House Risk Assessment

RISK ASSESSMENT FORM

Production Name & Number -

Shoot Dates -

Production Manager -

Producer -

Guidance:

1. Assess whether a hazard will be present, write YES or NO.  Then for each hazard that you have said YES to do the following:
2. Rate each risk on a Severity scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V)
3. Rate each risks Likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL)
4. Determine the Risk Factor from the table overleaf.

P = Present / S = Severity / L = Likelihood / R = Risk Factor

	Hazard	P	S	L	R
1	Alcohol/drugs	YES	S	VU	2
2	Animals/insects	NO
3	Audiences	NO
4	Camera cable/grip equipment	NO
5	Confined spaces	NO
6	Derelict buildings/dangerous structures	NO
7	Electricity/gas (other than normal supplies)	NO
8	Fatigue/long hours	NO
9	Fire/flammable materials	NO
10	Hazardous substances	NO
11	Heat/Cold/extreme weather	NO
12	Laser/strobe effects	NO
13	Machinery/industrial/ crane/hoist	NO
14	Materials - glass, non-fire retardant set materials	NO
15	Night operation	NO
16	Noise – high sound levels	NO
17	Non standard manual handling	NO
18	Public/crowds	NO
19	Radiation	NO
20	Scaffold/Rostra	NO
21	Smoking on set	NO
22	Special effects/explosives	NO
23	Special needs (elderly, disabled, inexperienced)	NO
24	Specialised rescue/first aid	NO
25	Stunts, dangerous activities	NO
26	Tall scenery/suspended ceilings	NO
27	Vehicles/speed	NO
28	Water/proximity to water	NO
29	Weapons	NO
30	Working at heights	NO
31	Working overseas	NO
32	Other risks	NO

5. Calculate the Risk Factor:

	Very Unlikely	Unlikely	Possible	Likely	Very Likely
Very severe	3	4	4	5	5
Severe	2	3	3	3	5
Moderate	2	2	3	3	3
Low Risk	1	2	2	3	3
Negligible	1	1	2	2	3

6. Decide the action to take:

5	Very severe	Take immediate action
4	Severe	High priority
3	Moderate Risk	Programme for action
2	Low Risk	Action may be required
1	Negligible	Probably acceptable

7. Then list each risk identified

Hazard Number:
Description of Hazard:	Alcohol
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )	cast/crew
Action to take:	will remove any alcohol present of set
Person/company responsible for action
Hazard Number:
Description of Hazard:
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take:
Person/company responsible for action
Hazard Number:
Description
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take:
Person/company responsible for action
Hazard Number:
Description
Person(s) exposed (detail if cast/crew (C), outside company (O) or public (P) )
Action to take:
Person/company responsible for action
Hazard Number:
Description
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) informed? (y/n)		Agreed action taken? (y/n)		Risk removed? (y/n)

Completed by: Position:

Signature Date: