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Rev.

# 02 HEALTH AND SAFETY MANAGEMENT SYSTEM


Rev. date 25.05.18
RISK ASSESSMENT FORM

Learning centre College Green

Department/ area Creative Media

Assessment title After hours

Who might be harmed? (eg. Cast, crew, Crew, cast


members of the public)

Your name Alejandro Martin

Names of others involved with the activity Mason Thayer Jamie Furlong

Contact number 07481 545602

Type of activity (eg. location scout, recce, filming


filming etc)

Description We are filming a man mess around in an office space. This will
involve him moving around and throwing paper balls and
You must give a detailed and specific answering the phone a few times.
description of what you are planning to film
You must be particularly aware of any part
of your filming that could be misconstrued
by members of the public

Locations Location 1: college exam room 4W07

You must be specific about where you are


planning to film. If multiple locations, you
must complete a new section in the
risks/hazards table for each location

Dates/times Date: 30th ma 2019

You must ensure that you put a start and Start time:11 am
finish time End time:4:30

If you need to contact teaching staff when Ali.grant@cityofbristol.ac.uk


you are filming, use these contact details Mark.lees@cityofbristol.ac.uk

0117 312 5335

Anything involving violence, weapons, chase scenes, using anything


such as police tape etc. MUST be discussed with staff before you
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Rev. # 02 HEALTH AND SAFETY MANAGEMENT SYSTEM
Rev. date 25.05.18
RISK ASSESSMENT FORM
arrange your shoot. You will not be given permission to film such
scenes in public areas, but can discuss alternatives with staff

OVERALL RISK RATING


(highest risk rating)
6

PERIODIC REVIEW DATE

Version Date Reason for Review


1
2
3

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Rev. # 02 HEALTH AND SAFETY MANAGEMENT SYSTEM
Rev. date 25.05.18
RISK ASSESSMENT FORM
Risk Assessment Matrix

Likelihood Very unlikely unlikely Possible likely Very likely

Severity of harm 1 2 3 4 5

Insignificant ( Minor first aid injuries) 1 1 2 3 4 5

Minor ( Minor reversible injuries) 2 2 4 6 8 10

Significant ( Lost time accidents but reversible injuries) 3 3 6 9 12 15

Critical ( Life threatening or irreversible injuries) 4 4 8 12 16 20

Catastrophic ( fatality or multiple fatalities) 5 5 10 15 20 25

Risk Ratings calculations

Multiply the likelihood by the severity of harm to give the risk rating 1-4 LOW industry best practices needed to
completely eliminate the risks
e.g. 5 X 5 = 25
5-12 MEDIUM Consider further controls to make
activity safer

15-25 HIGH Unacceptable risk – stop work

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Rev. # 02 HEALTH AND SAFETY MANAGEMENT SYSTEM
Rev. date 25.05.18
RISK ASSESSMENT FORM
No. Task/ activity Hazards/risks Existing controls/ comments Risk
Ratings
1 Using a computer A loose wire could electrocute cast Make sure no wires are sticking out. 1

2 Room can get toasty Sometimes the room can get warm, may make cast and Make sure to open windows to make sure the room 1
crew dehydrated stays cool.

3 Running through the Slipping and falling over. Have a few practices run (slowly) and making sure 1
class room with a shoe laces are done up properly.
Knocking into a computer.
broom.
Hitting a crew member.

5 Paper being scattered Tripping hazard Make cast and crew aware of paper being on the 1
on the floor. floor

6 Swinging a broom Hitting a computer or crew member Keep cast away from crew and computers. 2
around

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Rev. # 02 HEALTH AND SAFETY MANAGEMENT SYSTEM
Rev. date 25.05.18
RISK ASSESSMENT FORM
ACTION PLAN
(What further actions need to be taken to reduce or eliminate the hazards/risks?)

Risk assessment title Operation: don’t injure yourself in the worlds Doc. Reference no.
most empty room.
No. Action plan details Accountable person Agreed completion date Date of completion

1 Alejandro Martin 30th may 30th May

Before filming, think about where cast is going to be to reduce


accidental collisions.

ACCOUNTABLE PERSON

Name Job Title Signature Date

RISK ASSESSOR’S DETAILS

Name Job Title Signature Date

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Rev. # 02 HEALTH AND SAFETY MANAGEMENT SYSTEM
Rev. date 25.05.18
RISK ASSESSMENT FORM