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Mobile: 07862516397
HAZARD CHECKLIST
Tick
Access/egress blocked/restricted
2
3
Alcoholic drinks/hospitality
Animals/insects (wild, performing etc.)
Tick
Tick
35
19
20
36
37
21
L.P.G./bottled gases
38
Smoking on set/studio
22
39
23
40
Special needs/children/elderly/disabled
24
41
25
Machinery proximity
42
9
10
26
27
Night operations
Noise/high sound levels
11
Falling objects
28
45
12
29
Practical flame/fires/flambeaux
46
Water/proximity to water/tanks
13
Fatigue/long hours/physical
exertion/stress
Fire Prevention/Evacuation Procedures
30
47
Weapons/knives/firearms
14
31
48
15
32
49
16
33
Scaffolds/rostra/decking/platforms/
practical staircase/walkways on set
50
17
34
51
Other
5
6
7
8
18
Identify which hazards are involved in the production and tick the appropriate box
above.
State overleaf whether risks associated with each identified hazard is either high,
medium or low.
Specify control measures to be adopted to reduce risk state to an acceptable level, and
state the resulting risk factor.
Inform those persons exposed to any risk of the control measures to be adopted.
The form must be signed by the originator and the producer, and copied to:
43
44
Unit manager
Ollie
M
c
K
e
n
z
i
e
S
c
o
t
t
B
Head of Production
HODs
Hazard Number
+
Identity of
Persons
Exposed
Molly Wallcraft
Scott Bishop
Oliver
McKenzie
Molly
Wall
craft
Molly H&S Advisor
Wall
cratf
To look at the path that the actors and crew will be running down and understand if any of the paths
are blocked or restricted.
Molly
First Aid/Medical Requirements
Wallcraft
Carry round certain medical equipment so I am covered if anything happens to actors and crew.
Scott Bishop
Oliver
McKenzie
Molly
Night operations
Wallcraft
To walk the path that the actors will run down to enable to see if the actors can be seen by the
Scott Bishop
camera or not.
Oliver
McKenzie
Molly Wallcraft
Stunts/dangerous activities/hazardous props
Scott Bishop
Running down the path to see if there are any trip hazards etc
Oliver
McKenzie
Molly Wallcraft
Scott Bishop
Other
Trip Hazards and wild animals running around. Not only are tree stumps dangerous, but if someone
Oliver
hurts an animal obviously filming would have to stop to help it.
McKenzie
State whether persons at risk are: Staff(S), Freelance(F), Contractor(C), Performer/Presenter(P), Public(U)
If necessary, continue on extra sheets
NUMBER OF ADDITIONAL SHEETS ATTACHED
COMPLETED BY: (print)
POSITION:
SIGNATURE: Molly Wallcraft
DATE: 23/01/2016
i
s
h
o
p
e
Molly
Wallcr
atf
Final risk
level is
acceptable
Medium
Medium
Medium
Medium
Medium
I am satisfied that the above constitutes a proper and adequate risk assessment in respect of this production. If any changes are made, the risk assessment will be
reviewed.
PRODUCER:(print name)
Molly Wallcraft
SIGNATURE:
Molly Wallcraft
DATE: 04/01/2015
Mobile: 07862516397
HAZARD CHECKLIST
Tick
Access/egress blocked/restricted
2
3
Alcoholic drinks/hospitality
Animals/insects (wild, performing etc.)
Tick
Tick
35
19
20
36
37
21
L.P.G./bottled gases
38
Smoking on set/studio
22
39
23
40
Special needs/children/elderly/disabled
24
41
25
Machinery proximity
42
9
10
26
27
Night operations
Noise/high sound levels
11
Falling objects
28
12
29
13
Fatigue/long hours/physical
exertion/stress
Fire Prevention/Evacuation Procedures
14
15
32
16
17
5
6
7
8
18
45
Practical flame/fires/flambeaux
46
Water/proximity to water/tanks
30
47
Weapons/knives/firearms
31
48
49
33
Scaffolds/rostra/decking/platforms/
practical staircase/walkways on set
50
34
51
Other
Identify which hazards are involved in the production and tick the appropriate box
above.
State overleaf whether risks associated with each identified hazard is either high,
medium or low.
Specify control measures to be adopted to reduce risk state to an acceptable level, and
state the resulting risk factor.
Inform those persons exposed to any risk of the control measures to be adopted.
The form must be signed by the originator and the producer, and copied to:
43
44
Unit manager
Ollie
M
c
K
e
n
z
i
e
S
c
o
t
t
B
Head of Production
HODs
Hazard Number
+
Identity of
Persons
Exposed
Molly Wallcraft
Scott Bishop
Oliver
McKenzie
Molly
Wallcraft
Scott Bishop
Oliver
McKenzie
Molly
Wallcraft
Scott Bishop
Oliver
McKenzie
Molly Wallcraft
Scott Bishop
Oliver
McKenzie
Molly Wallcraft
Scott Bishop
Oliver
McKenzie
Molly
Wall
craft
Molly H&S Advisor
Wall
cratf
i
s
h
o
p
e
Molly
Wallcr
atf
Final risk
level is
acceptable
To look at the path that the actors and crew will be running down and understand if any of the paths
are blocked or restricted.
Medium
Carry round certain medical equipment so I am covered if anything happens to actors and crew.
Medium
Night operations
To walk the path that the actors will run down to enable to see if the actors can be seen by the
camera or not.
Medium
Running down the path to see if there are any trip hazards etc
Medium
If flooring of bridge is wet it could result in actor slipping and falling in the river. Before we start
filming I will have a look at the bridge to make sure there are no slip hazards and eveything looks
safe.
High
Water/proximity to water/tanks
State whether persons at risk are: Staff(S), Freelance(F), Contractor(C), Performer/Presenter(P), Public(U)
If necessary, continue on extra sheets
NUMBER OF ADDITIONAL SHEETS ATTACHED
COMPLETED BY: (print)
POSITION:
DATE: 24/01/2016
I am satisfied that the above constitutes a proper and adequate risk assessment in respect of this production. If any changes are made, the risk assessment will be
reviewed.
PRODUCER:(print name)
Molly Wallcraft
SIGNATURE:
Molly Wallcraft
DATE: 04/01/2015