PART A - Hazard list – select your hazards from the list below and use these to complete Part B

Hazards Tick Hazard Tick Hazard Tick Hazard Tick

Assault by person  Hot environment  Sharp object / material  Fire 
Attack by animal  Intimidation  Slippery surface  Explosive Materials 
Location Risk Assessment Sheet
Cold environment  Lifting Equipment  Trip hazard  Hazardous substance 
Crush by load  Manual handling  Vehicle impact / collision  Physical damage to Kit 
Contact with cold surface  Object falling, moving or flying  Working at height  Working Alone 
Contact With Hot Surface  Obstruction / exposed feature  Electric shock  Other (please specify in Part B) 
PART B – Risk Assessment
Risk
Hazards Decide the level of risk as Control measures Risk
List what could cause harm from this Who exposed if you were to do the 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 List who might be harmed from this activity e.g. activity without your e.g. appointing competent persons, training received, planning, use of personal protective once all your controls are
hazard, fire, etc. staff, contractors, contributors, public, etc. controls equipment, provision of first aid, etc. in place
VERY LOW VERY LOW
LOW  LOW 
Slippery walking surface
MEDIUM MEDIUM
On grass
HIGH HIGH
EXTREMELY
Everyone EXTREMELY HIGH Be careful where walking to avoid tripping or slipping HIGH
VERY LOW  VERY LOW 
LOW LOW
Cold temperature
MEDIUM MEDIUM
HIGH HIGH
EXTREMELY EXTREMELY
Everyone HIGH Wear an under-layer HIGH
VERY LOW VERY LOW 
LOW  LOW
Possible trip hazard over
MEDIUM MEDIUM
equipment like a tripod Everyone Keep out of walkway of anyone or be made aware of where it
HIGH HIGH
will be
EXTREMELY EXTREMELY
HIGH HIGH
VERY LOW VERY LOW 
Slip over any food or drink
LOW  LOW
that has been spilt
MEDIUM MEDIUM
Everyone Any actors to report if they have spilt anything
HIGH HIGH
EXTREMELY EXTREMELY
HIGH HIGH

Director/Production Manager Signature Date of Risk Assessment 05/04/2022

 Location Reconnaissance Sheet

Issues Actions & Responsibilities

LISTEN! Weather/ Wind? YES
 NO

Traffic/road YES NO Background YES NO Look out for other people walking past
Sound & works?   music/PA system?  
Be wary of wind and how much it will affect the scene
acoustics YES NO Air conditional/ YES NO
Issues:
Aircraft?   fridges?  
Electrical YES NO YES NO
hazards/hum?   Wooden floors?  
YES NO YES NO
Schools?   Other?  
Position of the YES NO Secure place for kit? *Floor might be uneven in scene 3 where it is set in a field
sun
  YES
 NO

Window direction YES NO TV/computer
Camera,   screens?
YES
 NO

Lighting &
Power supply? YES NO Is floor level? YES NO
Power    
Issues Size of location YES NO Cables?
  YES
 NO

Strobing? YES NO Smoke YES NO
  alarms/sprinklers?  

Permissions Required? YES

 NO
 Police Notification Required? YES
 NO

Additional Location Notes
3rd scene (outdoor) will need to have an empty field to avoid clashing of people wearing modern clothes.
Director/Production Manager Date of Location Recce 05/04/2022
Signature