PRODUCTION
RISK ASSESSMENT FORM
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PRODUCTION
TITLE: The Boyfriend
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PRODUCTION
CREWS: Jacob, Kenya and Nicole
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Production
Office Phone / Mobile: 0161 203 2100
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STUDIO
DATES: 18/01/2015
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Unit
Manager: Dave
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STUDIO
ADDRESS:
Shena Simon Campus
Whitworth Street
Manchester
M1 3HB
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LOCATION
ADDRESS:
Mount Road
Manchester
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DETAILED
Description of the activity / production
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HAZARD CHECKLIST
Tick
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Tick
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Tick
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1
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Access/egress
blocked/restricted
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18
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Hazardous
substances: chemicals/dust/
fumes/poisons/asbestos/battery
acid etc./
waste disposal
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35
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Scenic/set
materials - not fire retardant/
toxicity tested
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2
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Alcoholic
drinks/hospitality
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19
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Heat/cold, extreme
weather climate
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36
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Scenery manual
handling difficulties
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3
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Animals/insects
(wild, performing etc.)
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/
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20
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Heavy loads on
studio floor/rostra
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37
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Scenic materials:
glass/polystyrene
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4
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Any special prop,
tool etc., under the direct control of the presenter, artist etc.
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21
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L.P.G./bottled
gases
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38
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Smoking on
set/studio
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5
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Audience
safety/public/crowds/violence/
civil unrest
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22
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Lasers/other bright
lights/strobes
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39
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Special
‘flying’/technical rigs
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6
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Compressed
gas/cryogenics/low temperature
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23
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Lifting equipment,
e.g. forklift
LOLER
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40
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Special
needs/children/elderly/disabled
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/
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7
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Confined space/
tanks/mines/caves/
tunnels
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24
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Live electrical
equipment
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41
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Special visual
effects: rain/snow/fire/
smoke/steam/dry
ice/heat
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8
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Derelict
buildings/dangerous structures/
isolation of
services/waste control
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25
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Machinery proximity
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42
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Scenery/props
storage on premises
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9
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Diving operations
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26
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Night operations
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43
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Stunts/dangerous
activities/hazardous props
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10
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Explosives,
pyrotechnics, fireworks
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27
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Noise/high sound
levels
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/
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44
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Technocrane/camera
cables/camera
movement/special
cable runs/scanners
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11
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Falling objects
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/
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28
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Portable tools
above 110v
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45
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Vehicles/motorcycles/speed
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12
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Fatigue/long
hours/physical exertion/stress
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29
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Practical
flame/fires/flambeaux
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46
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Water/proximity to
water/tanks
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13
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Fire
Prevention/Evacuation Procedures
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30
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Radiation -
sources/equipment etc.
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47
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Weapons/knives/firearms
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14
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First Aid/Medical
Requirements
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31
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Recording/shooting
outside of LWT studios/OBs/PSC
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48
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Work at height:
zip-up/ladders/talascope etc.
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15
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Flammable
materials: painting/spraying
needed
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32
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Risk of infection
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49
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Working on grid/
‘truss’ etc.
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16
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Flying/aircraft/balloons/parachutes
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33
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Scaffolds/rostra/decking/platforms/
practical
staircase/walkways on set
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50
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Working/storage
under seating
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17
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Freelance crews,
scenic ops
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34
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Scenery/flats over
12 ft x 10 ft/non-standard shape/centre of gravity. Flown from grid
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51
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Other
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please
type or write clearly - an illegible form is null and void !
Hazard
Number
+
Identity of
Persons
Exposed
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MAIN RISKS
IDENTIFIED (Describe
risks and state if considered to be high (H), medium (M) or low (L) before
any controls are introduced.
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EXISTING
& ADDITIONAL CONTROLS TO MANAGE RISKS
Include
names of experts or contractors to be used. Indicate the risk state after control initiatives are
introduced.(H/M/L)
Specify
who is to ensure the measures are implemented and that they are effective.
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Final
risk level is acceptable
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3
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There is a dog
within the location. (L)
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There has to be a
person calming the dog to keep the level of barking down and try stay away
from the equipment.
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L
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11
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There is a risk
of falling objects within the film location. (M)
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Must move the
object that would look for the object that is likely to fall.
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M
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27
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There is a level
of sounds due to the area is on the main road. (L)
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Use the boom mic
to at least the level of sound from outside that would get involved with the
production.
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L
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40
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There is a 14
year old girl within the house (L)
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Tell the people
within the location on what’s going on before filming.
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L
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State
whether persons ‘at risk’ are: Staff(S),
Freelance(F), Contractor(C), Performer/Presenter(P), Public(U)
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If
necessary, continue on extra sheets
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NUMBER OF
ADDITIONAL SHEETS ATTACHED
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COMPLETED
BY: (print) Nicole
Heslop
POSITION:
SIGNATURE DATE: 11/1/2016
I am satisfied
that the above constitutes a proper and adequate risk assessment in respect
of this production. If any changes are made, the risk assessment will be
reviewed.
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PRODUCER:(print name)
SIGNATURE:
DATE:
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