FORM RA 002 (adapted for Student Media Productions)

Equipment booking
Name of hirer

Giorgia Nyman (Jack Daniels will pick up

equipment in Giorgias name)

Facility / equipment required

Catalogue
code

Description

Hours/days

Unit
cost

Cost

Penguin Suit Prop store?

HDV Camera & PSU
Libec Tripod
Zoom H4n1 kit ?
815at 161 Gun Mic
DT100 00 Headphones
Total

Issue
Return

Date
13/11/14
14/11/14

Time
1:20pm
9:30am

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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FORM RA 002 (adapted for Student Media Productions)

Call sheet
Production title
Call sheet for (date)

Penguin Advert
13/11/14

Production team
Names
Giorgia Nyman
Matthew Carter
Jack Daniels
Actors
Giorgia
Matt

Roles

Contact details

Actor
Actor (Penguin)
Camera Operator

07584 042564
07740 071317
07961 821788

Crying girl
Penguin

07584 042564
07740 071317

First aider

Base address and contact details:

Giorgia Nyman - 6 Sheppard Close, Chippenham, Wiltshire, SN15 3FD

Location address:
Map attached.
Access info:
Contact details: 07584042564
Travel arrangements: Matt will walk to Giorgias house. Giorgia will pick JD up from college with the
equipment at 1:30pm.

Times
Meet time at base: All meet at Giorgias house at 1:45pm
On location: 1:45pm
Shoot time (s) and scene numbers: Aim to shoot everything
Planned breaks and catering arrangements: Will take breaks when we need them. Can eat and drink at
Giorgias house.
Projected wrap time: Will stop filming when we have done as much as we can. Between 5-6pm (roughly)
Back at base time:

Weather report (if outside)

Not filming outside.

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FORM RA 002 (adapted for Student Media Productions)

Special considerations with regard to location/weather/activities etc

-

Make sure take shoes off as its in Giorgias house

Penguin costume needed

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FORM RA 002 (adapted for Student Media Productions)

RISK ASSESSMENT FOR LOCATION FILMING

DATE OF
ACTIVITY

TASK / ACTIVITY: Filming for Penguin Advert

DATE
ASSESSED

13/11/14

BRIEF DESCRIPTION
In this activity we will be filming our penguin advert in Giorgias house using Wiltshire college camera equipment.

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

DURATION OF TASK

PERSONNEL PROFILE / TRAINING GIVEN

PERSONNEL

INSTRUCTED

PERSONNEL

INSTRUCTED

1 afternoon
PERSONNEL

INSTRUCTED

STAFF

TALENT

YOUNG PERSON

STUDENT

CONTRIBUTORS

VISITOR

PUBLIC

PERSONNEL
WORKING ALONE

DISABLED

SPECIALIST TRAINED
PERSONNEL

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

Make sure camera equipment bags are placed out of the way of the actors
Make sure cables are kept tidy
Stick to speed limits when driving to and from college with equipment
When driving make sure I am not distracted by anyone in the car
Make sure hands are not wet when touching/using the camera equipment
Make sure any food and drinks are kept away from plug sockets
Make sure drinks are kept away from the camera equipment
Make sure to tell other members of my family to keep noise down and not interrupt when we are filming
Tell members of my family to stay downstairs when we are filming and not to make too much noise
Make sure not to lift too much equipment in one go and help each other out
Make sure to have frequent breaks when needed so we dont get too tired/fed up
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FORM RA 002 (adapted for Student Media Productions)

Make sure not to trip or stub your toe on the bed frame by carefully walking around the bed
Shut curtains or switch the lights on in my bedroom if needed
Make sure to only have the minimum amount of people in the bedroom at one time to avoid tripping over each other and
getting hurt
If the weather is poor/dark outside then switch the lights on in the bedroom
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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FORM RA 001

HAZARD IDENTIFICATION
HAZARD TYPE
1. Mechanical / Physical Hazards

1.1 Slips / Trips / Falls

PRESENT
YES

NO

ACTIVITY / TASK

COMMENTS
- Make sure camera equipment
bags are placed out of the way of
the actors

HAZARD TYPE
4. Production Hazards

PRESENT
YES

COMMENTS

NO

4.1 Stressful Postures

- Make sure cables are kept tidy

1.2 Vehicles

- Stick to speed limits when

driving to and from college with
equipment

4.2 Lifting / Handling

Make sure not to lift

too much equipment in
one go and help each
other out.

Make sure to have

frequent breaks when
needed so we dont
get too tired/fed up.

Make sure not to trip or

stub your toe on the
bed frame by carefully
walking around the
bed.

- When driving make sure I am not

distracted by anyone in the car.

1.3 Camera Grip Equipment

4.3 Inadequate Breaks

1.4 Falling Equipment

4.4 Restricted Visibility (viewfinder)

1.x Other Mechanical Hazards

4.5 Camera Tracking/Crabbing

2. Electrical Hazards

2.1 Direct Contact

2.2 Indirect Contact

YES

NO

COMMENTS
- Make sure hands are not wet
when touching/using the camera
equipment

4.6 Working at Height

4.x Other Workplace Hazards

5. Hazardous Substances

YES

NO

COMMENTS
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FORM RA 001

2.3 Short Circuit / Overload

5.1 Explosive / Biological / Chemical

2.4 Source of Ignition

- Make sure any food and drinks

are kept away from plug sockets

5.2 Substances in set construction

2.5 Proximity to Water

- Make sure drinks are kept away

from the camera equipment

5.x Other Hazardous Substances

3. Production Activities

YES

NO

6. Environmental Hazards

3.1 Extreme Sports

6.1 Localised Hot / Cold Surfaces

3.2 Animals (working with or proximity to)

6.2 High / Low Ambient Temp.

3.3 Fight sequences

3.4 Potential Intervention from Public

6.3 Poor Lighting

- Make sure to tell other members

of my family to keep noise down
and not interrupt when we are
filming

3.5 Potential for Assault

3.6 Noise pollution

3.7 Smoking

6.4 Confined spaces

6.5 Poor Weather

- Tell members of my family to

stay downstairs when we are
filming and not to make too much
noise.

YES

NO

COMMENTS

Shut curtains or switch

the lights on in my
bedroom if needed.

Make sure to only

have the minimum
amount of people in
the bedroom at one
time to avoid tripping
over each other and
getting hurt.

If the weather is
poor/dark outside then
switch the lights on in
the bedroom.

6.6 Uneven/Slippery Surfaces

6.7 Unsafe structures

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FORM RA 001

3.8 Alcohol

6.8 Sharps & breakages

3.x Other Production Activity Hazards

6.x Other Environmental Hazards

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FORM RA 001

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.

Likelihood

Risk
Score

Consequence

Very unlikely might happen once in 5 years

No injury

Unlikely would not happen in 2-3 years

Minor - minor injury requiring first aid

Fairly Likely would expect to happen once a year

Moderate - up to three days absence

Likely could occur 2-3 times a year

Major more than three days absence

Very Likely likely to happen 2-3 times a week

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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 CONSEQUENCE

FORM RA 001

10

15

20

25

12

16

20

12

15

10

LIKELIHOOD

17-25

UNACCEPTABLE Stop the activity and make

immediate improvements

10-16

TOLERABLE look to improve within a specified

timescale

ADEQUATE Look to improve at next review

5-9

1-5

ACCEPTABLE no further action but ensure

controls are maintained

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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