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Risk Assessment Form - Part A: Hazard List

This risk assessment form is for a film production called "Paper Airplane" produced by TTYour Film Production from April 4-5, 2016. It will involve director Tianyi Tang and actress Xiaonan Li. Scenes will be filmed on location where there is a risk of cold weather and strong winds negatively impacting the actress's mood and appearance. Hazards identified include falls from height, equipment damage, and the physical effects of cold temperatures on the actress. Control measures like using safe filming facilities, personal protective equipment, and taking weather conditions into account aim to reduce risks.

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0% found this document useful (0 votes)
46 views

Risk Assessment Form - Part A: Hazard List

This risk assessment form is for a film production called "Paper Airplane" produced by TTYour Film Production from April 4-5, 2016. It will involve director Tianyi Tang and actress Xiaonan Li. Scenes will be filmed on location where there is a risk of cold weather and strong winds negatively impacting the actress's mood and appearance. Hazards identified include falls from height, equipment damage, and the physical effects of cold temperatures on the actress. Control measures like using safe filming facilities, personal protective equipment, and taking weather conditions into account aim to reduce risks.

Uploaded by

api-316343461
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Risk Assessment Form Part A

Production Name:

Paper Airplane

Organisation

TTYour Film Production

Production Address:

44 Whistlewood Close,
Hartlepool, UK

Producer / Editor

Tianyi Tang

Tel:
Mobile: 07838144130

Start date

04/04/16

End date

Distribution

Tianyi Tang

05/04/16

Who gets a copy of the assessment


Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
Team members / experts /
contractors / contributors etc.

The cold weather and strong wind might affect bad mood of the actress, and might damage the modelling
and hairstyle of the actress.
Director: Tianyi Tang; Actress: Xiaonan Li

List those involved


Locations
Outline locations involved indicate
any which are hostile environments
Assessor

Name

The cold weather and strong wind in on-location scenes will be take into account as the actress cant be
cold.

Tianyi Tang

Date completed

03/04/16

Teresa Tebbett

Date authorised

03/04/16

Signature
Authoriser

Name

(if not Assessor)

Signature

Hazard list select your hazards from the list below and use these to complete Part B
Situational hazards

Tick

Physical / chemical hazards

Tick

Health hazards

Tick

Assault by person

Contact with cold liquid / vapour

Disease causative agent

Attack by animal

Contact with cold surface

Infection

Breathing compressed gas

Contact with hot liquid / vapour

Allergic reaction

Cold environment

Contact with hot surface

Lack of food / water

Crush by load

Electric shock

Lack of oxygen

Drowning

Explosive blast

Physical fatigue

Entanglement in moving machinery

Explosive release of stored pressure

Repetitive action

High atmospheric pressure

Fire

Static body posture

Hot environment

Hazardous substance

Stress / anxiety

Manual handling

Ionizing radiation

Venom poisoning

Object falling, moving or flying

Laser light

Obstruction / exposed feature

Lightning strike

Sharp object / material

Noise

Litter

Shot by firearm

Non-ionizing radiation

Nuisance noise / vibration

Slippery surface

Stroboscopic light

Physical damage

Trap in moving machinery

Vibration

Waste substance released into air

Environmental hazards

Trip hazard

Waste substance released into soil / water

Vehicle impact / collision

Managerial / organisational hazards

Falls from height

Management factors (lack of communication,


co-operation, co-ordination and competence)

Risk matrix use this to determine risk for


Likelihood of Harm

each hazard i.e. how bad and how likely

Severity of Harm

Remote

Very unlikely

Unlikely

Possible

Likely

e.g. <1 in 1000 chance

e.g. 1 in 200 chance

e.g. 1 in 50 chance

e.g. 1 in 10
chance

e.g. >1 in 3 chance

Trivial

Low

Low

Negligible e.g. small bruise

Trivial

Trivial

Slight e.g. small cut, deep bruise

Trivial

Trivial

Low

Low

Medium

Moderate e.g. deep cut, torn muscle

Trivial

Low

Medium

Medium

High

Severe e.g. fracture, loss of consciousness

Low

Medium

High

High

Extremely high

Very Severe e.g. death, permanent disability

Low

Medium

High

Extremely high

Extremely high

Risk Assessment Form Part B

Activity1 Each individual activity you are proposing:

Hazards2
List what could cause harm from this activity
e.g. falls from height, trip hazard, fire, etc.

Who exposed
List who might be harmed
from this activity
e.g. staff, contractors,
contributors, public, etc.

Location where this activity will take place:

Risk3
For each hazard, decide
level of risk as if you were
to do the activity without
your controls

Falls from height

Equipment damage

Actress

Very severe

Producer

Moderate

Control measures

Dates / times:

Risk3

For each hazard, list the measures you will be taking to minimise the risk identified
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.

For each hazard,


decide level of risk
once all your controls
are in place

Use of safe facilities

Very Severe

Use of personal protective equipment

Moderate

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