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Media & Communication School of Art & Design Coventry University

RISK ASSESSMENT FORM


Production name: A Lonely Breath Doth Float Location: Sutton Park, Birmingham Shoot dates: 12th April 2012 Crew names and mobiles: Leanne Matthews Timothy March Steven Ringrose Bashir Yusuf Kieran Roberts 07948391888 07980956759 TBC 07505398428 07411806913

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 overleaf.

Hazard

Present?

Severity

Likelihood

Risk Factor

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

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 and heat 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 Travelling to and from shoots Tripping/falling

N Y N N N N N N N N Y N N N N N N Y N N Y N N N N N Y Y

VU

VU

L L

U U

2 2

M M

P P

3 3

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29 30 31 32 33 34

Vehicles/speed Water/proximity to water Weapons Working at heights Working overseas Other risks: please detail.

Y Y N N N N

M M

P P

3 3

Calculate the Risk Factor: 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

Very severe Severe Moderate Low risk Negligible

Decide the action to take: 5 4 3 2 1 Very severe Severe Moderate Risk Low Risk Negligible Take immediate action/abandon location High priority Programme for action Action may be required Probably acceptable

Then list each risk identified Hazard no: Description 2 Risk Factor (1-5) 1 Filming in a park, wild life and animals could be present at time of filming. Location features wild ponies.

Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

Be aware of animals at all times, inform crew of wild ponies and how to not disturb them should they appear.

Person/company Leanne Matthews responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) informed? (y/n) Hazard no: Description

Risk removed? (y/n)

11 Risk Factor (1-5) 1 Recent cold weather could mean shoot day is particularly cold.

Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )

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Action to take

Suggest the crew and cast wraps up warm for the shoot.

Person/company Leanne Matthews responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) informed? (y/n) Hazard no: Description

Risk removed? (y/n)

18 Risk Factor (1-5) 2 Filming in a public location could involve the passing of members of the public during shoot.

Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

C, P

Have a member of crew free to advise public that there is a film shoot going on, providing them with the proper advisory and documentation of the shoot if need be.

Person/company Leanne Matthews responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) informed? (y/n) Hazard no: Description

Risk removed? (y/n)

21 Risk Factor (1-5) 2 Members of crew/cast/public may wish to smoke on set during breaks.

Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

C, P

Ensure those wishing to smoke step away from the equipment on location.

Person/company Leanne Matthews responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) informed? (y/n) Hazard no: Description 27 Risk Factor (1-5) Travelling by car to the location.

Risk removed? (y/n) 3

Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )

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Action to take

Ensure drivers stick to speed limits and drive carefully to the location, and drive respectfully through the park environment.

Person/company Leanne Matthews responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) informed? (y/n) Hazard no: Description 28 Risk Factor (1-5) There will be cables from sound equipment.

Risk removed? (y/n)

Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

C, P

Keep crew knowledgeable about the location of cables if on the floor or in tripping proximity and alert members of the public if they are to pass through the shoot location.

Person/company Leanne Matthews responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) informed? (y/n) Hazard no: Description

Risk removed? (y/n)

29 Risk Factor (1-5) 3 Vehicles will be used to transport crew, cast and equipment to location.

Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

Ensure vehicles are checked before leaving, including oil, water, petrol etc.

Person/company Leanne Matthews responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) informed? (y/n) Hazard no: Description 30 Risk Factor (1-5) Shoot location is close to a large pool.

Risk removed? (y/n) 3

Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )

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Action to take

Keep shooting at a sensible distance from the water at all times, and ensure the locations of life vests are located around the pool in case of an emergency.

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

Risk removed? (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 Leanne Matthews L. Matthews Position: Date: PRODUCER Date: 10/04/2012 Director 10/04/2012

Countersigned by: Timothy March Signature T March

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