Risk Assessment Form – Part A

Production Name: On Ward – Glass Part 1

Production Address: Mulberry UTC Producer / Editor Marjana Aktar
64 Parnell Road Tel:
E3 2RU Mobile:
th
Start date 26 February 2019 End date TBC
Distribution List Miss Devlin, Miss Begum, Examiner and Production Team
Who gets a copy of the assessment

Outline of risk assessment

Summary of what is proposed in
terms of sequences and set ups.
Production Team Numa Hussain, Bertalan Varga, Shahara Islam
List those involved
Locations
Mulberry UTC
Outline locations involved – indicate
any which are hostile environments

Hazard list – select your hazards from the list below and use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person Contact with cold liquid / vapour Disease causative agent
Attack by animal Contact with cold surface Infection
Breathing compressed gas Contact with hot liquid / vapour Allergic reaction
Cold environment Contact with hot surface Lack of food / water
Crush by load Electric shock Lack of oxygen
Drowning Explosive blast Physical fatigue
Entanglement in moving machinery Explosive release of stored pressure Repetitive action
High atmospheric pressure Fire Static body posture
Hot environment Hazardous substance Stress / anxiety
Manual handling Ionizing radiation Venom poisoning
Object falling, moving or flying Laser light
Obstruction / exposed feature Lightning strike Environmental hazards
Sharp object / material Noise Litter
Shot by firearm Non-ionizing radiation Nuisance noise / vibration
Slippery surface Stroboscopic light Physical damage
Trap in moving machinery Vibration Waste substance released into air
Trip hazard Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls from height Management factors (lack of communication,
co-operation, co-ordination and competence)

Risk matrix – use this to determine risk for

each hazard i.e. ‘how bad and how likely’ Likelihood of Harm
Remote Very unlikely Unlikely Possible Likely
Severity of Harm e.g. <1 in 1000 chance e.g. 1 in 200 chance e.g. 1 in 50 chance e.g. 1 in 10 chance e.g. >1 in 3 chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
Slight e.g. small cut, deep bruise Trivial Trivial Low Low Medium
Moderate e.g. deep cut, torn muscle Trivial Low Medium Medium High
Severe e.g. fracture, loss of consciousness Low Medium High High Extremely high
Very Severe e.g. death, permanent disability Low Medium High Extremely high Extremely high
 Risk Assessment Form – Part B
Dates / times:
Location – where this activity will take place:

Hazards2 Who exposed Risk3 Control measures Risk3

List what could cause harm from this activity List who might be harmed For each hazard, decide For each hazard, list the measures you will be taking to minimise the risk identified For each hazard,
e.g. falls from height, trip hazard, fire, etc. from this activity level of risk as if you were to e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective decide level of risk
e.g. staff, contractors, do the activity without your equipment, provision of first aid, etc. once all your controls
contributors, public, etc. controls are in place

Actors may injure themselves Actors & stunt For the scenes where the characters fall the floor would be cushioned for a TRIVAL
by falling on the hard floor doubles. LOW soft landing.
Personals

Tripping from overcrowded All Crew - MEDIUM The set would be as clean and have limited equipment as possible at a LOW
hospital set. Equipment time to avoid ant overcrowded spaces and equipment getting damaged
and avoid injuries.

Equipment – getting damaged All crew - MEDIUM Check if crew is allergic to certain materials of the equipment and LOW
or crew being allergic to Equipment equipment is used with care.
equipment material

Spillage – water spillage due to All Crew - HIGH Avoid spillage but if not clean it straight away to avoid any injuries – keep MEDIUM
water in the plot Equipment any spillages away from equipment so they don’t get damaged.

Camera may be damaged Camera MEDIUM Being careful while handling the camera and use it during appropriate LOW
when shooting outside weather. Camera personnel undergo an assessment to reduce the risk.

May cause traffic during Public LOW Avoid shooting during busy time to prevent any traffic. TRIVAL
shooting

Weather Considerations All crew MEDIUM All members will be dressed appropriate clothing and equipment will be LOW
Equipment protected at all times to stop any damages.
Pedestrian Public HIGH The area will be quarantine to prevent any harm. MEDIUM
Shooting may block any Equipment
pedestrian from passing and
may damage equipment too.
 Footwear on Set All Crew MEDIUM All crew must wear appropriate footwear to prevent any falls and injuries to LOW
Equipment self and damage to equipment.
Public noise may disrupt Production MEDIUM The area in which the production is taking place will be quarantine to avoid LOW
production any disruptions.

Filming at a suitable time so no All crew LOW All personnel’s are to work a certain limits in shifts if the production TRIVAL
one hurt themselves due to finishes late it will start later the next day in order from all crew members
fatigue. to get enough rest and avoid fatigue on set which can cause issues.
Considering time to reduce the The Production MEDIUM Taking into account how much time is left of the production so the deadline LOW
risks Company and is met and risks are reduced.
Director
Lifting and moving objects. Crew MEDIUM When moving equipment two or more people are to help to prevent any LOW
Equipment damages.
Precarious – thinking an action Crew MEDIUM All risks are considered before doing something so any unnecessary LOW
through so it doesn’t cause any Equipment problems are avoided
risk. (e.g. falling on the floor –
checking how hard the floor is,
taking precautions before they
happen)
Continue on separate sheet if necessary
1 – Complete separate table for each activity 2 - from hazard list in Part a 3 - from risk matrix in Part A