY HIGH

me VERY LOW Try not to fall on the bottom of the chair as parts of it sticks VERY LOW
LOW LOW
Office chair (could out and try not to go down so hard (fall gracefully but make it
MEDIUM a MEDIUM a
possibly hurt myself) HIGH
funny) HIGH

EXTREMELY HIGH EXTREMELY HIGH

Toaster (burn) me VERY LOW Don’t touch the hot metal part VERY LOW
LOW LOW a
MEDIUM MEDIUM
HIGH a HIGH
EXTREMELY HIGH EXTREMELY HIGH
VERY LOW VERY LOW
LOW LOW
MEDIUM MEDIUM
HIGH HIGH
EXTREMELY HIGH EXTREMELY HIGH
VERY LOW VERY LOW
LOW LOW
MEDIUM MEDIUM
HIGH HIGH
EXTREMELY HIGH EXTREMELY HIGH

Director/Production Manager Signature Date of Location Recce