Location Risk Assessment Form- Part A: Basic Information &
Hazard list
Production Name:
REVELATION
Organisation
Carlisle College Media Production
Production Address:
Carlisle College
Victoria Place, Carlisle, Cumbria
CA1 1HS
Producer
CHARLIE STONE
Email:
chadaemail@[Link]
Mobile:
07717 665384
Start date
End date
Distribution
CARLISLE COLLEGE-
CHARLIE STONE (Producer)
Outline of risk assessment
Team members / experts /
contractors / contributors
etc.
Carlisle College Students, Edward Cooper (Tutor),
Jack Turnbull (Contributor)
Talkin Tarn, Brampton, Cumbria CA8, UK
Location
Assessor
Name/Role
Greg Barbour
Date completed
2nd June .15
Signature
Authoriser
Name
Date authorised
(if not Assessor) Signature
Hazard list select your hazards from the list below and use these to complete Part B. Keep the first two Ive ticked
Situational hazards
Tic
k
Assault by person
Attack by animal
Breathing compressed gas
Cold environment
Crush by load
Drowning
Physical / chemical hazards
Tic
k
Health hazards
Tick
Contact with cold liquid / vapour
Disease causative agent
Contact with cold surface
Infection
Contact with hot liquid / vapour
Allergic reaction
Contact with hot surface
Lack of food / water
Electric shock
Lack of oxygen
Explosive blast
Physical fatigue
Entanglement in moving
machinery
Explosive release of stored pressure
High atmospheric pressure
Fire
Static body posture
Hot environment
Hazardous substance
Stress / anxiety
Venom poisoning
Repetitive action
/
Manual handling
Ionizing radiation
Object falling, moving or flying
Laser light
Obstruction / exposed feature
Lightning strike
Environmental hazards
Sharp object / material
Noise
Litter
Non-ionizing radiation
Nuisance noise / vibration
Stroboscopic light
Physical damage
Vibration
Waste substance released into air
Waste substance released into soil /
water
Shot by firearm
Slippery surface
Trap in moving machinery
Trip hazard
Managerial / organisational
hazards
Vehicle impact / collision
Falls from height
Management factors (lack of
communication, co-operation, coordination and competence)
Risk matrix use this to determine
Likelihood of Harm
risk for 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
Low
Medium
High
High
Extremely high
Severe e.g. fracture, loss of
consciousness
Very Severe e.g. death, permanent
disability
Low
Medium
High
Extremely
high
Extremely high
Risk Assessment Form Part B: Hazards & Control
Measures
Hazards
MANAGEMENT FACTORS (LACK
OF COMMUNICATION, COOPERATION, CO-ORDINATION AND
COMPETENCE)
TRIP HAZARD
Keep the first two hazard,use as
examples
Who exposed
Risk
Control measures
Risk
Cast Crew,
LOW
As a student led film, occasional lack of experience has a risk of turning into a
hazard. All students will carry a mobile phone, and producer has a list of
emergency contact numbers for each student. Each dept. will be lead by a
director, supervised by tutor & producer. Preparation will be carried out to
maximum ability prior to shooting, to ensure shooting is carried out efficiently
and without risk.
TRIVIAL
Cast, Crew
MEDIUM
Some wires will be used on location, providing power to lights etc. All personnel
will be made aware of wires on floor, and where possible, wires will be marked
with warning tape. A qualified first aider (EDWARD COOPER) will be on set.
TRIVIAL
Risk Assessment Form Part C: Emergency Contact information
Job Title
Director- Unit 1
Name
THOMAS
BURNS
JACK
BERRY
EDWARD
COOPER
KASIA
STANIECKA
CHARLES
STONE
TONI
BEARDWOOD
PWAN
DOCKERTY
SIMON
LITTLE
ALEX
MORIARTY
GREG
BARBOUR
JACOB
ADAM
DANIEL
OCONNOR
JACK
MURPHY
TOBIAS
PENNY
Phone No.
07955 184178
Email
burnsthomas17@[Link]
Emergency Contact/Relationship
07825 340585 (Mother)
+44 7508 667803
jbjackberry@[Link]
07531 934199 (Mother)
07840 531242
ecooper@[Link]
+44 7951 059469
stanieckakasia@[Link]
07864 982478 (Mother)
07717 665384
chadaemail@[Link]
07747 843213 (Mother)
07512 723551
[Link]@[Link]
07828484640 (mother)
+44 7443 607850
docky961@[Link]
07414 904049
simonstudentaccount@[Link]
07413 687 088
TheMasterMoriarty@[Link]
07592 3226210
gregbarbourstudent@[Link]
07818412682 (Mother)
07824 796707
jacobmadam@[Link]
07765 583090 (Mother)
07964 879007
danielcharltonoconnor@[Link]
07974 906824 (Mother)
07872 938796
jackmurphy6795@[Link]
+44 7939 937021
[Link]@[Link]
+44 7951 475917 (Mother)
Cast
JACK
TURNBULL
07973 420749
jackturnbull@[Link]
01228 546 705 (Home)
Emergency Service
CUMBRIA
CONSTABULARY
(101) ask for Carlisle
City Centre NPT
Emergency Service
CUMBERLAND
INFIRMARY
FIRE
SERVICE
01228 523444
Director- Practical FX &
Marketing
Exec. Producer
Producer, Practical FX &
Marketing
Producer, Editor, Sound Op
Researcher & Writer
Audio Mixer
Sound Operator/Foley Director
Production Assistant
Sound Director/Foley Artist
Practical FX & Marketing,
Asst. Editor
Director of Photography
Director- Writer & Researcher
2nd DoP, Behind the ScenesDirector
Emergency Service
01228 221689
Address
Carlisle City Centre, Civic Centre, Rickergate
Carlisle
CA3 8QG
Newtown Rd, Carlisle
CA2 7HY
Eastern Way, Carlisle
CA1 3RA
01228 593442 (Home)
CARLISLE COLLEGE MAIN RECEPTION
CAN BE REACHED ON
01228 822700
IN AN EMERGANCY ALWAYS CALL 999
