RISK ASSESSMENT TEMPLATE 

Pre-Production Bundle 
 
PRODUCTION TITLE : _____________________________________________________________________ 
 
ASSESSOR: _____________________________________________________ DATE: ____________________ 
 
SCENE #: _____________ SHOT #: ___________ LOCATION: 
________________________________ 
 

HAZARD  PERSON IN  RISK  CONTROLS  RISK 

POTENTIAL  DANGER  BEFORE  AFTER 
e.g. Steadicam shot  Steadicam  Medium  Rehearsal time, set up time given  Low 
Tripping over &  Operator  for practice takes, rest time after 
back injury   every shot 
e.g. Head Injury  All Crew  Low  Hard hats to be worn at all times  Trivial 
from worksite  by all crew on site. 
location 
         
 
         
 
         
 
         
 
         
 
         
 
         
 
         
 
         
 
         
 
         
 
         
 
         

         

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