FORM RA 002 (adapted for Student Media Productions)

Equipment booking

Name of hirer Tyler Walker

Facility / equipment required

Catalogue Description Hours/days Unit Cost
code cost
Xa25 camera 5 days 0 0
tripod 5 days 0 0
External microphone 5 days 0 0
Zoom 5 days 0 0

Total

Date Time
Issue 11th May 13:00
Return 16th May 13:00

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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Call sheet

Production title The Images

Call sheet for (date) 25th April 2017, Filming 12th May

Production team
Names Roles Contact details
Tyler Director 01380860865
Joab Camera Operator xxxxxxxxxxx
Nick Sound Operator xxxxxxxxxxx
Actors
Helen Rebecca

First aider: Nick

Base address and contact details:

Devizes, SN10 3FG

Location address: Devizes, SN10 3FG

Map attached.

Access info: Walk, car / bus

Contact details: 01380860865

Travel arrangements: Bus times

Times
Meet time at base: 8:30am

On location 9:00am

Shoot time (s) and scene numbers 9:20

Planned breaks and catering arrangements 11:30 break, 12 start

Projected wrap time 15:00

Back at base time 15:30

Weather report (if outside)

Unknown as of current time, However we will recording inside.

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 FORM RA 002 (adapted for Student Media Productions)
Special considerations with regard to location/weather/activities etc

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 FORM RA 002 (adapted for Student Media Productions)

DATE OF
RISK ASSESSMENT FOR LOCATION FILMING ACTIVITY

TASK / ACTIVITY : Filming lvl 3 media horror film: The Images DATE
ASSESSED

BRIEF DESCRIPTION

See Risk Assessment Assistant (Page 3) for scoring.

RISK RATING
(likelihood consequence = )
Include the risk word (i.e. acceptable, adequate, tolerable, unacceptable).

PEOPLE NUMBER OF PEOPLE UNDERTAKING TASK 4/5

DURATION OF TASK
PERSONNEL PROFILE / TRAINING GIVEN

PERSONNEL INSTRUCTED PERSONNEL INSTRUCTED PERSONNEL INSTRUCTED

STAFF 0 TALENT 1/2 YOUNG PERSON 2/3

STUDENT 4/5 CONTRIBUTORS 0 VISITOR

PERSONNEL
PUBLIC 0 no
WORKING ALONE

SPECIALIST TRAINED
DISABLED 0 no
PERSONNEL

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

Have the sound operator also manage wires being dragged around so that no one could be tripped up.

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)

STAFF ASSESSOR(S)

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ACTIVITY / TASK
HAZARD IDENTIFICATION
HAZARD TYPE PRESENT HAZARD TYPE PRESENT
COMMENTS COMMENTS
1. Mechanical / Physical Hazards YES NO 4. Production Hazards YES NO

Possible trip over equipment,

1.1 Slips / Trips / Falls x 4.1 Stressful Postures x
manage all wires

1.2 Vehicles x 4.2 Lifting / Handling x

1.3 Camera Grip Equipment x 4.3 Inadequate Breaks x

1.4 Falling Equipment x 4.4 Restricted Visibility (viewfinder) x

1.x Other Mechanical Hazards x 4.5 Camera Tracking/Crabbing x

2. Electrical Hazards YES NO COMMENTS 4.6 Working at Height x

2.1 Direct Contact x 4.x Other Workplace Hazards x

2.2 Indirect Contact x 5. Hazardous Substances YES NO COMMENTS

2.3 Short Circuit / Overload x 5.1 Explosive / Biological / Chemical x

2.4 Source of Ignition x 5.2 Substances in set construction x

2.5 Proximity to Water x 5.x Other Hazardous Substances x

3. Production Activities YES NO 6. Environmental Hazards YES NO COMMENTS

3.1 Extreme Sports x 6.1 Localised Hot / Cold Surfaces x

3.2 Animals (working with or proximity to) x 6.2 High / Low Ambient Temp. x

3.3 Fight sequences x 6.3 Poor Lighting x

3.4 Potential Intervention from Public x 6.4 Confined spaces x

3.5 Potential for Assault x 6.5 Poor Weather x

3.6 Noise pollution x 6.6 Uneven/Slippery Surfaces x

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3.7 Smoking x 6.7 Unsafe structures x

3.8 Alcohol x 6.8 Sharps & breakages x

3.x Other Production Activity Hazards x 6.x Other Environmental Hazards x

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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.

Risk
Likelihood Consequence
Score
Very unlikely might happen once in 5 years 1 No injury

Unlikely would not happen in 2-3 years 2 Minor - minor injury requiring first aid

Fairly Likely would expect to happen once a year 3 Moderate - up to three days absence

Likely could occur 2-3 times a year 4 Major more than three days absence

Very Likely likely to happen 2-3 times a week 5 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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 FORM RA 001

UNACCEPTABLE Stop the activity and make

5 10 15immediate
20 improvements
25
17-25
CONSEQUENCE

4 8 12 16 20

3 6 9 TOLERABLE
12 15 look to improve within a specified
timescale 10-16
2 4 6 8 10

1 2 3 4 5
ADEQUATE Look to improve at next review
LIKELIHOOD
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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