PRODUCTION TITLE: All I
Want – A Day To Remember Music Video
SHOOT DATE/S: 26/10/15
PRODUCTION OFFICE PHONE/MOBILE:
LOCATION THIS FORM RELATES
TO: TV Studio (CCN Site)
Complete the following table rating
·
each risks severity on scale from
Negligible (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V)
·
each risks likelihood
on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very
likely (VL)
·
Determine the risk factor
from the table overleaf.
Hazard
|
Present?
|
Severity
|
Likelihood
|
Risk Factor
|
|
1
|
Alcohol/drugs
|
||||
2
|
Animals/insects
|
||||
3
|
Audiences
|
||||
4
|
Camera cable/grip equipment
|
Yes
|
L
|
U
|
2
|
5
|
Confined spaces
|
||||
6
|
Derelict buildings/dangerous
structures
|
||||
7
|
Electricity/gas (other than normal
supplies)
|
||||
8
|
Fatigue/long hours
|
||||
9
|
Fire/flammable materials
|
||||
10
|
Hazardous substances
|
||||
11
|
Heat/Cold/extreme weather
|
||||
12
|
Laser/strobe effects
|
||||
13
|
Machinery/industrial/ crane/hoist
|
||||
14
|
Materials - glass, non-fire retardant
set materials
|
||||
15
|
Night operation
|
||||
16
|
Noise – high sound levels
|
Yes
|
L
|
P
|
2
|
17
|
Non standard manual handling
|
||||
18
|
Public/crowds
|
||||
19
|
Radiation
|
||||
20
|
Scaffold/Rostra
|
||||
21
|
Smoking on set
|
||||
22
|
Special effects/explosives
|
||||
23
|
Special needs (elderly, disabled,
inexperienced)
|
||||
24
|
Specialised rescue/first aid
|
||||
25
|
Stunts, dangerous activities
|
||||
26
|
Tall scenery/suspended ceilings
|
||||
27
|
Vehicles/speed
|
||||
28
|
Water/proximity to water
|
||||
29
|
Weapons
|
||||
30
|
Working at heights
|
||||
31
|
Working overseas
|
||||
32
|
Other risks
|
Calculate the Risk Factor:
Very Unlikely
|
Unlikely
|
Possible
|
Likely
|
Very Likely
|
|
Very severe
|
3
|
4
|
4
|
5
|
5
|
Severe
|
2
|
3
|
3
|
3
|
5
|
Moderate
|
2
|
2
|
3
|
3
|
3
|
Slight
|
1
|
2
|
2
|
3
|
3
|
Negligible
|
1
|
1
|
2
|
2
|
3
|
Decide the action to take:
5
|
Very severe
|
Take immediate action
|
4
|
Severe
|
High priority
|
3
|
Moderate Risk
|
Programme for action
|
2
|
Low Risk
|
Action may be required
|
1
|
Negligible
|
Probably acceptable
|
Then list each risk identified
Hazard
no:
|
Camera
cables
|
Risk
Factor (1-5)
|
2
|
||||
Description
|
Camera
cables will be present in the room, but will be far away from the recording
space.
|
||||||
Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
|
All
cast/crew are exposed to this.
|
||||||
Action
to take
|
Make
sure the cables are tidied and people are made aware.
|
||||||
Person/company
responsible for action
|
Jordan
Blyth
|
||||||
To be completed at agreed later date -
|
|||||||
Exposed
person(s) informed? (y/n)
|
y
|
Agreed
action taken? (y/n)
|
y
|
Risk
removed? (y/n)
|
y
|
||
Hazard
no:
|
Noise
– High sound levels
|
Risk
Factor (1-5)
|
2
|
||||
Description
|
Due
to recording of musical instruments, it is likely to be loud in the room we
are recording in.
|
||||||
Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
|
All
cast/crew will be exposed.
|
||||||
Action
to take
|
Ensure
adjustable sound levels, such as guitar amplifiers are kept at a reasonable
level.
|
||||||
Person/company
responsible for action
|
Jordan
Blyth
|
||||||
To be completed at agreed later date -
|
|||||||
Exposed
person(s) informed? (y/n)
|
y
|
Agreed
action taken? (y/n)
|
y
|
Risk
removed? (y/n)
|
y
|
||
Copy
and paste this table for each of the hazards, then get the form signed. If the
producer has not completed the risk assessment, then they should countersign
this form.
Completed
by: Jordan Blyth Position: Director
Signature: JBLYTH Date: 21/10/15