FORM RA 002 (adapted for Student Media Productions)

Equipment booking

Name of hirer Joab Elkerton

Facility / equipment required

Catalogue Description Hours/days Unit Cost
code cost
000 Xa25 48 hours 0.00
000 Outdoor go pro 48 hours 0.00
000 Clapper 48 hours 0.00
000 Zoom 48 hours 0.00
000 Shotgun mic 48 hours 0.00
000 0.00
Total 0.00

Date Time
Issue Monday the 25th 1:45 pm
Return Wednesday the 27th 1:45pm

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.

Page 1 of 7
By Joab Elkerton
 FORM RA 002 (adapted for Student Media Productions)

Call sheet

Production title Lost

Call sheet for (date) 26th of September 2017

Production team
Names Roles Contact details
Sophie lambert Sound guy 07852727474
Ellie hollis Cameraman 07887981835
Actors
Tyler walker Actor 0748273764
Joab Elkerton Actor 07806386936
First aider

Base address and contact details:

My home (joabs) 01249659183

Location address: birds marsh

Map attached.
Access info:
The entrance by Morrisons
Contact details:
07806386936
Travel arrangements:
To walk to birds marsh

Times
Meet time at base 10 am

On location
10:30
Shoot time (s) and scene numbers
11:00 1:00 pm, 1:30 pm 3:30 pm, 4:00pm 6:00pm. 18 scenes total.
Planned breaks and catering arrangements
1:00-1:30, 3:30- 4:00,

Projected wrap time

6:00
Back at base time
6:30

Weather report (if outside)

sunny but cloudy

Special considerations with regard to location/weather/activities etc

Bring umbrella to make sure the equipment is protected

Page 2 of 7
By Joab Elkerton
 FORM RA 002 (adapted for Student Media Productions)

RISK ASSESSMENT FOR LOCATION DATE OF

26th September 2017
ACTIVITY
FILMING
TASK / ACTIVITY filming for the interactive film lost DATE
23rd September 2017
ASSESSED

BRIEF DESCRIPTION students get lost in the forest and help is need to get out of it the viewer is now the leader of the
group and has to help them get out of the forest.

6 See Risk Assessment Assistant (Page 3) for scoring.

RISK RATING
(likelihood consequence = )
Adequate Include the risk word (i.e. acceptable, adequate, tolerable, unacceptable).

PEOPLE NUMBER OF PEOPLE UNDERTAKING TASK 4

DURATION OF TASK 11.am till 6:pm

PERSONNEL PROFILE / TRAINING GIVEN

PERSONNEL INSTRUCTED PERSONNEL INSTRUCTED PERSONNEL INSTRUCTED

STAFF 0 TALENT 3 YOUNG PERSON 0

STUDENT 4 CONTRIBUTORS 0 VISITOR 0

PERSONNEL
PUBLIC 0 0
WORKING ALONE

SPECIALIST
DISABLED 0 TRAINED 0
PERSONNEL

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)

STAFF ASSESSOR(S)

Page 3 of 7
By Joab Elkerton
 FORM RA 001
ACTIVITY / TASK filming the interactive film in birds marsh.
HAZARD IDENTIFICATION
HAZARD TYPE PRESENT HAZARD TYPE PRESENT
COMMENTS COMMENTS
1. Mechanical / Physical Hazards YES NO 4. Production Hazards YES NO

1.1 Slips / Trips / Falls x 4.1 Stressful Postures x

1.2 Vehicles x 4.2 Lifting / Handling x

1.3 Camera Grip Equipment x 4.3 Inadequate Breaks x

1.4 Falling Equipment x 4.4 Restricted Visibility (viewfinder) x

1.x Other Mechanical Hazards x 4.5 Camera Tracking/Crabbing x

2. Electrical Hazards YES NO COMMENTS 4.6 Working at Height x

2.1 Direct Contact x 4.x Other Workplace Hazards x

2.2 Indirect Contact x 5. Hazardous Substances YES NO COMMENTS

2.3 Short Circuit / Overload x 5.1 Explosive / Biological / Chemical x

2.4 Source of Ignition x 5.2 Substances in set construction x

2.5 Proximity to Water x 5.x Other Hazardous Substances x

3. Production Activities YES NO 6. Environmental Hazards YES NO COMMENTS

3.1 Extreme Sports x 6.1 Localised Hot / Cold Surfaces x

3.2 Animals (working with or proximity to) x 6.2 High / Low Ambient Temp. x

3.3 Fight sequences x 6.3 Poor Lighting x

3.4 Potential Intervention from Public x 6.4 Confined spaces x

3.5 Potential for Assault x 6.5 Poor Weather x

3.6 Noise pollution x 6.6 Uneven/Slippery Surfaces x

3.7 Smoking x 6.7 Unsafe structures x

Page 4 of 7
By Joab Elkerton
 FORM RA 001
3.8 Alcohol x 6.8 Sharps & breakages x

3.x Other Production Activity Hazards x 6.x Other Environmental Hazards x

Page 5 of 7
By Joab Elkerton
 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.

Risk
Likelihood Consequence
Score
Very unlikely might happen once in 5 years 1 No injury

Unlikely would not happen in 2-3 years 2 Minor - minor injury requiring first aid

Fairly Likely would expect to happen once a year 3 Moderate - up to three days absence

Likely could occur 2-3 times a year 4 Major more than three days absence

Very Likely likely to happen 2-3 times a week 5 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.

Page 6 of 7
By Joab Elkerton
 FORM RA 001

UNACCEPTABLE Stop the activity and make

5 10 15immediate
20 improvements
25
17-25
CONSEQUENCE

4 8 12 16 20

3 6 9 TOLERABLE
12 15 look to improve within a specified
timescale 10-16
2 4 6 8 10

1 2 3 4 5
ADEQUATE Look to improve at next review
LIKELIHOOD
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!

Page 7 of 7
By Joab Elkerton