LOCATION RISK ASSESSMENT FORM

PRODUCTION TITLE: Oliver Rofix Video PRODUCTION MOBILE: LOCATION THIS FORM RELATES TO:

SHOOT DATE/S: 5/4/2012

Suffolk Yacht Harbour Levington Suffolk IP10 0LN.

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

Present? NO YES NO YES NO NO NO NO NO NO YES NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO YES NO NO NO NO

Severity N N N N N N N N N N M N N N N N N N N N N N N N N N N M N N N N

Likelihood VU P U U VU VU VU U VU VU P VU U U VU VU VU VU VU VU VU VU VU VU VU VU VU P VU U VU VU 1 2 1 1 1 1 1 1 1 1 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 3 1 1 1 1

Risk Factor

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

11 Risk Factor (1-5) 3 As we will be filming directly near the coast and the forecast for our shoot date suggests that it will be around 3-5 degrees There is a risk of getting cold after being out filming for a long time. (C) To counteract this. I have scheduled into the filming plan that we take a break every 30 minutes and go inside the boat house. I have also informed my subject and requested that he bring plenty of warm clothing. As he spends alot of time on a boat. He is used to this extreme weather. SB.MEDIA Y Risk removed? (y/n) Y

Person/company responsible 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

28 Risk Factor (1-5) 3 As we will be filming amongst water. We have to be prepared for things such as accidents and incoming tide. (C) To remove this risk. I have made sure that we have life vest near each film location around Levington Marina. Levington Marina has been built cleverly, so that you have to drive down a long hill to reach it. This means that if a tide was to come in fast. We could simply get over the hill and be safe SB.MEDIA Y Risk removed? (y/n) N

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

Completed by: Sonny Bacon Signature

Position: Director Date:

Countersigned by: Signature

PRODUCER Date: