Risk Assessment Form
Hazard list – select your hazards from the list below and use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person * Contact with cold liquid / vapour Disease causative agent
Attack by animal Contact with cold surface Infection
Breathing compressed gas Contact with hot liquid / vapour Allergic reaction
Cold environment Contact with hot surface Lack of food / water *
Crush by load Electric shock Lack of oxygen
Drowning * Explosive blast Physical fatigue *
Entanglement in moving machinery Explosive release of stored pressure Repetitive action
High atmospheric pressure Fire Static body posture
Hot environment * Hazardous substance Stress / anxiety
Manual handling Ionizing radiation Venom poisoning
Object falling, moving or flying Laser light
Obstruction / exposed feature Lightning strike Environmental hazards
Sharp object / material Noise Litter
Shot by firearm Non-ionizing radiation Nuisance noise / vibration
Slippery surface Stroboscopic light Physical damage
Trap in moving machinery Vibration Waste substance released into air
Trip hazard Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls from height * Management factors (lack of communication,
co-operation, co-ordination and competence)
Risk matrix – use this to determine risk
for each hazard i.e. ‘how bad and how likely’ Likelihood of Harm
Remote Very unlikely Unlikely Possible Likely
Severity of Harm e.g. <1 in 1000 chance e.g. 1 in 200 chance e.g. 1 in 50 chance e.g. 1 in 10 chance e.g. >1 in 3 chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium
Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High
Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high
Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high
Hazards2 Who exposed Risk3 Control measures Risk3
List what could cause harm List who might be For each hazard, For each hazard, list the measures you will be taking to minimise the For each
from this activity harmed from this decide level of risk risk identified hazard, decide
e.g. falls from height, trip activity as if you were to e.g. appointing competent persons, training received, planning and level of risk
hazard, fire, etc. e.g. staff, do the activity rehearsals, use of personal protective equipment, provision of first aid, once all your
contractors, without your etc. controls are in
contributors, controls place
public, etc.
Assault by person Staff & cast Medium There are often reports of assaults and theft in London so I Low
need to be hazardous of locations and time of day when I am
shooting
Staff & cast Medium As we will be filming on a bridge for one of the scenes, there is Low
Drowning/Fall from height a chance that one of us may fall off the high bridge and drown.
We need to ensure at all times that we are away from the edge
Lack of food / water Staff & cast Low It is quite possible that during filming the cast / staff will be Trivial
hungry and thirsty, we will battle this by packing lunch and
bottles of water
Fatigue Staff & cast Low As we will be shooting for several hours the crew may become Trivial
fatigued and tired, we plan on having various breaks to prevent
fatigue.
Hot environment Staff & cast Medium As we are filming in summer-time the hot environment can Trivial
affect the crew, we will pick days to film where the temperature
is not so high
