FORM RA 002 (adapted for Student Media Productions)

Equipment booking
Name of hirer

Beatrix Davies

Facility / equipment required

Catalogue
code

Description

Hours/days

HDV camera
Mic
Tripod

3 hours
3 hours
3 hours

Unit
cost

Cost

Total

Issue
Return

Date
3rd march
3rd march

Time
10.00 am
1.00 pm

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)

Interactive film
3rd march

Production team
Names

Roles

Contact details

Chloe Coleman
Derryn Fry

Camera
Sound

07511772304
07716421982

First aider

07774297081
07860347961
07474425222
None

Actors
Bea Davies
Aaron Crosskey
Olly Sands

Base address and contact details:

College TV studio
Location address:
Access info:
Contact details: 01225 350035
Travel arrangements: Everyone has their own travel arrangements.

Times
Meet time at base 10 am
On location College TV studio
Shoot time (s) and scene numbers
Planned breaks and catering arrangements no breaks planned, taken when needed
Projected wrap time 1 pm
Back at base time

Weather report (if outside)

No weather report needed
Special considerations with regard to location/weather/activities etc
Possible family members
There might be people in college who need to use the TV studio, we will have to lock the door and turn on the red light so that
people know not to come in or to knock.

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FORM RA 002 (adapted for Student Media Productions)

RISK ASSESSMENT FOR LOCATION FILMING

DATE OF
ACTIVITY

TASK / ACTIVITY

DATE
ASSESSED

Interactive film

3rd march

BRIEF DESCRIPTION

An interactive film about drugs

RISK RATING
(likelihood consequence = )

See Risk Assessment Assistant (Page 3) for scoring.

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

PEOPLE

NUMBER OF PEOPLE UNDERTAKING TASK

5
DURATION OF TASK

1 day

PERSONNEL PROFILE / TRAINING GIVEN

PERSONNEL

INSTRUCTED

PERSONNEL

STAFF

TALENT

STUDENT

CONTRIBUTORS

PUBLIC

PERSONNEL
WORKING
ALONE

DISABLED

SPECIALIST TRAINED
PERSONNEL

INSTRUCTED
3

PERSONNEL

INSTRUCTED

YOUNG PERSON
VISITOR

none

none

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

I will make sure that no trip hazards are left lying around. I will also take care when setting up the space to alert people around the TV
studio not to come in or interrupt. I will make sure no food or drink is brought near the equipment unless it is a prop in a scene.

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) Beatrix Davies

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FORM RA 002 (adapted for Student Media Productions)

STAFF ASSESSOR(S)

Page 4 of 8

FORM RA 001

HAZARD IDENTIFICATION
HAZARD TYPE
1. Mechanical / Physical Hazards

1.1 Slips / Trips / Falls

ACTIVITY / TASK

PRESENT
YES

NO

1.2 Vehicles

COMMENTS
Keep wires tidy

HAZARD TYPE
4. Production Hazards

PRESENT
YES

NO

4.1 Stressful Postures

4.2 Lifting / Handling

1.3 Camera Grip Equipment

Be careful

4.3 Inadequate Breaks

1.4 Falling Equipment

Make sure equipment is secure at

all times

4.4 Restricted Visibility (viewfinder)

4.5 Camera Tracking/Crabbing

4.6 Working at Height

4.x Other Workplace Hazards

1.x Other Mechanical Hazards

2. Electrical Hazards

X
YES

2.1 Direct Contact

NO

COMMENTS

2.2 Indirect Contact

Check electrics

5. Hazardous Substances

2.3 Short Circuit / Overload

Check electrics

5.1 Explosive / Biological / Chemical

2.4 Source of Ignition

Check electrics

5.2 Substances in set construction

5.x Other Hazardous Substances

2.5 Proximity to Water

3. Production Activities

X
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

6.3 Poor Lighting

3.4 Potential Intervention from Public

6.4 Confined spaces

3.5 Potential for Assault

6.5 Poor Weather

6.6 Uneven/Slippery Surfaces

3.6 Noise pollution

Keep all doors and windows

COMMENTS

COMMENTS

COMMENTS

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FORM RA 001

closed
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

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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

15make20
25 improvements
immediate
1712
16
20

10

9 TOLERABLE
12
15 look to improve within a
specified timescale
106
8
10

LIKELIHOOD

5
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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