Oxford Street Risk Assessment Form

RISK ASSESSMENT FORM
Shoot date 17/10/15		Production Title             Jealous Type		Producer Sumaya

                                                                               

Location: Oxford st
Address: Oxford St, London, UK

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

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	1	2	2	3	3
Negligible	1	1	2	2	3

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

Then list each risk identified

Hazard no:	8		Risk Factor (1-5):			1
Description	Fatigue/ Long hours – there will be unforeseen changes.
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	Actor/ actress. Cast and crew
Action to take	Ensure we stick to the story board so no time is wasted.
Person/company responsible for action	producer
To be completed at agreed later date
Exposed person(s) informed? (y/n)	Y	Agreed action taken? (y/n)		y	Risk removed? (y/n)		y

Hazard no:	4		Risk Factor (1-5):			3
Description	Camera cable/grip equipment
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	Camera crew
Action to take	Ensure they would know how to use the equipment
Person/company responsible for action
To be completed at agreed later date
Exposed person(s) informed? (y/n)	y	Agreed action taken? (y/n)		y	Risk removed? (y/n)		Y

Completed by:  Sumaya                                                  Position: Producer

Signature          S.A                                                        Date: 05/10/15