House VT Risk assessment

RISK ASSESSMENT FORM

Production Name & Number SEN

Shoot Dates -01/02/14-11/02/14

Production Manager David Neale

Producer David Neale

Guidance:

1. Assess whether a hazard will be present, write YES or NO.  Then for each hazard that you have said YES to do the following:
2. Rate each risk on a Severity scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V)
3. Rate each risks Likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL)
4. Determine the Risk Factor from the table overleaf.

P = Present / S = Severity / L = Likelihood / R = Risk Factor

	Hazard	P	S	L	R
1	Alcohol/drugs	n
2	Animals/insects	n
3	Audiences	n
4	Camera cable/grip equipment	n
5	Confined spaces	n
6	Derelict buildings/dangerous structures	n
7	Electricity/gas (other than normal supplies)	n
8	Fatigue/long hours	n
9	Fire/flammable materials	n
10	Hazardous substances	n
11	Heat/Cold/extreme weather	n
12	Laser/strobe effects	n
13	Machinery/industrial/ crane/hoist	n
14	Materials - glass, non-fire retardant set materials	n
15	Night operation	n
16	Noise – high sound levels	n
17	Non standard manual handling	n
18	Public/crowds	n
19	Radiation	n
20	Scaffold/Rostra	n
21	Smoking on set	n
22	Special effects/explosives	n
23	Special needs (elderly, disabled, inexperienced)	n
24	Specialised rescue/first aid	n
25	Stunts, dangerous activities	n
26	Tall scenery/suspended ceilings	n
27	Vehicles/speed	n
28	Water/proximity to water	n
29	Weapons	n
30	Working at heights	n
31	Working overseas	n
32	Other risks	n

5. Calculate the Risk Factor:

	Very Unlikely	Unlikely	Possible	Likely	Very Likely
Very severe	3	4	4	5	5
Severe	2	3	3	3	5
Moderate	2	2	3	3	3
Low Risk	1	2	2	3	3
Negligible	1	1	2	2	3

6. Decide the action to take:

5	Very severe	Take immediate action
4	Severe	High priority
3	Moderate Risk	Programme for action
2	Low Risk	Action may be required
1	Negligible	Probably acceptable

7. Then list each risk identified

Hazard Number:
Description of Hazard:
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take:
Person/company responsible for action
Hazard Number:
Description of Hazard:
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take:
Person/company responsible for action
Hazard Number:
Description
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take:
Person/company responsible for action
Hazard Number:
Description
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take:
Person/company responsible for action
Hazard Number:
Description
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take
Person/company responsible for action

To be completed at agreed later date -
Exposed person(s) informed? (y/n)		Agreed action taken? (y/n)		Risk removed? (y/n)

Completed by: Position:

Signature Date: