RISK ASSESSMENT FORM)
Production name: Baze Tel Number ____________________
Shoot dates: 04/01/2017 Producers Name: ibrahim ibrahim
List of location(s) form
relates to: Ridgeway park, the A110, wharf road
Complete the following table rating:
·
Each risks severity on scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S), Very
severe (VS)
·
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
|
N
|
N
|
VU
|
1
|
2
|
Animals/insects
|
N
|
L
|
U
|
2
|
3
|
Audiences
|
N
|
L
|
U
|
1
|
4
|
Camera
cable/grip equipment
|
N
|
L
|
U
|
1
|
5
|
Confined
spaces
|
N
|
N
|
VU
|
1
|
6
|
Derelict
buildings/dangerous structures
|
N
|
N
|
VU
|
1
|
7
|
Electricity/gas
(other than normal supplies)
|
N
|
N
|
VU
|
1
|
8
|
Fatigue/long
hours
|
N
|
N
|
VU
|
1
|
9
|
Fire/flammable
materials
|
N
|
N
|
VU
|
1
|
10
|
Hazardous
substances
|
N
|
N
|
VU
|
1
|
11
|
Heat/Cold/extreme
weather
|
N
|
L
|
U
|
1
|
12
|
Laser/strobe
effects
|
N
|
N
|
VU
|
1
|
13
|
Machinery/industrial/
crane/hoist
|
N
|
N
|
VU
|
1
|
14
|
Materials -
glass, non-fire retardant set materials
|
N
|
N
|
VU
|
1
|
15
|
Night
operation
|
N
|
N
|
VU
|
1
|
16
|
Noise – high
sound levels
|
N
|
N
|
VU
|
1
|
17
|
Non standard
manual handling
|
N
|
N
|
VU
|
1
|
18
|
Public/crowds
|
Y
|
L
|
U
|
2
|
19
|
Radiation
|
N
|
N
|
VU
|
1
|
20
|
Scaffold/Rostra
|
N
|
N
|
VU
|
1
|
21
|
Smoking on
set
|
N
|
N
|
VU
|
1
|
22
|
Special
effects/explosives
|
N
|
N
|
VU
|
1
|
23
|
Special needs
(elderly, disabled, inexperienced)
|
N
|
N
|
VU
|
1
|
24
|
Specialised
rescue/first aid
|
N
|
N
|
VU
|
1
|
25
|
Stunts,
dangerous activities
|
N
|
N
|
VU
|
1
|
26
|
Tall
scenery/suspended ceilings
|
N
|
N
|
VU
|
1
|
27
|
Vehicles/speed
|
Y
|
L
|
U
|
2
|
28
|
Water/proximity
to water
|
Y
|
L
|
U
|
2
|
29
|
Weapons
|
N
|
N
|
VU
|
1
|
30
|
Working at
heights
|
N
|
N
|
VU
|
1
|
31
|
Other
risks
|
N
|
N
|
VU
|
1
|
32
|
|
|
|
|
|
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