Tutor Name: Course Code: Module Title: Assessors Student Name: Student Number: Assignment Title: Date or period of Risk this assessment covers
Title Name Tel: Producer
Cameraman
Lighting Director
Safety Manager
Location address and contact numbers
Activity Details: Description of project. (Attach sketches/storyboard/diagrams/checklist etc as necessary to explain) Hazards Identified from Recce Hazard Tick Hazard Tick Smoke effects
Machinery
Access/Egress
Manual handling attach specific assessment)
Animals
Filming from a moving vehicle
Audience/Public
Noise (attach specific assessment)
Confined Spaces
Person/s with special needs
Derelict Buildings/Dangerous structures
Animals
Electricity/Gas
Vehicles/off road driving
Fire/Flammable material
Violence/Public disorder
Fight Sequence
Water
Glass
Weather
Imitation Weapons/Firearms
Working at heights
Heat/Cold
Other
Inexperienced performers or children. N.B. Copies of this Risk Assessment must be provided to parents or guardian
Lighting*
* The Lighting Director Risk Assessment MUST be completed and handed to your tutor with this document.
Hazards identified and Risks Arising Risk Assessment and Proposed Precautions Risk
List what could reasonably cause harm. Against each risk identify who is at risk, who could be harmed and how. Ignore the trivial, concentrate only on those hazards that could result in serious harm or affect several people For each hazard indentified, consider risks and decide what needs to be taken into account. Ask your tutor, experienced practitioners, premises management, hire sources and others about possible risks and controls. List the controls for each significant hazard and list contingency plans for emergencies. Include fire, first aid and welfare arrangements. 1-9
Continue on separate sheet if necessary Risk rating Potential severity of harm Slightly harmful 1 Harmful 2 Extremely Harmful 3
Likelihood of harm occurring Highly Unlikely 1 Trivial 1 Tolerable 2 Moderate 4 Unlikely 2 Tolerable 2 Moderate 4 Substantial 6 Likely 3 Moderate 3 Substantial 6 Intolerable 9 The following sections MUST be signed before your production can go ahead. I have read the above and am satisfied that: 1) it constitutes a proper and adequate risk assessment in respect of the program activity and the precautions identified above are sufficient to control the risks 2) Adequate arrangements are in place to communicate the risk assessment findings and to co-ordinate the safety arrangements of all those affected, e.g. Tutors, clients, crew, hire sources including MMP stores, public etc 3) We agree to take photographs of setups used during this activity and that these may be used to show other students. Signature of Producer!!!!!!!!!!!!!!!!!!!.. Print Name !!!!!!!!!!!!!!!!!.. Details of Safety Training received
Lighting
Electrical First Aid
Other, specify Please note: The producer is responsible for the safety of the public, client, crew, equipment and others affected by the production. The producer may delegate duties but remains responsible for actions of his crew. The producer must ensure that any duty he delegates, is delegated to someone with sufficient knowledge and training to carry out said duty safely I have read the above and am satisfied that:
The above student/crew have fulfilled their Health and Safety Risk Assessment forms to a satisfactory level and I am satisfied that they will take all the precautions listed therein Signature of Tutor:!!!!!!!!!!!!!!!!!! Print Name !!!!!!!!!!!!!!!!!..