FORM RA 002 (adapted for Student Media Productions)

Equipment booking

Name of hirer Thomas Coyle

Facility / equipment required

Catalogue Description Hours/days Unit Cost
code cost
XA25 4 days
Tripod 4 days
Outdoor GoPro 4 days
Motorsport GoPro 4 days
Rifle Mic 4 days

Total

Date Time
Issue 11/5/18 03:30pm
Return 14/5/18 11:30 am

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 Final Major Project

Call sheet for (date) 11/5/18 to the 14/1/18

Production team
Names Roles Contact details
Tom Coyle Camera man 07949 102384
Marc Harding Camera man 07447 966400

Actors
Marc Harding Acting
Tom Coyle Acting
First aider Tom Coyle

Base address and contact details: Cocklebury Rd, Chippenham SN15 3QD

01225 350035

Location address: 21 Marigold close Melksham

Map attached.

Access info:

Contact details: N/A

Travel arrangements: We will be getting a lift from Matthew Coyle to and from locations

Times
Meet time at base

3:40 pm

On location 4:20 pm

Shoot time (s) and scene numbers : Scene’s 1 through 4

Planned breaks and catering arrangements. After we finish a scene so there will be around 4 breaks

Projected wrap time 07:00pm

Back at base time 10:45 am

Weather report (if outside)

Special considerations with regard to location/weather/activities etc

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 FORM RA 002 (adapted for Student Media Productions)

RISK ASSESSMENT FOR LOCATION DATE OF

27/2/18
ACTIVITY
FILMING
Filming a music video for an assignment DATE
9/3/18
ASSESSED

BRIEF DESCRIPTION

Loads of shots of nature and a man walking through admiring it

See Risk Assessment Assistant (Page 3) for scoring.

RISK RATING
6
(likelihood × consequence = )
Include the risk ‘word’ (i.e. acceptable, adequate, tolerable, unacceptable).

2 PEOPLE NUMBER OF PEOPLE UNDERTAKING TASK 2

DURATION OF TASK Several hours

PERSONNEL PROFILE / TRAINING GIVEN

PERSONNEL INSTRUCTED PERSONNEL INSTRUCTED PERSONNEL INSTRUCTED

STAFF TALENT YOUNG PERSON

STUDENT 2 CONTRIBUTORS VISITOR

PERSONNEL
PUBLIC
WORKING ALONE

SPECIALIST
DISABLED TRAINED
PERSONNEL

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

I am not filming anything which will be dangerous to people or to the equipment.

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)

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 FORM RA 001
ACTIVITY / TASK
HAZARD IDENTIFICATION To film a music video as part of an assignment. This will be a resubmission.

HAZARD TYPE PRESENT HAZARD TYPE PRESENT

COMMENTS COMMENTS
1. Mechanical / Physical Hazards YES NO 4. Production Hazards YES NO

1.1 Slips / Trips / Falls N 4.1 Stressful Postures N

1.2 Vehicles N 4.2 Lifting / Handling N

1.3 Camera Grip Equipment N 4.3 Inadequate Breaks N

1.4 Falling Equipment N 4.4 Restricted Visibility (viewfinder) N

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

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

2.1 Direct Contact N 4.x Other Workplace Hazards N

2.2 Indirect Contact N 5. Hazardous Substances YES NO COMMENTS

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

2.4 Source of Ignition N 5.2 Substances in set construction N

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

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

3.1 Extreme Sports N 6.1 Localised Hot / Cold Surfaces N

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

3.3 Fight sequences N 6.3 Poor Lighting Y

3.4 Potential Intervention from Public N 6.4 Confined spaces Y

N
3.5 Potential for Assault N 6.5 Poor Weather

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 FORM RA 001
3.6 Noise pollution N 6.6 Uneven/Slippery Surfaces N

3.7 Smoking N 6.7 Unsafe structures N

3.8 Alcohol N 6.8 Sharps & breakages N

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

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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 it’s 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 isn’t 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, it’s more likely someone will trip over it. However if it’s in an area that doesn’t 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 you’ll need to take action.

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 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!

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