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LOCATION THIS FORM RELATES TO: (A separate form should be completed for each location) The Garage 14, Chapelfield North Norwich Norfolk NR2 1NY Hazard 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Alcohol/drugs Animals/insects Audiences Camera cable/grip equipment Confined spaces Derelict buildings/dangerous structures Electricity/gas (other than normal supplies) Fatigue/long hours Fire/flammable materials Hazardous substances Heat/Cold/extreme weather Laser/strobe effects Machinery/industrial/ crane/hoist Materials - glass, non-fire retardant set materials Night operation Noise high sound levels Non standard manual handling Public/crowds Radiation Scaffold/Rostra Smoking on set Special effects/explosives Special needs (elderly, disabled, inexperienced) Specialised rescue/first aid Stunts, dangerous activities Tall scenery/suspended ceilings Vehicles/speed Water/proximity to water Weapons Working at heights Working overseas Other risks Yes (M) (L) 3 Yes (L) (L) 3 Yes (S) (VL) 5 Yes (M) (P) 3 Present? Severity Likelihood Risk Factor
Calculate the Risk Factor: Very Unlikely Very severe 3 Severe 2 Moderate 2 Slight 1 Negligible 1 Decide the action to take: 5 Very severe 4 Severe 3 Moderate Risk 2 Low Risk 1 Negligible
Unlikely 4 3 2 2 1
Possible 4 3 3 2 2
Likely 5 3 3 3 2
Very Likely 5 5 3 3 3
Take immediate action High priority Programme for action Action may be required Probably acceptable
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take
Cast/crew (C) - if camera equipment or cables are left unattended or are not put away properly this could be a potential hazard to dancers who are constantly moving. Assure that all equipment if not being used is put away properly and that if being used is neatly and considerably far from anyones reach.
Person/company responsible Tyler Reed of Tygrr Media and Scott Scooby Atkins Group Leader. for action To be completed at agreed later date Exposed person(s) (Y) Agreed action taken? (y/n) (Y) Risk removed? (y/n) informed? (y/n)
(Y)
Hazard no:16 Description Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take
Risk Factor (5) Noise/High Sound Levels Cast/ Crew (C) for those members who are sound sensitive this is a dance group with loud music and shouting on top. Crew- for the camera operative it is important that is audio is essential to use an external mic as the mic installed on the camera may distort the audio due to the high sound levels. Bring external mic and warn new members of high sound levels.
Person/company responsible Tyler Reed of Tygrr Media for action To be completed at agreed later date Exposed person(s) Y Agreed action taken? (y/n) informed? (y/n) Hazard no: 21 Description Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take Risk Factor (3) Smoking On Set
Due to the variety of ages in the dance group there will be some members and crew who wish to smoke. Go outside away from camera equipment and potential set hazards.
Person/company responsible Tyler Reed of Tygrr Media and Scott Scooby Atkins for action To be completed at agreed later date Exposed person(s) Y Agreed action taken? (y/n) Y Risk removed? (y/n) informed? (y/n)
Hazard no: 30 Description Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take
Risk Factor (3) Working at Heights I as the camera operative will be working at heights to achieve high angled shots.
Make sure height props are stable and short periods of time are spent at high angles.
Person/company responsible Tyler Reed of Tygrr Media for action To be completed at agreed later date Exposed person(s) Y Agreed action taken? (y/n) informed? (y/n) Completed by: Scott Atkins Signature
PRODUCER Date:25/03/13