Location Risk Assessment Form- Part A: Basic Information &

Hazard list
Production Name:

REVELATION

Organisation

Carlisle College Media Production

Production Address:

Carlisle College
Victoria Place, Carlisle, Cumbria
CA1 1HS

Producer

CHARLIE STONE

Email:

chadaemail@gmail.com

Mobile:

07717 665384

Start date

End date

Distribution

CARLISLE COLLEGE-

CHARLIE STONE (Producer)

Outline of risk assessment

Team members / experts /
contractors / contributors
etc.

Carlisle College Students, Edward Cooper (Tutor),

Jack Turnbull (Contributor)
Talkin Tarn, Brampton, Cumbria CA8, UK

Location

Assessor
Name/Role

Greg Barbour

Date completed

2nd June .15

Signature
Authoriser

Name

Date authorised

(if not Assessor) Signature

Hazard list select your hazards from the list below and use these to complete Part B. Keep the first two Ive ticked
Situational hazards

Tic
k

Assault by person
Attack by animal

Breathing compressed gas

Cold environment

Crush by load
Drowning

Physical / chemical hazards

Tic
k

Health hazards

Tick

Contact with cold liquid / vapour

Disease causative agent

Contact with cold surface

Infection

Contact with hot liquid / vapour

Allergic reaction

Contact with hot surface

Lack of food / water

Electric shock

Lack of oxygen

Explosive blast

Physical fatigue

Entanglement in moving
machinery

Explosive release of stored pressure

High atmospheric pressure

Fire

Static body posture

Hot environment

Hazardous substance

Stress / anxiety
Venom poisoning

Repetitive action
/

Manual handling

Ionizing radiation

Object falling, moving or flying

Laser light

Obstruction / exposed feature

Lightning strike

Environmental hazards

Sharp object / material

Noise

Litter

Non-ionizing radiation

Nuisance noise / vibration

Stroboscopic light

Physical damage

Vibration

Waste substance released into air

Waste substance released into soil /

water

Shot by firearm
Slippery surface

Trap in moving machinery

Trip hazard

Managerial / organisational
hazards

Vehicle impact / collision

Falls from height

Management factors (lack of

communication, co-operation, coordination and competence)

Risk matrix use this to determine

Likelihood of Harm

risk for each hazard i.e. how bad and how

likely

Severity of Harm

Remote

Very unlikely

Unlikely

Possible

Likely

e.g. <1 in 1000

chance

e.g. 1 in 200
chance

e.g. 1 in 50
chance

e.g. 1 in 10
chance

e.g. >1 in 3
chance

Trivial

Low

Low

Negligible e.g. small bruise

Trivial

Trivial

Slight e.g. small cut, deep bruise

Trivial

Trivial

Low

Low

Medium

Moderate e.g. deep cut, torn muscle

Trivial

Low

Medium

Medium

High

Low

Medium

High

High

Extremely high

Severe e.g. fracture, loss of

consciousness

Very Severe e.g. death, permanent

disability

Low

Medium

High

Extremely
high

Extremely high

Risk Assessment Form Part B: Hazards & Control

Measures
Hazards
MANAGEMENT FACTORS (LACK
OF COMMUNICATION, COOPERATION, CO-ORDINATION AND
COMPETENCE)

TRIP HAZARD

Keep the first two hazard,use as

examples

Who exposed

Risk

Control measures

Risk

Cast Crew,

LOW

As a student led film, occasional lack of experience has a risk of turning into a
hazard. All students will carry a mobile phone, and producer has a list of
emergency contact numbers for each student. Each dept. will be lead by a
director, supervised by tutor & producer. Preparation will be carried out to
maximum ability prior to shooting, to ensure shooting is carried out efficiently
and without risk.

TRIVIAL

Cast, Crew

MEDIUM

Some wires will be used on location, providing power to lights etc. All personnel
will be made aware of wires on floor, and where possible, wires will be marked
with warning tape. A qualified first aider (EDWARD COOPER) will be on set.

TRIVIAL

Risk Assessment Form Part C: Emergency Contact information

Job Title
Director- Unit 1

Name
THOMAS
BURNS
JACK
BERRY
EDWARD
COOPER
KASIA
STANIECKA
CHARLES
STONE
TONI
BEARDWOOD
PWAN
DOCKERTY
SIMON
LITTLE
ALEX
MORIARTY
GREG
BARBOUR
JACOB
ADAM
DANIEL
OCONNOR
JACK
MURPHY
TOBIAS
PENNY

Phone No.
07955 184178

Email
burnsthomas17@gmail.com

Emergency Contact/Relationship
07825 340585 (Mother)

+44 7508 667803

jbjackberry@googlemail.com

07531 934199 (Mother)

07840 531242

ecooper@carlisle.ac.uk

+44 7951 059469

stanieckakasia@gmail.com

07864 982478 (Mother)

07717 665384

chadaemail@gmail.com

07747 843213 (Mother)

07512 723551

toni.beardwood@googlemail.com

07828484640 (mother)

+44 7443 607850

docky961@gmail.com

07414 904049

simonstudentaccount@hotmail.co.uk

07413 687 088

TheMasterMoriarty@gmail.com

07592 3226210

gregbarbourstudent@gmail.com

07818412682 (Mother)

07824 796707

jacobmadam@gmail.com

07765 583090 (Mother)

07964 879007

danielcharltonoconnor@hotmail.co.uk

07974 906824 (Mother)

07872 938796

jackmurphy6795@gmail.com

+44 7939 937021

tobias.laurance@gmail.com

+44 7951 475917 (Mother)

Cast

JACK
TURNBULL

07973 420749

jackturnbull@nsmteleconsult.com

01228 546 705 (Home)

Emergency Service

CUMBRIA
CONSTABULARY

(101) ask for Carlisle

City Centre NPT

Emergency Service

CUMBERLAND
INFIRMARY
FIRE
SERVICE

01228 523444

Director- Practical FX &

Marketing
Exec. Producer
Producer, Practical FX &
Marketing
Producer, Editor, Sound Op
Researcher & Writer
Audio Mixer
Sound Operator/Foley Director
Production Assistant
Sound Director/Foley Artist
Practical FX & Marketing,
Asst. Editor
Director of Photography
Director- Writer & Researcher
2nd DoP, Behind the ScenesDirector

Emergency Service

01228 221689

Address
Carlisle City Centre, Civic Centre, Rickergate
Carlisle
CA3 8QG
Newtown Rd, Carlisle
CA2 7HY
Eastern Way, Carlisle
CA1 3RA

01228 593442 (Home)

CARLISLE COLLEGE MAIN RECEPTION

CAN BE REACHED ON
01228 822700

IN AN EMERGANCY ALWAYS CALL 999