My Risk assessment

RISK ASSESSMENT FORM

Production Name & Number         - LGProductions

Shoot Dates                                -

Production Manager                     -

Producer                                    -

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	YES	S	P	3
2	Animals/insects	YES	L	U	2
3	Audiences	YES	M	L	3
4	Camera cable/grip equipment	YES	L	U	2
5	Confined spaces	NO
6	Derelict buildings/dangerous structures	NO
7	Electricity/gas (other than normal supplies)	YES	L	U	2
8	Fatigue/long hours
9	Fire/flammable materials	YES	L	U	2
10	Hazardous substances	YES	L	U	2
11	Heat/Cold/extreme weather	YES	L	U	2
12	Laser/strobe effects	NO
13	Machinery/industrial/ crane/hoist	YES	L	U	2
14	Materials - glass, non-fire retardant set materials	YES	L	U	2
15	Night operation	NO
16	Noise – high sound levels	YES	L	U	2
17	Non standard manual handling	NO
18	Public/crowds	YES	L	U	2
19	Radiation	NO
20	Scaffold/Rostra	NO
21	Smoking on set	YES	P	L	2
22	Special effects/explosives	NO
23	Special needs (elderly, disabled, inexperienced)	YES	L	U	2
24	Specialised rescue/first aid	YES	L	U	2
25	Stunts, dangerous activities	NO
26	Tall scenery/suspended ceilings	NO
27	Vehicles/speed	YES	L	U	2
28	Water/proximity to water	NO
29	Weapons	NO
30	Working at heights	NO
31	Working overseas	NO
32	Other risks	NO

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:	Alcohol
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	Some of the crew
Action to take:	Fake Drinks
Person/company responsible for action	Liam Glyde
Hazard Number:
Description of Hazard:	Smoking on set
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	Some Actors and crew
Action to take:	Smoking Area
Person/company responsible for action	Liam Glyde
Hazard Number:
Description	Crowd
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	Public
Action to take:	Created Spaced Area
Person/company responsible for action	Liam Glyde
Hazard Number:
Description	Weapons
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	Crew
Action to take:	Security Check
Person/company responsible for action	Liam Glyde
Hazard Number:
Description	Heat Weather
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	All Cast and Crew
Action to take	Cool Down Breaks
Person/company responsible for action	Liam Glyde

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: