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The robert kett check list

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Sofia Morana
Sofia Morana

This risk assessment form summarizes the potential hazards for a music video shoot taking place at a public house on October 30th, 2013. It identifies three main risks: an audience/public crowd being present, smoking by cast and crew on the outdoor set, and general public exposure to smoking. The form recommends actions like cordoning off the filming area, having smokers stand away from equipment and bystanders, and informing all exposed individuals of the agreed safety measures. The director Sofia Morana completed and signed the form on October 25th, acknowledging and accepting responsibility for the identified risks and actions.

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SHOOT DATE/S: 30/10/2013 PRODUCTION OFFICE PHONE/MOBILE: 07889030423 LOCATION THIS FORM RELATES TO: (A separate form should be completed for each location) The Robert Kett Public House Complete the following table rating • each risks severity on scale from Negligible (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V) • each risks likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL) • Determine the risk factor from the table overleaf. Hazard Present? 1 2 Audiences Camera cable/grip equipment 5 6 Electricity/gas (other than normal supplies) Fatigue/long hours Fire/flammable materials 10 11 Hazardous substances Heat/Cold/extreme weather 12 13 Laser/strobe effects Machinery/industrial/ crane/hoist 14 15 Materials - glass, non-fire retardant set materials Night operation 16 17 18 Noise – high sound levels Non standard manual handling Public/crowds 19 20 Radiation Scaffold/Rostra 21 22 Smoking on set Special effects/explosives 23 24 25 Special needs (elderly, disabled, inexperienced) Specialised rescue/first aid Stunts, dangerous activities 26 27 Tall scenery/suspended ceilings Vehicles/speed 28 29 Water/proximity to water Weapons 30 31 Working at heights Working overseas 32 Other risks Risk Factor Confined spaces Derelict buildings/dangerous structures 7 8 9 Likelihood Alcohol/drugs Animals/insects 3 4 Severity YES L VL 3 YES L L 3 YES L VL 3 Calculate the Risk Factor: Very Unlikely Very severe Severe Moderate Low Negligible Unlikely Possible Likely Very Likely 3 2 2 1 1 4 3 2 2 1 4 3 3 2 2 5 3 3 3 2 5 5 3 3 3 Decide the action to take: 5 Very severe 4 Severe 3 Moderate Risk 2 Low Risk 1 Negligible Then list each risk identified Take immediate action High priority Programme for action Action may be required Probably acceptable LOCATION RISK ASSESSMENT FORM PRODUCTION TITLE: Inside My Head Music Video
Hazard no: Description 3/18 Risk Factor (1-5) 3 There will most likely be an audience/ public crowd as it is a public and popular area Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take Cast and Crew: Myself, Dante, Jack, Luke Deano, Maisie and Ayden Corner off the area we are using Person/company responsible Myself for action To be completed at agreed later date Exposed person(s) yes Agreed action taken? (y/n) informed? (y/n) yes Risk removed? (y/n) yes Hazard no: Description 21 Risk Factor (1-5) 3 The majority of my cast and crew smoke so there will be smoking on set Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take Cast and Crew: Myself, Dante, Jack, Luke Deano, Maisie and Ayden. Also some members of the public might be exposed. It is public land and outside, so completely legal to smoke, although my cast and crew have agreed to stand away from the equipment, and any bystanders Person/company responsible Myself for action To be completed at agreed later date Exposed person(s) yes Agreed action taken? (y/n) informed? (y/n) Hazard no: Description yes Risk removed? (y/n) Risk Factor (1-5) Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take Person/company responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) Risk removed? (y/n) informed? (y/n) Copy and paste this table for each of the hazards, then get the form signed. If the producer has not completed the risk assessment, then they should countersign this form. Completed by: Sofia Morana Position: Director Signature Date: 25/10/13 Countersigned by: Sofia Morana PRODUCER Signature Date: 25/10/2013 yes

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The robert kett check list

  • 1. SHOOT DATE/S: 30/10/2013 PRODUCTION OFFICE PHONE/MOBILE: 07889030423 LOCATION THIS FORM RELATES TO: (A separate form should be completed for each location) The Robert Kett Public House Complete the following table rating • each risks severity on scale from Negligible (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V) • each risks likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL) • Determine the risk factor from the table overleaf. Hazard Present? 1 2 Audiences Camera cable/grip equipment 5 6 Electricity/gas (other than normal supplies) Fatigue/long hours Fire/flammable materials 10 11 Hazardous substances Heat/Cold/extreme weather 12 13 Laser/strobe effects Machinery/industrial/ crane/hoist 14 15 Materials - glass, non-fire retardant set materials Night operation 16 17 18 Noise – high sound levels Non standard manual handling Public/crowds 19 20 Radiation Scaffold/Rostra 21 22 Smoking on set Special effects/explosives 23 24 25 Special needs (elderly, disabled, inexperienced) Specialised rescue/first aid Stunts, dangerous activities 26 27 Tall scenery/suspended ceilings Vehicles/speed 28 29 Water/proximity to water Weapons 30 31 Working at heights Working overseas 32 Other risks Risk Factor Confined spaces Derelict buildings/dangerous structures 7 8 9 Likelihood Alcohol/drugs Animals/insects 3 4 Severity YES L VL 3 YES L L 3 YES L VL 3 Calculate the Risk Factor: Very Unlikely Very severe Severe Moderate Low Negligible Unlikely Possible Likely Very Likely 3 2 2 1 1 4 3 2 2 1 4 3 3 2 2 5 3 3 3 2 5 5 3 3 3 Decide the action to take: 5 Very severe 4 Severe 3 Moderate Risk 2 Low Risk 1 Negligible Then list each risk identified Take immediate action High priority Programme for action Action may be required Probably acceptable LOCATION RISK ASSESSMENT FORM PRODUCTION TITLE: Inside My Head Music Video
  • 2. Hazard no: Description 3/18 Risk Factor (1-5) 3 There will most likely be an audience/ public crowd as it is a public and popular area Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take Cast and Crew: Myself, Dante, Jack, Luke Deano, Maisie and Ayden Corner off the area we are using Person/company responsible Myself for action To be completed at agreed later date Exposed person(s) yes Agreed action taken? (y/n) informed? (y/n) yes Risk removed? (y/n) yes Hazard no: Description 21 Risk Factor (1-5) 3 The majority of my cast and crew smoke so there will be smoking on set Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take Cast and Crew: Myself, Dante, Jack, Luke Deano, Maisie and Ayden. Also some members of the public might be exposed. It is public land and outside, so completely legal to smoke, although my cast and crew have agreed to stand away from the equipment, and any bystanders Person/company responsible Myself for action To be completed at agreed later date Exposed person(s) yes Agreed action taken? (y/n) informed? (y/n) Hazard no: Description yes Risk removed? (y/n) Risk Factor (1-5) Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) ) Action to take Person/company responsible for action To be completed at agreed later date Exposed person(s) Agreed action taken? (y/n) Risk removed? (y/n) informed? (y/n) Copy and paste this table for each of the hazards, then get the form signed. If the producer has not completed the risk assessment, then they should countersign this form. Completed by: Sofia Morana Position: Director Signature Date: 25/10/13 Countersigned by: Sofia Morana PRODUCER Signature Date: 25/10/2013 yes