LOCATION RISK ASSESSMENT FORM

PRODUCTION TITLE: Promotional Video for Pablo Brown Final Major Project. SHOOT DATE/S: 5th April 2013 PRODUCTION OFFICE PHONE/MOBILE: 01603631854 LOCATION THIS FORM RELATES TO: (A separate form should be completed for each location)

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 below. Hazard 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Alcohol/drugs Animals/insects Audiences Camera cable/grip equipment Confined spaces Derelict buildings/dangerous structures Electricity/gas (other than normal supplies) Fatigue/long hours Fire/flammable materials Hazardous substances Heat/Cold/extreme weather Laser/strobe effects Machinery/industrial/ crane/hoist Materials - glass, non-fire retardant set materials Night operation Noise high sound levels Non standard manual handling Public/crowds Radiation Scaffold/Rostra Smoking on set Special effects/explosives Special needs (elderly, disabled, inexperienced) Specialised rescue/first aid Stunts, dangerous activities Tall scenery/suspended ceilings Vehicles/speed Water/proximity to water Weapons Working at heights Working overseas Other risks L L U U 2 2 Present? Severity Likelihood Risk Factor

Calculate the Risk Factor:

Very severe Severe Moderate Slight Negligible Very Unlikely 3 2 2 1 1 Unlikely 4 3 2 2 1 Possible 4 3 3 2 2 Likely 5 3 3 3 2 Very Likely 5 5 3 3 3

Decide the action to take: 5 Very severe 4 Severe 3 Moderate Risk 2 Low Risk 1 Negligible

Take immediate action High priority Programme for action Action may be required Probably acceptable

Then list each risk identified Hazard no: Description Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

4 Risk Factor (1-5) 2 Camera Cable and equipment will be around, so we will need to cautious nobody walks into or trips on these. Just me and Pablo Brown. Keep a safe distance from camera equipment and dont leave cables lying arounf the floor.

Person/company responsible Camera operator. for action To be completed at agreed later date Exposed person(s) Yes Agreed action taken? (y/n) informed? (y/n)

Yes.

Risk removed? (y/n)

Hazard no: Description Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

5 Risk Factor (1-5) 2 Confined spaces: There is little space and gap in the studio. Just me and Pablo Brown. Avoid running or leaving equipment near entrances or on the floor

Person/company responsible Camera Operator. for action To be completed at agreed later date Exposed person(s) Yes Agreed action taken? (y/n) informed? (y/n) Hazard no: Description Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

Yes

Risk removed? (y/n)

Yes

Risk Factor (1-5)

Person/company responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) Risk removed? (y/n) informed? (y/n) 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: Signature Position: Date:

Countersigned by: Signature

PRODUCER Date: