Risk assessment form
Here is a sample risk assessment form for a film shoot.
In this example a camera operator has to use a specially constructed platform to get footage of traffic on a busy dual carriageway.
| Hazards | Who is at risk | Precautions | Severity of injury | Chance of injury | Risk | Control measures |
| Falling from height | The camera operator | Scaffold has been constructed by a licensed contractor following industry and government guidelines. Guard rails, mid-rails and toeboards are in place. | Serious | Low | Low | Access to platform restricted to camera operator. Camera operator instructed not to lean over, stand on or lean against the guard rails. |
| Falling objects | Crew, motorists, and passers-by at ground level | Toeboards have been fitted to prevent objects slipping form platform. Platform has been positioned in an field adjacent to the road. | Serious | Low | Low | All equipment secured to scaffold. No loose items allowed. Barriers and warning signs to restrict access. |
| Scaffold collapsing | Crew and passers-by at ground level | Scaffold erected and regularly inspected by licensed contractor. | Serious | Low | Low | Scaffold checked before use. Scaffold not to be used in bad weather. |
| Hazards | Falling from height |
|---|---|
| Who is at risk | The camera operator |
| Precautions | Scaffold has been constructed by a licensed contractor following industry and government guidelines. Guard rails, mid-rails and toeboards are in place. |
| Severity of injury | Serious |
| Chance of injury | Low |
| Risk | Low |
| Control measures | Access to platform restricted to camera operator. Camera operator instructed not to lean over, stand on or lean against the guard rails. |
| Hazards | Falling objects |
|---|---|
| Who is at risk | Crew, motorists, and passers-by at ground level |
| Precautions | Toeboards have been fitted to prevent objects slipping form platform. Platform has been positioned in an field adjacent to the road. |
| Severity of injury | Serious |
| Chance of injury | Low |
| Risk | Low |
| Control measures | All equipment secured to scaffold. No loose items allowed. Barriers and warning signs to restrict access. |
| Hazards | Scaffold collapsing |
|---|---|
| Who is at risk | Crew and passers-by at ground level |
| Precautions | Scaffold erected and regularly inspected by licensed contractor. |
| Severity of injury | Serious |
| Chance of injury | Low |
| Risk | Low |
| Control measures | Scaffold checked before use. Scaffold not to be used in bad weather. |
