LOCATION RISK ASSESSMENT FORM

PRODUCTION TITLE: Final Major Project PRODUCTION OFFICE PHONE/MOBILE: 07xxxxxxxxx

SHOOT DATE/S: 11/03/2013

LOCATION THIS FORM RELATES TO: (A separate form should be completed for each location) Full video

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 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 1 1 1 2 3 2 Present? Severity Likelihood Risk Factor

Calculate the Risk Factor:

Very Unlikely Very severe Severe Moderate Slight Negligible 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:4 Description Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

Camera/cable equipment Risk Factor (1-5) 2 As we are working in the studio, there is always the chance that we could trip on wires. This is however quite unlikely as most of the wires are out of the way, and we have all been briefed on safety in the studio beforehand. Emma Bates (C), Deborah Hewlett (C), Ben Hagger (C), Mark Rainsford (C), Daniel Hill (C) We will remain cautious throughout the duration of filming to make sure no accidents occur, this includes not running in the studio.

Person/company responsible Staff and crew in the studio. 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:2 Description Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take

Materials Risk Factor (1-5) 1 We will be using a white sheet for a few seconds during filming, this shouldnt get too near any lights which could make it catch fire. Emma Bates (C), Deborah Hewlett (C), Ben Hagger (C), Mark Rainsford (C), Daniel Hill (C) Keep the sheet at a safe distance from any lights and do not keep it close to anything likely to start a fire.

Person/company responsible The crew 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)

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: Emma Bates Signature Position: Director/ Producer Date: 10/03/2013

Countersigned by: Mark Rainsford Signature

Position: Assistant Producer Date: 10/03.2013