LOCATION RISK ASSESSMENT FORM

PRODUCTION TITLE: Lionwood Infant School Promotional Video SHOOT DATE/S: 13th and 14th March 2013 PRODUCTION OFFICE PHONE/MOBILE: 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 Y L VU 1 Y Y L L VU VU 1 1 Present? Severity Likelihood Risk Factor

Calculate the Risk Factor: Very Unlikely Very severe Severe Moderate Slight Negligible Decide the action to take: 5 Very severe 4 Severe 3 Moderate Risk 2 Low Risk 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

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

Negligible

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) 1 During the production, I will be using camera equipment to film Cameraman/Producer, client, school pupils, staff Make sure the camera equipment is out of the way of the mail walkways

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

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) 1 The location the team will be filming in has narrow walkways and small classrooms Cameraman/Producer, client, school pupils, staff To be careful of where we choose to film, also make sure that the are we will be working in will be clear

Person/company responsible Cameraman/Producer for action To be completed at agreed later date Exposed person(s) y 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

Risk removed? (y/n)

23 Risk Factor (1-5) 1 The school teaches a variety of pupils including those with conditions and disabilities Cameraman/Producer, client, school pupils, staff To make sure that these pupils are aware of what is happening

Person/company responsible Cameraman/Producer for action To be completed at agreed later date Exposed person(s) y Agreed action taken? (y/n) y Risk removed? (y/n) 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: Daniel Hill Position: Director/Producer/Cameraman Date: 12/03/13