RISK ASSESSMENT FORM
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Shoot date 20/03/18
22/03/18 |
Production Title Retrospect
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4 pages |
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Producer Light Beams Productions |
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Location:
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Address:
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RATINGS:
· each risks
severity on scale from Negligable (N), Low risk (L), Moderate risk (M), Severe
(S), Very severe (V)
· each risks likelihood on scale from Very unlikely (VU), Unlikely (U),
Possible (P), Likely (L), Very likely (VL)
· risk
factor from the table overleaf.
Hazard
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Present?
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Severity
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Likelihood
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Risk Factor
|
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1
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Alcohol/drugs
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Yes
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Moderate
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Unlikely
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2
|
2
|
Animals/insects
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Yes
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Unlikely
|
Very unlikely
|
2
|
3
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Audiences
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No
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Low risk
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Unlikely
|
1
|
4
|
Camera cable/grip equipment
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Yes
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Low
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Possible
|
3
|
5
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Confined spaces
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No
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Negligible
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Very unlikely
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2
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6
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Derelict buildings/dangerous structures
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No
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Negligible
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Very Unlikely
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1
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7
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Electricity/gas (other than normal supplies)
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No
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Negligible
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Very Unlikely
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2
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8
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Fatigue/long hours
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Yes
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Moderate
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Possible
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4
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9
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Fire/flammable materials
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No
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Low risk
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Unlikely
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2
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10
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Hazardous substances
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No
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Low risk
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Unlikely
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2
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11
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Heat/Cold/extreme weather
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Yes
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Moderate
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Likely
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3
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12
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Laser/strobe effects
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No
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Low Risk
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Unlikely
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2
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13
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Machinery/industrial/ crane/hoist
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No
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Negligible
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Very Unlikely
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1
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14
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Materials - glass, non-fire retardant set materials
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Yes
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Moderate
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Possible
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3
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15
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Night operation
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Yes
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Moderate
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Likely
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2
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16
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Noise – high sound levels
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Yes
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Moderate
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Likely
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2
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17
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Non standard manual handling
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No
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Low risk
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Unlikely
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2
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18
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Public/crowds
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Yes
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Moderate
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Likely
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3
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19
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Radiation
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No
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Negligible
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Very Unlikely
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1
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20
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Scaffold/Rostra
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No
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Negligible
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Very Unlikely
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1
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21
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Smoking on set
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No
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Low risk
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Unlikely
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2
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22
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Special effects/explosives
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No
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Negligible
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Unlikely
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2
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23
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Special needs (elderly, disabled, inexperienced)
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No
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Negligible
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Very Unlikely
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1
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24
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Specialised rescue/first aid
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No
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Moderate
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Possible
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3
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25
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Stunts, dangerous activities
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No
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Negligible
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Very Unlikely
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1
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26
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Tall scenery/suspended ceilings
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No
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Negligible
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Very unlikely
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1
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27
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Vehicles/speed
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Yes
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Low risk
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Unlikely
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2
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28
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Water/proximity to water
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Yes
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Low risk
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Likely
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3
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29
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Weapons
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No
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Negligible
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Very unlikely
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1
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30
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Working at heights
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No
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Negligible
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Very unlikely
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1
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31
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Working overseas
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No
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Negligible
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Very unlikely
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1
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32
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Other risks
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Calculate the Risk Factor:
Very Unlikely
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Unlikely
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Possible
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Likely
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Very Likely
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Very severe
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3
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4
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4
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5
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5
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Severe
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2
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3
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3
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3
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5
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Moderate
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2
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2
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3
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3
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3
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Low
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1
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2
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2
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3
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3
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Negligible
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1
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1
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2
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2
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3
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Decide the action to take:
5
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Very severe
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Take immediate action
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4
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Severe
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High priority
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3
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Moderate Risk
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Programme for action
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2
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Low Risk
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Action may be required
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1
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Negligible
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Probably acceptable
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Then list
each risk identified
Hazard
no:
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1
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Alcohol
and drugs
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Risk
factor 2
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Description
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Actors and
some crew members e.g. cameraman/director
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Action to
take
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Only using actors over the age of 18 |
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Person/company
responsible for action
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Ryan
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To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Y
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Agreed
action taken? (y/n)
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Y
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Risk
removed? (y/n)
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Y
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Hazard
no:
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2
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Risk
Factor (1-5):
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2
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Description
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In one of
the locations there may be some animals (sheep) that we do not wish to
disturb
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Cast and
Crew
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Action to
take
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Avoid being too noisy and
causing a disturbance to these animal that could put them or the cast of our
production in dangers
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Person/company
responsible for action
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Ryan
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To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Y
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Agreed
action taken? (y/n)
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Y
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Risk
removed? (y/n)
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Y
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Hazard
no:
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3
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Risk
Factor (1-5):
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3
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Description
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Loose
cables from cameras and other props could be a trip hazard
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Cast/Crew
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Action to
take
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Ensure that any loose
cables are tied down with tape or out of the way so they cannot be tripped over
Applies
to indoor shoots
For
outdoor shoots we will section off our shooting area and ensure public are kept
clear of any hazards |
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Person/company
responsible for action
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Ryan
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To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Y
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Agreed
action taken? (y/n)
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Y
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Risk
removed? (y/n)
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Y
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Hazard
no:
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4
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Risk
Factor (1-5):
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Description
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Fatigue/Long
hours
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Cast and
crew
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Action to
take
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Limit the amount of hours
spent on shoots for certain days and carry on until the next day if the hours
become too long
Offer refreshments to crew members at regular intervals |
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Person/company
responsible for action
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Ryan
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To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Y
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Agreed
action taken? (y/n)
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Y
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Risk
removed? (y/n)
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Y
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Hazard
no:
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5
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Risk
Factor (1-5):
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3
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Description
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Materials - glass, non-fire retardant set materials
glass bottles used to substitute alcohol |
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Crew and
public
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Action to
take
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Make sure none of these
items are broken or near anything that could be a fire hazard
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Person/company
responsible for action
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Ryan
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To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Y
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Agreed
action taken? (y/n)
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Y
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Risk
removed? (y/n)
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Y
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Hazard
no: 6
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Risk
Factor (1-5):
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2
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Description
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Night
operation
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Crew
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Action to
take
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Person/company
responsible for action
|
Ryan
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To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Agreed
action taken? (y/n)
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Risk
removed? (y/n)
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Hazard
no: 7
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Risk
Factor (1-5):
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2
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Description
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Playing of the track to allow
synchronous sound if any elements of performance are used
Dialogue within the
narrative |
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Crew
Public
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Action to
take
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Make sure no excessive
noise is made whilst shooting in order to limit the disturbance to those
nearby
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Person/company
responsible for action
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Crew
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To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Y
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Agreed
action taken? (y/n)
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Y
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Risk
removed? (y/n)
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Y
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Hazard
no: 8
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Outdoor Shoots
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Risk
Factor (1-5):
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3
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Description
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Public
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Crew
Public
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Action to
take
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cause as little
interruption to the general public whilst shooting our music video
use of call sheets briefing on the day |
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Person/company
responsible for action
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Ryan
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To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Y
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Agreed
action taken? (y/n)
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Y
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Risk
removed? (y/n)
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Y
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Hazard
no: 9
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Risk
Factor (1-5):
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2
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Description
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Vehicles/speed
During
transportation of crew members to shooting locations
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Crew
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Action to
take
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Make sure that all crew
members are safe during transportation to different locations
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Person/company
responsible for action
|
Ryan
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To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Y
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Agreed
action taken? (y/n)
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Y
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Risk
removed? (y/n)
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Y
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Y
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Y
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Y
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Hazard
no: 10
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Risk
Factor (1-5):
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3
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Description
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Water/proximity
to water
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Person(s)
exposed (detail if cast/crew (C), outside company (O) or public (P) )
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Crew
|
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Action to
take
|
Make sure that all crew
members are kept at a safe distance from bodies of water during the filming
of our music video
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Person/company
responsible for action
|
|||||||
To be completed at agreed later date
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Exposed
person(s) informed? (y/n)
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Y
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Agreed
action taken? (y/n)
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Y
|
Risk
removed? (y/n)
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Y
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Completed
by: Ryan Position:
Cameraman
Signature Date: 22/03/18
