FORM RA 002 (adapted for Student Media Productions)

Equipment booking
Name of hirer

Nick hollamby

Facility / equipment required

Catalogue
code

Description

Hours/days

Canon xa25
Tripod

1day
1 day

Unit
cost

Cost

Total

Issue
Return

Date
24/1/17
24/1/17

Time
11:00
16:30

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
Call sheet for (date)

Walkers crisps advert

24/1/17

Production team
Names

Roles

Contact details

Tom Coyle
Nick hollamby
Sophie Lambert

Director/ producer
Camera operator
Head editor

07949102384
07731524426
07852 727474

Actors
First aider: Nick, tom, college
site officers

Base address and contact details:

Wiltshire college Chippenham
Location address:
Wiltshire college Chippenham
Map attached.
Access info: open access
Contact details: 01225 756366
Travel arrangements: walk there as we are already on site

Times
Meet time at base: 12:45
On location: 12:45
Shoot time (s) and scene numbers: 12:45
Planned breaks and catering arrangements: 30 minute break at 13:30
Projected wrap time: 16:30
Back at base time: 16:30

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 FILMING

DATE OF
ACTIVITY

TASK / ACTIVITY Walkers crisps advert

DATE
ASSESSED

24/1/17
24/1/17

BRIEF DESCRIPTION: 30 second advert for walkers crisps. Man on bench has one bite of crisps before an actor flavour hits
him.

See Risk Assessment Assistant (Page 3) for scoring.

RISK RATING
(likelihood consequence = )

Include the risk word (i.e. acceptable, adequate, tolerable, unacceptable).

PEOPLE

NUMBER OF PEOPLE UNDERTAKING TASK

DURATION OF TASK

PERSONNEL PROFILE / TRAINING GIVEN

PERSONNEL

INSTRUCTED

PERSONNEL

3 hours

INSTRUCTED

PERSONNEL

INSTRUCTED

STAFF

TALENT

YOUNG PERSON

STUDENT

CONTRIBUTORS

VISITOR

PUBLIC

PERSONNEL
WORKING ALONE

DISABLED

SPECIALIST TRAINED
PERSONNEL

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

Rehearse hitting to make sure the actors know when and what distance to punch so it looks realistic but doesnt actually hit the other
actor. Use common sense. Have someone keep cables tidy so no one trips up on them.

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

HAZARD IDENTIFICATION
HAZARD TYPE
1. Mechanical / Physical Hazards

1.1 Slips / Trips / Falls

PRESENT
YES
/

1.2 Vehicles
1.3 Camera Grip Equipment

NO

ACTIVITY / TASK

COMMENTS
Tidy up cables, etc.

HAZARD TYPE
4. Production Hazards

PRESENT
YES

4.1 Stressful Postures

4.2 Lifting / Handling

Keep wires and stuff and away

4.3 Inadequate Breaks
from tripod

NO

1.4 Falling Equipment

4.4 Restricted Visibility (viewfinder)

1.x Other Mechanical Hazards

4.5 Camera Tracking/Crabbing

4.6 Working at Height

/
/

2. Electrical Hazards

YES

NO

COMMENTS

2.1 Direct Contact

4.x Other Workplace Hazards

2.2 Indirect Contact

5. Hazardous Substances

2.3 Short Circuit / Overload

5.1 Explosive / Biological / Chemical

2.4 Source of Ignition

5.2 Substances in set construction

2.5 Proximity to Water

5.x Other Hazardous Substances

3. Production Activities

YES

NO

6. Environmental Hazards

YES

YES

NO

NO

3.1 Extreme Sports

6.1 Localised Hot / Cold Surfaces

3.2 Animals (working with or proximity to)

6.2 High / Low Ambient Temp.

3.3 Fight sequences

Rehearse it a lot to prevent

injuries of actors

/
/

6.4 Confined spaces

3.5 Potential for Assault

6.5 Poor Weather

COMMENTS

COMMENTS

Possibly, if dark bring a torch or

2

6.3 Poor Lighting

3.4 Potential Intervention from Public

COMMENTS

/
/

Possibly bring weather

appropriate clothes
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FORM RA 001

3.6 Noise pollution

Have no audio in post

6.6 Uneven/Slippery Surfaces

3.7 Smoking

6.7 Unsafe structures

3.8 Alcohol

6.8 Sharps & breakages

3.x Other Production Activity Hazards

6.x Other Environmental Hazards

Page 5 of 7

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 its 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 isnt 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, its more likely someone will trip over it. However if its in an area that doesnt 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.

Likelihood

Risk
Score

Consequence

Very unlikely might happen once in 5 years

No injury

Unlikely would not happen in 2-3 years

Minor - minor injury requiring first aid

Fairly Likely would expect to happen once a year

Moderate - up to three days absence

Likely could occur 2-3 times a year

Major more than three days absence

Very Likely likely to happen 2-3 times a week

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 youll need to take action.

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 CONSEQUENCE

FORM RA 001

UNACCEPTABLE Stop the activity and make

15immediate
20 improvements
25
17-25
12
16
20

10

9 TOLERABLE
12
15 look to improve within a specified
timescale
10-16
6
8
10

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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