This risk assessment form summarizes the risks involved in filming a short film with two sequences: 1) an actor walking down a hallway, and 2) an actor being grabbed in the toilets and pushed into a toilet. Locations include Reigate College in Reigate. Hazards identified include slip, trip, and fall hazards. Controls are identified to minimize risks, such as ensuring dry floors, removing obstacles, and using protective gear. A potential hazard of driving two cars in a race start is also summarized, with controls such as only filming when the road is clear of traffic and wearing seatbelts. The risk level is determined to be negligible or slight after controls are implemented.

1. Risk Assessment Form – Part A
ProductionName: 0 to 100 Organisation
ProductionAddress: Producer / Editor
Tel:
Mobile:
Start date End date
Distribution
Who gets a copyof the assessment
Outline of risk assessment
Summary of what is proposed in
terms of sequences and set ups.
First sequence is w alking dow n a hallw ay.
2nd
sequence is of an actor being grabbed in the toilets and pushed into a toilet
Team members / experts /
contractors / contributors etc.
List those involved
Roland
Locations
Outline locationsinvolved – indicate
any which are hostile environments
Reigate College, Reigate
Assessor Name
Signature
Byron Chambers Date completed
Authoriser Name
(if not Assessor) Signature
Date authorised
Hazard list – select your hazards from the list belowand use these to complete Part B
Situational hazards Tick Physical / chemical hazards Tick Health hazards Tick
Assault by person y es Contact with cold liquid / v apour Disease causativ e agent
Attack by animal Contact with cold surf ace Inf ection
Breathing compressed gas Contact with hot liquid / v apour Allergic reaction
Cold env ironment Contact with hot surf ace Lack of f ood / water
Crush by load Electric shock Lack of oxy gen
Drowning Explosiv e blast Phy sical f atigue
Entanglement in mov ing machinery Explosiv e release of stored pressure Repetitiv e action
High atmospheric pressure Fire Static body posture
Hot env ironment Hazardous substance Stress / anxiety
Manual handling Ionizing radiation Venom poisoning
Object f alling, mov ing or f ly ing Laser light
Obstruction / exposed f eature Lightning strike Environmental hazards
Sharp object / material Noise Litter
Shot by f irearm Non-ionizing radiation Nuisance noise / v ibration y es
Slippery surf ace y es Stroboscopic light Phy sical damage y es
Trap in mov ing machinery Vibration Waste substance released into air y es
Trip hazard Waste substance released into soil / water
Vehicle impact / collision Managerial / organisational hazards
Falls f rom height Management f actors (lack of communication,
co-operation, co-ordination and competence)
Risk matrix – use this to determine risk for
each hazard i.e. ‘how bad and how likely’ Likelihood of Harm
Severity of Harm
Remote
e.g. <1 in 1000 chance
Very unlikely
e.g. 1 in 200 chance
Unlikely
e.g. 1 in 50 chance
Possible
e.g. 1 in 10 chance
Likely
e.g. >1 in 3 chance
Negligible e.g. small bruise Trivial Trivial Trivial Low Low
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

2. Risk Assessment Form – Part B
Activity1
– Each individual activity you are proposing: Location – w here this activity willtake place: Dates / times:
Hazards2
List what could cause harm f rom this activ ity
e.g. falls from height, trip hazard, fire, etc.
Who exposed
List who might be harmed
f rom this activ ity
e.g. staff, contractors,
contributors, public, etc.
Risk3
For each hazard, decide
lev el of risk as if y ou were to
do the activ ity without y our
controls
Control measures
For each hazard, list the measures y ou will be taking to minimise the risk identif ied
e.g. appointing competent persons, training received, planning and rehearsals, use of personal protective
equipment, provision of first aid, etc.
Risk3
For each hazard,
decide lev el of risk
once all y our controls
are in place
Slip hazard w hen being grabbed in the
toilet.
Slip hazard for the filmer and director.
Trip hazard of a bin.
Actors
Filmers
Directers
Negligible – Unlikely Make sure the floor is dry w ithin the toilets and if there is a w et patch, avoid it as much as
possible.
Move the bin out of the w ay of the direct path of the actors and any other obstacles.
Negligible –
Remote
Being pushed into a locker
Actors Negligible – Possible Make sure the actor being pushed into the lockers isn’t pushed too hard, as so the actor w ont
get hurt. Make sure the actor being pushed into the locker is w earing protective gear on
his/her back to cushion the impact. Make sure the locker that is being used to be pushed
against is stable and w ont fallover, aswellas removing any sharp protruding objects such as
locks or knobs that could cause damage if the actor w as knocked into.
Negligible -
Remote
Driving tw o cars next to each other
doing a race start.
Actors
Film Crew
Members of the public
Slight – Very Unlikely Make sure the race start is on a road w here there are no other cars or members of the public
nearby. Only do the race start w hen we know for a fact that the road ahead is clear and there
w illbe no oncoming traffic. Make sure w e have crew members ahead of the cars checking
the coast is clear on the roads. Make sure the drivers of the cars are w earing their seatbelts.
Slight - Remote
Continue on separate sheet if necessary
1 – complete separate table for each activity 2 - from hazard list in Part A 3 - from risk matrix in Part A