VIDEO RISK ASSESSMENT FORM

Date: Hazard Falling on hill in forest Nov-Dec 2013 Production: Music Video Location/ Scene: House/Forest Hazard Rating Risk Rating Risk Persons/Property at Risk Action needed to reduce risk Equipment needs to be carried carefully making sure to keep at least one hand free. Cast and crew need to be warned of hazard. Cast needs to take care and must be supervised for such scenes. All on-screen fighting must be carefully supervised.

All cast and crew

Climbing trees falling

Select cast members

Injuries from onscene fighting

Select cast members

0.25

RISK ASSESSMENT FORM

Minimal Low Moderate High
Causes disease, severe injuries, eg major bone fracture. Requires medical treatment. Lost time up to 3 months.

Critical
Causes disease, loss of limb, severe injuries, eg major bone fracture or death Requires medical treatment, hospitalisation and/or medical retirement. Lost time up to 3 months.

Hazard Rating

Results in very minor injuries. No first aid or medical treatment required. No lost time.

Results in minor injuries, eg slight cuts and bruises. Requires first aid. No lost time.

Results in injuries, eg severe cuts and minor fractures. Requires first aid. Lost time up to 7 days.

1
Minimal Unlikely to occur

2
Low Could happen but unlikely

3
Moderate May happen in time

4
High Will happen within 12 months

5
Critical Likely to happen at any time

Excellent safety controls and monitoring. Highly supervised. Detailed working procedures and highly skilled employees. Hazards are high profile. Good staff training. Equipment safe by design. No accident history.

Controls effective. Work routines and awareness adequate. Highly trained and skilled staff. Hazards have a high profile. No accident history.

Causation and hazards happen infrequently. Controls, work routines and supervision normally adequate. Accidents have happened sometime in the past.

Hazards occur intermittently or events with accident potential happen occasionally. Inadequate controls, work routine and supervision poor or could be improved. Hazards awareness adequate but not fully controlled. Procedures not always adhered to. Accidents have happened several times in the past.

Hazards exist permanently and adequate controls rarely applied. Lack of supervision. Training procedures of equipment inadequate. Hazard not always appreciated. Procedures not always adhered to. Accidents occur frequently.

Risk Rating

0.25
No further action

0.5
No further action at this time
Continue to monitor. Reassess if any significant changes occur. Have long term plans to eliminate or reduce hazards.

1
Take steps to reduce or eliminate hazards
Try to eliminate or reduce hazards as soon as possible. Reassess work routines and training. Increase controls. Continue to monitor.

2
Reduce risk or eliminate hazards ASAP
Seek specialist advice. Try to eliminate or reduce hazards as soon as reasonably possible. Reassess work routines and training. Increase awareness and controls. Increase monitoring.

3
Immediate Action Required NOW
Consider stopping activity. Try to eliminate or reduce hazards immediately. Reassess work routines and training. Increase awareness and controls. Monitor constantly.

Overall Risk

Continue to monitor. Reassess if any significant changes occur.

0.25 to 1

1 to 2

2 to 4

4 to 9

9 to 15