Documente Academic
Documente Profesional
Documente Cultură
Location address
and Contact No.
Media Factory
UCLan
Name
Designation
Room No
4/3/16
Claire Robinson/
Paddy Robinson
Tick the hazards identified then refer to the Safety Rules and Guidance
HAZARD - Pre-vetted
Contractors - attach specific
assessment
Aircraft / "special" flying
Armourers
Costume/Make-Up Vehicle
Diving Operations
Explosives/Pyrotechnics/ Fire effects
Flying Ballet
Hydraulic Hoists (Cherry Pickers)
Lasers
Location Catering
*
*
*
*
*
*
*
HAZARD
HAZARD
Access/egress
Machinery
Animals
Audience/Public
Communication Failure
Mines/excavations/caves/tunnels/quarries
Noise (attach specific assessment)
Compressed gas/cryogenics
Confined spaces
Physical exertion
Electricity or gas
Speed
Fire/Flammable material
Fight sequence
Scaffolds
Smoke Effects
*
*
Glass
Hazardous substances/ chemicals/ drugs microorganisms (attach specific - assessment)
Heat/cold
Hostile Environment: (attach confirmation of
clearances from Senior Management)
Inexperienced performer or children
N.B. for children, risk assessment must be
provided to parents or guardian.
Lifting appliances/ machinery
Stunts
Physical Effects
Weather
Working at heights
Other
Bldg.
4/3/16
Details of Activity
Briefly Describe what is intended. For clarity, this may include sketches/story board/diagrams/checklists
Recreation of a scene from TV Series Fargo. It will be filmed in and around a small elevator. Storyboards and checklists will be used in order to help with the
filming process.
For each of the above, evaluate the risks and decide whether existing precautions are adequate
or more needs to be done. Take into account information from contractors, premises
management, resource providers, and others about the risks and controls. List the proposed
controls for each significant hazard and identify any contingency plans in place for emergencies
or failures of safety critical arrangements, e.g. miss fire of explosive effect or stunt; car going off
road; member of public being door-stepped, turning violent. Include fire and first aid and
welfare arrangements.
All equipment will need to be stored in a safe place when not in use. When in
use, no loose wires must pose a threat of injury (ensure all wires are kept safe
and passers by are aware they are there)
As lift is still in operation, ensure doors arent open for a long period of time to
prevent alarms going off.
Ensure equipment is looked after and there are not broken pieces left on the
floor.
Ensure safety when climbing to reach crane shot- use another person for
support
Fake gun will be used. Ensure all use of gun is kept inside of elevator and away
from the public at all times.
Ensure public is notified before entering elevator of the fake gun.
4/3/16
4/3/16
Name (printed)
Interactive
Assignment
Hostile Environments
Interactive
Assignment
Hostile Environments
Date
Other (give details below)
Date
Other (give details below)
Producer - the term Producer refers to the person in control of the production, and not only to those with a Producer job title or grade. On any
programme the Producer is responsible for safety. This responsibility covers all staff, contributors, contractors or others who may be affected by
the production activity. The Producer can delegate duties to others, e.g. EM, gaffer, 1st AD, but responsibilities cannot be delegated. The
producer is responsible for ensuring that the person to whom he/she delegates a duty has sufficient experience, knowledge and status to perform
it safely.
FORMS/80NEWPRA6