HAZARD CHECKLIST and PRODUCTION RISK ASSESSMENT

PRODUCTION COMPANY Dark Room Productions

PRODUCTION TITLE Stalemate

PRODUCER Sid Sheppard-Sugg

CREW Alfie Walsh, Max Corrigan, Daisy Bigrove,

Sid Sheppard-Sugg

FILMING LOCATION

ACTIVITY Filming short film

DATE TIME
START FILMING 1,12.2021 1pm

FINISH FILMING 1.12.2021 2:30

CONTACT DETAILS

HAZARDS 
1 Audience or Public Safety
2 Cables
3 Camera Cranes / Dolly / Slider / Drones
4 Covid - 19 x
5 Derelict Buildings
6 Electricity
7 Fire - Flammable materials etc
8 Hazardous Terrain - Slipping / Tripping / Falling x
9 Noise / Sound levels x
10 Medical Conditions – Allergies / Health problems etc x
11 Physical Exertion
12 Public Transport x
13 Stunts / Dangerous activities
14 Theft of Equipment x
15 Weapons – Prop Guns / Knives / Swords etc
16 Weather Conditions - Hot / Cold / Rainy / Windy / Snow etc x
17 Working with Animals
18 Working with Children x
19 Working with Disabled / Elderly x
20 Working at Night
21 Working on or near Water
22 Vehicle safety
22 Other -
 PRODUCTION RISK ASSESSMENT Sheet 1 of 2

HAZARD IDENTIFIED PEOPLE AT RISK RISK CONTROL WHO’S

LEVEL MEASURES RESPONSIBLE
HML
Covid-19 Everyone M Wear a mask, use hand sanitizer. Covid Compliance
Be sure to keep socially Officer (Alfie Walsh)
distanced and wipe down
equipment after use.

Medical condition Max Corrigan M Make sure Max Feels ok, if he The Crew
needs help.

Medical condition Alfie Walsh L Alfie wears a medical necklace, Alfie Wlsh
and has his doctors’ number with
him.

PRODUCTION RISK ASSESSMENT Sheet 2 of 2

HAZARD IDENTIFIED PEOPLE AT RISK RISK CONTROL WHO’S RESPONSIBLE
LEVEL MEASURES
HML

I have read the above and I am happy that:

 It constitutes a proper and adequate risk assessment in respect of the programme

activity and that control measures identified are sufficient to control the risks.
 Adequate measures are in place to communicate the risk assessment findings and to
co-ordinate the safety arrangements of all those affected.
 Covid-19 protocols have been considered and are in-line with the latest government
advice.

Signed:
Producer

Date:

Signed:
Tutor or Technician