RISK ASSESSMENT FORM |
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Shoot
date
17/10/15
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Production Title
Jealous
type
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Producer
Sumaya
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Location:
Mile
End Skate Park
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Address:
36-40
Turner's Rd., Mile End, Greater London, E3 4LF, United Kingdom
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RATINGS:
- each risks severity on scale from Negligable (N), Low risk (L), Moderate risk (M), Severe (S), Very severe (V)
- each risks likelihood on scale from Very unlikely (VU), Unlikely (U), Possible (P), Likely (L), Very likely (VL)
- risk factor from the table overleaf.
Hazard |
Present?
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Severity
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Likelihood
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Risk Factor
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1
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Alcohol/drugs
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No
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2
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Animals/insects
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Yes
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L
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P
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2
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3
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Audiences
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No
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4
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Camera
cable/grip equipment
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Yes
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S
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VL
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5
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5
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Confined
spaces
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No
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6
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Derelict
buildings/dangerous structures
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Yes
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VS
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P
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4
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7
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Electricity/gas
(other than normal supplies)
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No
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8
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Fatigue/long
hours
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Yes
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M
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P
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3
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9
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Fire/flammable
materials
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No
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10
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Hazardous
substances
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No
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11
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Heat/Cold/extreme
weather
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No
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12
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Laser/strobe
effects
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No
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13
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Machinery/industrial/
crane/hoist
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No
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14
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Materials
- glass, non-fire retardant set materials
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No
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15
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Night
operation
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No
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16
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Noise
– high sound levels
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Yes
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M
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P
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3
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17
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Non
standard manual handling
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No
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18
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Public/crowds
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Yes
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M
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P
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3
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19
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Radiation
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No
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20
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Scaffold/Rostra
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No
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21
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Smoking
on set
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No
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22
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Special
effects/explosives
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No
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23
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Special
needs (elderly, disabled, inexperienced)
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No
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24
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Specialised
rescue/first aid
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No
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25
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Stunts,
dangerous activities
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No
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26
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Tall
scenery/suspended ceilings
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No
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27
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Vehicles/speed
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Yes
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V
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P
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4
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28
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Water/proximity
to water
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No
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29
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Weapons
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No
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30
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Working
at heights
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No
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31
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Working
overseas
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No
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32
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Other risks
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No
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Calculate
the Risk Factor:
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Very Unlikely |
Unlikely
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Possible
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Likely
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Very
Likely
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Very
severe
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3
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4
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4
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5
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5
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Severe
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2
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3
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3
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3
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5
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Moderate
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2
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2
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3
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3
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3
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Low
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1
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2
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2
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3
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3
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Negligible
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1
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1
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2
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2
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3
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Decide
the action to take:
5
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Very
severe
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Take
immediate action
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4
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Severe
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High
priority
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3
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Moderate
Risk
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Programme
for action
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2
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Low
Risk
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Action
may be required
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1
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Negligible
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Probably
acceptable
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Then list each risk identified
Hazard no:
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2
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Risk Factor (1-5):
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1
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||||
Description
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Could interfere with filming leading
to time wasting.
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
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Cast/ crew
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Action to take
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Film in an area where there is no flies etc...
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Person/company responsible for action
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Crew
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
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y
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Agreed action taken? (y/n)
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y
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Risk removed? (y/n)
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Y
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Hazard no:
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4
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Risk Factor (1-5):
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5
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Description
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Someone could potentially trip over
the equipment causing a problematic injury as some of the surfaces are uneven
as it is a skate park. Also, due to this the equipment could stop working.
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
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C,O,P
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Action to take
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Ensure that the equipment is visible to everyone and if
anyone is walking past take extra care that they don’t have contact with the
equipment. Take extra care when walking where it is steep.
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Person/company responsible for action
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Crew
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
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y
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Agreed action taken? (y/n)
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y
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Risk removed? (y/n)
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Y
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Hazard no:
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6
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Risk Factor (1-5):
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5
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Description
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As we are all not familiar with the
location, we need to ensure that we don’t slip as it is does have uneven
surfaces. There is a risk of falling into structures as they are very uneven
which could cause severe injury.
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
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C,O,P
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Action to take
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Ensure that we are looking at the surfaces we are filming
at and ensure that we don’t go too close to the edges.
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Person/company responsible for action
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Crew
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
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Y
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Agreed action taken? (y/n)
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y
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Risk removed? (y/n)
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y
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Hazard no:
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8
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Risk Factor (1-5):
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1
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Description
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As we are not familiar with the
location, there may be unforeseen changes that we might have to make.
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
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Cast/ crew
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Action to take
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Ensure that we stick to our storyboard and if we
desperately need to change something then do so in a safe manner.
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Person/company responsible for action
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Crew
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
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y
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Agreed action taken? (y/n)
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y
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Risk removed? (y/n)
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Y
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Hazard no:
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16
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Risk Factor (1-5):
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4
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Description
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It is a skate park so there will be a
lot of noise when there is people skating which will be time consuming for us
as we will need to keep filming again. Leading to distractions occurring.
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
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Cast/ crew
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Action to take
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Ensure that we film in an isolated area to avoid
distractions.
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Person/company responsible for action
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Crew
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
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y
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Agreed action taken? (y/n)
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y
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Risk removed? (y/n)
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Y
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Hazard no:
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18
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Risk Factor (1-5):
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2
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Description
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Could interfere with our filming
leading to time wasting and also, could steal/ break the equipment.
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
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Cast/crew
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Action to take
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Try to film as quickly as possible without bringing
attention to ourselves and also keep an eye on the equipment at all times.
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Person/company responsible for action
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Crew
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
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Y
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Agreed action taken? (y/n)
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y
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Risk removed? (y/n)
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y
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Hazard no:
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26
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Risk Factor (1-5):
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5
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Description
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As it is a skate park, there will
people skating at a high speed, which could cause injury and potentially
break the equipment.
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Person(s) exposed (detail if
cast/crew (C), outside company (O) or public (P) )
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C,O,P
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Action to take
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Ensure that we film in an isolated area and also keep our
eye on the equipment.
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Person/company responsible for action
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Crew
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To be completed at agreed
later date
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Exposed person(s) informed? (y/n)
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y
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Agreed action taken? (y/n)
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y
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Risk removed? (y/n)
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Y
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Completed by: Jumana Yasmeen Position: Director
Signature: Jumana Yasmeen Date:05/10/2015
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