FORM RA 002 (adapted for Student Media Productions)

Equipment booking
Name of hirer

Bea Davies

Facility / equipment required

Catalogue
code

Description

Hours/day
s

HDV camera
Tripod
Microphone

3 hours
3 hours
3 hours

Unit
cost

Cost

Total

Issue
Return

Date
3rd March
3rd March

Time
10 am
1 pm

Please give as much notice as possible. Location filming requests MUST be submitted at least
48 hours in advance to ensure batteries can be charged etc.

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FORM RA 002 (adapted for Student Media Productions)

Call sheet
Production title
Call sheet for (date)

Interactive
3rd March

Production team
Names

Roles

Contact details

Chloe Coleman
Derryn Fry

Camera
Sound

07511772304
07123456789

Actors
Aaron Crosskey
Bea Davies
Olly Sands

07860347961
07774297081
07474925222

First aider

Base address and contact details:

College

Location address:
Map attached.
Access info:
Contact details:
Travel arrangements:

Times
Meet time at base: 10am
On location
Shoot time (s) and scene numbers
Planned breaks and catering arrangements
Projected wrap time 1pm
Back at base time

Weather report (if outside)

n/a
Special considerations with regard to location/weather/activities etc

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FORM RA 002 (adapted for Student Media Productions)

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FORM RA 002 (adapted for Student Media Productions)

RISK ASSESSMENT FOR LOCATION FILMING

DATE OF
ACTIVITY

TASK / ACTIVITY

DATE
ASSESSED

Interactive Film

3rd march

BRIEF DESCRIPTION
Making a film about taking drugs

See Risk Assessment Assistant (Page 3) for scoring.

RISK RATING
(likelihood consequence = )

Include the risk word (i.e. acceptable, adequate, tolerable, unacceptable).

PEOPLE

NUMBER OF PEOPLE UNDERTAKING TASK

5
DURATION OF TASK

3 hours

PERSONNEL PROFILE / TRAINING GIVEN

PERSONNEL

INSTRUCTED

STAFF
STUDENT

PERSONNEL

INSTRUCTED

PERSONNEL

TALENT

YOUNG PERSON

CONTRIBUTORS

VISITOR

PUBLIC

PERSONNEL
WORKING ALONE

DISABLED

SPECIALIST TRAINED
PERSONNEL

INSTRUCTED

CONTROL MEASURES IN PLACE (Guarding, Safe Systems of Work, PPE, etc)

TO BE COMPLETED BY STAFF ASSESSOR(S) (Ctrl+Tab to add tab stops between columns)

EXTRA ACTIONS REQUIRED TO CONTROL SIGINIFICANT RISKS

ACTIONED BY

DATE

STUDENT ASSESSOR(S)
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FORM RA 002 (adapted for Student Media Productions)

STAFF ASSESSOR(S)

HAZARD IDENTIFICATION
HAZARD TYPE
1. Mechanical / Physical Hazards

1.1 Slips / Trips / Falls

ACTIVITY / TASK
Interactive film

PRESENT
YES

COMMENTS

NO

Be careful

HAZARD TYPE
4. Production Hazards
4.1 Stressful Postures

1.2 Vehicles

4.2 Lifting / Handling

1.3 Camera Grip Equipment

4.3 Inadequate Breaks

1.4 Falling Equipment

4.4 Restricted Visibility (viewfinder)

1.x Other Mechanical Hazards

4.5 Camera Tracking/Crabbing

2. Electrical Hazards

YES

NO

COMMENTS

4.6 Working at Height

2.1 Direct Contact

4.x Other Workplace Hazards

2.2 Indirect Contact

5. Hazardous Substances

2.3 Short Circuit / Overload

5.1 Explosive / Biological / Chemical

2.4 Source of Ignition

5.2 Substances in set construction

2.5 Proximity to Water

5.x Other Hazardous Substances

3. Production Activities

YES

NO

6. Environmental Hazards

3.1 Extreme Sports

6.1 Localised Hot / Cold Surfaces

3.2 Animals (working with or proximity to)

6.2 High / Low Ambient Temp.

3.3 Fight sequences

6.3 Poor Lighting

3.4 Potential Intervention from Public

6.4 Confined spaces

3.5 Potential for Assault

6.5 Poor Weather

3.6 Noise pollution

6.6 Uneven/Slippery Surfaces

3.7 Smoking

6.7 Unsafe structures

3.8 Alcohol

6.8 Sharps & breakages

3.x Other Production Activity Hazards

6.x Other Environmental Hazards

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FORM RA 001

RISK ASSESSMENT ASSISTANT

These are the basic terms that apply to a Risk Assessment:
A hazard is anything that has the potential to cause harm. This could be something as specialised as a piece of
complicated machinery, or as commonplace as a cup of coffee. If it could be harmful in any way, then its a
hazard.
A hazardous event takes place when someone or something interacts with the hazard and allows it to cause
harm. Take a hole in the ground for example. The hole (the hazard), by itself isnt causing any harm, but if
someone tripped over it (the hazardous event) then it would become harmful. Every hazardous event has a
likelihood and a consequence.
Likelihood is a measure of the chance that the hazardous event will occur. If the hole is in a busy area, such as
a shop entrance, its more likely someone will trip over it. However if its in an area that doesnt get a lot of traffic,
such as a back yard, tripping over it would be less likely.
The consequence is the outcome of the hazardous event. If you tripped over a hole, there could be several
possible outcomes; you might land on your feet with no damage at all, you might drop whatever you are carrying,
or perhaps you could end up with a sprained ankle or even a fracture.
Risk is the combination of the likelihood of a hazardous event occurring and the consequence of the event.

Risk = likelihood x consequence

Below is a table to help you work out the score for the likelihood and consequence. Once you have done this,
multiply the two numbers to get the Risk Rating.

Likelihood

Risk
Score

Consequence

Very unlikely might happen once in 5 years

No injury

Unlikely would not happen in 2-3 years

Minor - minor injury requiring first aid

Fairly Likely would expect to happen once a year

Moderate - up to three days absence

Likely could occur 2-3 times a year

Major more than three days absence

Very Likely likely to happen 2-3 times a week

Catastrophic Death or multiple deaths

Risk Matrix this is used for estimating and evaluating the risk it is a commonly used tool. Usually the higher the
risk level, the more serious the risk and the more likely youll need to take action.

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 CONSEQUENCE

FORM RA 001

10

15

UNACCEPTABLE Stop the activity and make

20 immediate
25
improvements
17-25

12

16

12 TOLERABLE
15
look to improve within a specified
10-16
timescale
8
10

LIKELIHOOD

20

5
ADEQUATE Look to improve at next review
5-9

1-5
If you are still not sure or just have a question, please do not hesitate in contacting the Health & Safety
Department We are here to help!

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