Risk Assessment Form and Instructions
The attached forms should be completed by a suitably trained ‘Competent Person’ for each different each location /
situation.
The area should be checked against the Hazard Check-List on page 2 and any hazards present noted. The risks associated
with each hazard identified should be assessed on page 3.
The severity of the risk should be assessed as: High if it could result in death or as threshold, three consecutive or
more days off work
Medium if it would mean administering first aid and disrupting
proceedings
Low if it would mean administering minor first aid without
disrupting proceedings
Remember: It is important not to assume – always check.
Likelihood should also be assessed as: High if it is likely or probable
Medium if it is possible
Low if it is remote or improbable.
The overall risk should be measured as a combination of severity and likelihood as follows.
Likelihood
Severity
High Medium Low
High High High Medium
Medium High High/Med Med/Low
Low Med/Low Low Low
If the risk is high or medium, then control measures should be put in place to minimise the risk. Remember the hierarchy of
control measures:
Elimination – Do not use the location where the hazard exists.
Substitution or Simulation – Can a different location be used or a mock up be substituted?
Distance – Be as far away from the hazard as possible?
Enclosure – Can the hazard be enclosed to eliminate the risk?
Guarding – Can someone be posted to ensure that people do not come into contact with the hazard?
Safe Systems of Work – Can procedures be put in place and rehearsals done to ensure that the risk is
minimised?
Written Procedures – Can published instructions be used to alert people of appropriate actions?
Monitoring – Can the hazard be monitored to ensure that we are aware of its risk status?
Information / Instructions – can training be given to improve awareness?
Personal Protective Equipment - (This should not be used as a stand-alone measure).
Once the control measures have been decided upon the risk should be re-assessed and the residual risk noted.
If the residual risk falls within the low category then all parties involved should be formally made aware of the control
measures that have been put in place and the action can proceed.
If it still falls in the medium or high category then the action should not proceed and specialist advice should be sought if
the action causing the risk is still deemed necessary.
Remember, you have a legal and moral duty to do everything that is ‘Reasonably Practicable’ to ensure a safe and healthy
working environment for everyone involved in the proceedings. You may be liable for any criminal and civil proceedings
should you fail to observe this duty or if you fail to control risks acceptably.
Upon completion, this form should be forwarded to the Production Manager who should keep all forms for the Production
concerned in such a manner that they can be easily accessed should they need to be recalled. At the end of the production,
the Production Manager should pass all of the forms on to the General Manager.
Page 1 of 4
Location Risk Assessment Form
Production: “ Too Little Too Late “
Production Office: The Harrodian School
Location Dates: 18th
January 2015
Location Address: Chester Square, Victoria Station, Vauxhall Station, Canary Wharf, Westminster
Producer/Director: Alberto Verme Mobile + 44 7545 *** ***
Head of Production: Alberto Verme Mobile + 44 7545 *** ***
Production Manager: Mr G – P and Mr Cullis Mobile
Description of shoot/production: A short film production about
An individual that encounters difficulties in his daily tasks as he embarks on an interview for his dream job; there is a
contrast shown by the split screen of the same individual which does not encounter any difficulties but actually all his tasks
run smoothly. This is short film production based on the life of an individual who is lost in life and is looking for a career
break in order to have a sense and feel of personal satisfaction.
Crew:[list all crew attending location including phone numbers]
• Ariana Verme ( 07781 *** *** )
• Alberto Verme ( 07545 *** *** )
• Lucas Rossi ( 07241 *** *** )
Please type or write clearly – an illegible form is null and void
Page 2 of 4
HAZARD CHECKLIST
Tick Tick
1 Access/egress blocked/restricted (work place) 27 Manual handling / heavy or awkward shape loads
2 Alcohol / food / drinks / supplies  28 Mines / Excavations / Caves / Tunnels / Quarries
3 Animals/insects: wild, performing etc. 29 Night operations (filming / camping / recces)
4 Crowds / Public (filming and control)  30 Noise / high sound levels
5 Cryogenics / compressed gas / low temperatures
(also refer number34-dry ice)
31 Practical flame / fires / flares /
6 Confined space / tanks / caves / tunnels 32 Scenic / set materials - not fire retardant /
toxicity tested / glass / polystyrene /
7 Dangerous activities / hazardous props etc.  33 Scaffolds / rostra / decking / platforms
8 Derelict buildings / dangerous structures /
isolation of gas/electric supplies
34 Scenery / props secure storage on location
9 Diving operations / under water filming  35 Sources of radiation - / equipment / radio
frequency / microwave, etc.
10Driving/Vehicles 36 Second unit filming /
11Environmental conditions - hot / cold / wet /dry
(swamps / volcanoes / desert / jungle)
37 Special effects: rain / snow / fire / physical /
smoke / steam / dry ice / heat

12Explosives / pyrotechnics / fireworks 38 Special ‘flying’ / technical rigs
13Electricity / Lighting feeds / Practicals / Generators / 3-
phase / cables near water
 39 Special needs persons / children / elderly /
language barriers /
14Evacuation Procedures /casualty evacuation/
communication/ ETA’s etc / Fire procedures
40 Special prop, tool etc., under the direct control of
artist contributor, front of camera personnel /
15Fatigue / long hours / physical exertion / adrenaline
flow / stress / early starts
41 Stunts
16Filming from aircraft / balloon / helicopter 42 Travelling by plane / boat / helicopter / unusual
travel methods /
17First Aid / Medical Requirements/Specialist Rescue 43 Water / close to water / tanks / aqua parks /
canals
18Flammable materials, e.g. paint / film 44 Weather - extreme climate / weather changes /
wind

19Freelance crews/contractors / guides/ porters 45 Work place fire prevention, e.g. smoking / waste
20Hazardous substances:- chemicals / dust (sand) /
fumes / poisons / asbestos / battery acid / waste
disposal / animal waste / fuel
46 Work with technical facilities (visual), e.g. ‘hand
helds’ / DVC / camera cables / camera
movement / special cable runs / scanners / PSC /
OB’s etc
21Hostile environments: political unrest / war / mines /
local crime /
47 Work at height: ladders / camera towers / ropes /
climbing equipment etc.
22Infra-red / ultra-violet exposure 48 Working on roofs / cliff tops / mountains etc. 
23Infectious diseases, e.g. Malaria 49 Work areas / security / storage / welfare facilities
24Lifting equipment, e.g. forklift / cranes 50 Work in public places / highways / airports / docks 
25Lasers and strobes 51 Weapons / knives / firearms
26LPG / bottled gases / welding equipment 52 Others
Page 3 of 4
[ “ Too Little Too Late “ ]: Location Risk Assessment Form
Production
Office:
The Harrodian School, Lonsdale Road, SW13 Tel:
+0208748611
7
Fax: Likelihood
Severity
High Medium Low
High High High Medium
Medium High High/Med Med/Low
Low Med/Low Low Low
Location
Address: Chester Square
Tel:
+020 ****
***
Fax:
Hazard Severity Likelihood
Initial
Level of
Risk
Controls / Precautions / Emergency Procedures
To Reduce Risks
Residual
Risk
Scalding during coffee
making/drinking
Medium Low Medium /
Low
Less warm water and check before giving the prop to the actor LOW
Showering/ Slipping whilst
showering
Medium Low Medium /
Low
Anti – Slip mat LOW
Crossing Roads High Low Medium Be wary of the roads and cross when at a green light LOW
Standing on the tube
platform
High Low Medium Be careful with the Tubes and Trains that are travelling through platform, along with standing behind the yellow line HIGH
Falling from Roof High Low Medium Be careful with the positioning on the Roof LOW
Producer / Director: Alberto Verme
Signature
:
ALBERTO VERME Date: 11.01.15
Production Manager: MR G – P and MR CULLIS
Signature
:
Date: 11.01.15
Page 4 of 4

Risk assessment - A2 Media Studies Coursework - " Too Little Too Late " - Alberto Verme

  • 1.
    Risk Assessment Formand Instructions The attached forms should be completed by a suitably trained ‘Competent Person’ for each different each location / situation. The area should be checked against the Hazard Check-List on page 2 and any hazards present noted. The risks associated with each hazard identified should be assessed on page 3. The severity of the risk should be assessed as: High if it could result in death or as threshold, three consecutive or more days off work Medium if it would mean administering first aid and disrupting proceedings Low if it would mean administering minor first aid without disrupting proceedings Remember: It is important not to assume – always check. Likelihood should also be assessed as: High if it is likely or probable Medium if it is possible Low if it is remote or improbable. The overall risk should be measured as a combination of severity and likelihood as follows. Likelihood Severity High Medium Low High High High Medium Medium High High/Med Med/Low Low Med/Low Low Low If the risk is high or medium, then control measures should be put in place to minimise the risk. Remember the hierarchy of control measures: Elimination – Do not use the location where the hazard exists. Substitution or Simulation – Can a different location be used or a mock up be substituted? Distance – Be as far away from the hazard as possible? Enclosure – Can the hazard be enclosed to eliminate the risk? Guarding – Can someone be posted to ensure that people do not come into contact with the hazard? Safe Systems of Work – Can procedures be put in place and rehearsals done to ensure that the risk is minimised? Written Procedures – Can published instructions be used to alert people of appropriate actions? Monitoring – Can the hazard be monitored to ensure that we are aware of its risk status? Information / Instructions – can training be given to improve awareness? Personal Protective Equipment - (This should not be used as a stand-alone measure). Once the control measures have been decided upon the risk should be re-assessed and the residual risk noted. If the residual risk falls within the low category then all parties involved should be formally made aware of the control measures that have been put in place and the action can proceed. If it still falls in the medium or high category then the action should not proceed and specialist advice should be sought if the action causing the risk is still deemed necessary. Remember, you have a legal and moral duty to do everything that is ‘Reasonably Practicable’ to ensure a safe and healthy working environment for everyone involved in the proceedings. You may be liable for any criminal and civil proceedings should you fail to observe this duty or if you fail to control risks acceptably. Upon completion, this form should be forwarded to the Production Manager who should keep all forms for the Production concerned in such a manner that they can be easily accessed should they need to be recalled. At the end of the production, the Production Manager should pass all of the forms on to the General Manager. Page 1 of 4
  • 2.
    Location Risk AssessmentForm Production: “ Too Little Too Late “ Production Office: The Harrodian School Location Dates: 18th January 2015 Location Address: Chester Square, Victoria Station, Vauxhall Station, Canary Wharf, Westminster Producer/Director: Alberto Verme Mobile + 44 7545 *** *** Head of Production: Alberto Verme Mobile + 44 7545 *** *** Production Manager: Mr G – P and Mr Cullis Mobile Description of shoot/production: A short film production about An individual that encounters difficulties in his daily tasks as he embarks on an interview for his dream job; there is a contrast shown by the split screen of the same individual which does not encounter any difficulties but actually all his tasks run smoothly. This is short film production based on the life of an individual who is lost in life and is looking for a career break in order to have a sense and feel of personal satisfaction. Crew:[list all crew attending location including phone numbers] • Ariana Verme ( 07781 *** *** ) • Alberto Verme ( 07545 *** *** ) • Lucas Rossi ( 07241 *** *** ) Please type or write clearly – an illegible form is null and void Page 2 of 4
  • 3.
    HAZARD CHECKLIST Tick Tick 1Access/egress blocked/restricted (work place) 27 Manual handling / heavy or awkward shape loads 2 Alcohol / food / drinks / supplies  28 Mines / Excavations / Caves / Tunnels / Quarries 3 Animals/insects: wild, performing etc. 29 Night operations (filming / camping / recces) 4 Crowds / Public (filming and control)  30 Noise / high sound levels 5 Cryogenics / compressed gas / low temperatures (also refer number34-dry ice) 31 Practical flame / fires / flares / 6 Confined space / tanks / caves / tunnels 32 Scenic / set materials - not fire retardant / toxicity tested / glass / polystyrene / 7 Dangerous activities / hazardous props etc.  33 Scaffolds / rostra / decking / platforms 8 Derelict buildings / dangerous structures / isolation of gas/electric supplies 34 Scenery / props secure storage on location 9 Diving operations / under water filming  35 Sources of radiation - / equipment / radio frequency / microwave, etc. 10Driving/Vehicles 36 Second unit filming / 11Environmental conditions - hot / cold / wet /dry (swamps / volcanoes / desert / jungle) 37 Special effects: rain / snow / fire / physical / smoke / steam / dry ice / heat  12Explosives / pyrotechnics / fireworks 38 Special ‘flying’ / technical rigs 13Electricity / Lighting feeds / Practicals / Generators / 3- phase / cables near water  39 Special needs persons / children / elderly / language barriers / 14Evacuation Procedures /casualty evacuation/ communication/ ETA’s etc / Fire procedures 40 Special prop, tool etc., under the direct control of artist contributor, front of camera personnel / 15Fatigue / long hours / physical exertion / adrenaline flow / stress / early starts 41 Stunts 16Filming from aircraft / balloon / helicopter 42 Travelling by plane / boat / helicopter / unusual travel methods / 17First Aid / Medical Requirements/Specialist Rescue 43 Water / close to water / tanks / aqua parks / canals 18Flammable materials, e.g. paint / film 44 Weather - extreme climate / weather changes / wind  19Freelance crews/contractors / guides/ porters 45 Work place fire prevention, e.g. smoking / waste 20Hazardous substances:- chemicals / dust (sand) / fumes / poisons / asbestos / battery acid / waste disposal / animal waste / fuel 46 Work with technical facilities (visual), e.g. ‘hand helds’ / DVC / camera cables / camera movement / special cable runs / scanners / PSC / OB’s etc 21Hostile environments: political unrest / war / mines / local crime / 47 Work at height: ladders / camera towers / ropes / climbing equipment etc. 22Infra-red / ultra-violet exposure 48 Working on roofs / cliff tops / mountains etc.  23Infectious diseases, e.g. Malaria 49 Work areas / security / storage / welfare facilities 24Lifting equipment, e.g. forklift / cranes 50 Work in public places / highways / airports / docks  25Lasers and strobes 51 Weapons / knives / firearms 26LPG / bottled gases / welding equipment 52 Others Page 3 of 4
  • 4.
    [ “ TooLittle Too Late “ ]: Location Risk Assessment Form Production Office: The Harrodian School, Lonsdale Road, SW13 Tel: +0208748611 7 Fax: Likelihood Severity High Medium Low High High High Medium Medium High High/Med Med/Low Low Med/Low Low Low Location Address: Chester Square Tel: +020 **** *** Fax: Hazard Severity Likelihood Initial Level of Risk Controls / Precautions / Emergency Procedures To Reduce Risks Residual Risk Scalding during coffee making/drinking Medium Low Medium / Low Less warm water and check before giving the prop to the actor LOW Showering/ Slipping whilst showering Medium Low Medium / Low Anti – Slip mat LOW Crossing Roads High Low Medium Be wary of the roads and cross when at a green light LOW Standing on the tube platform High Low Medium Be careful with the Tubes and Trains that are travelling through platform, along with standing behind the yellow line HIGH Falling from Roof High Low Medium Be careful with the positioning on the Roof LOW Producer / Director: Alberto Verme Signature : ALBERTO VERME Date: 11.01.15 Production Manager: MR G – P and MR CULLIS Signature : Date: 11.01.15 Page 4 of 4