Location List
Show: _5 Minute drama________________________Production#_____________________
Set Location
|
Actual Location
(Address & Telephone No.)
|
Date and Days
(Prep/Shoot/Strike)
|
Contacts
(Owner & representative)
|
Beaconsfield woods
| Beaconsfield , Buckinghamshire |
19th April 2012
|
Beaconsfield , Buckinghamshire
|
| Beaconsfield train staion | Beaconsfield , Buckinghamshire |
19th April 2012
|
Beaconsfield , Buckinghamshire
|
Beaconsfield alley way
| Beaconsfield , Buckinghamshire |
19th April 2012
|
Beaconsfield , Buckinghamshire
|
Beaconsfield bridge
|
Beaconsfield , Buckinghamshire
|
19th April 2012
|
Beaconsfield , Buckinghamshire
|
Props List
Show: 5 Minute Drama
Item
|
Where it is sourced from?
|
Date used
|
Mobile Telephone
|
Josh
|
19/4/12
|
Cigarette
|
Ollie , seb , firthy
|
19/4/12
|
Lighter
|
firthy
|
19/4/12
|
| Glasses | ollie |
19/4/12
|
Costumes
Show: 5 Minute Drama
Character
|
Clothing
|
Scene
|
Ollie
|
Barbour jacket
Jeans
Trainers
|
Throughout drama
|
Seb
|
Hoody
Jeans
Traniers
|
Throughout drama
|
Firthy
|
Hoody
Jeans
Traniers
|
Throughout drama
|
Hugh
|
Hoody
Jeans
Traniers
|
Throughout drama
|
Cast Contact List
Show: 5 Minute Drama
Character Name
|
Name
|
Telephone Number
|
Ollie
| Oliver Woolf |
07175******
|
Seb
| Sebastian Monson |
07974******
|
Firthy
| James Firth |
07364******
|
Hugh
| Hugh Furness |
07375 ******
|
|
ACTIVITY
|
HAZARD
|
RISK
H/M/L
|
PRECAUTIONS
|
REVIEW DATE
|
REVIEWER
| |
Lighter
Trips or falls
| Something could very easily get caught on fire. It will be dark so someone could fall over something | M L | ||||
Please leave this section blank:
Risk Assessment checked by: Name ………………………………………………….. Signed …………………………………………………. Date ……………………
| ||||||
KEY: Activity : Describe the component part of your pursuit.
Hazard : List the things you anticipate might cause harm or the things associated with your activity that have the potential to cause harm. Consider the likely harm.
Risk: Assess the risk as either H (High), M (Medium) or L (Low). When concluding your assessment consider all of the circumstances.
Precautions: Consider what you could do to minimise / negate the risk.
In Place: Will the precautionary measures be in place at the time of the activity?
Review Date: When would it be reasonable to review your assessment? Remember it might be whilst you are undertaking the activity.
Reviewer: Name of the person responsible for completing the risk assessment.
A copy of this form should be taken on the activity or visit by the Reviewer.
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