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Watch: Health, safety and medical

What is a... Stunt Coordinator? | Careers in Film 1:52Reel Opportunities · original on YouTube

Watch · 1:52

What is a... Stunt Coordinator? | Careers in Film

Reel Opportunities · original on YouTube

Career ladder

From first job to head of department

Two separate professions, not one ladder. Both are hired by production and usually come from an existing profession. Not Bectu grades; common practice.

Medical

  1. Entry grade First responderAlso: e.g. FREC 3 First aid cover on smaller shoots and crowd days.
  2. Step 2 Unit medicAlso: set medic Medical cover for the unit, call to wrap.Watch and read
  3. Top of the ladder Lead medicAlso: medical coordinator Medical cover across a large production.

Health and safety

Parallel ladder
  1. Entry grade Assistant health and safety adviser Inductions, checks and paperwork for an adviser.
  2. Step 2 Health and safety adviser Advises the production on risk and compliance.Watch and read
  3. Top of the ladder Production safety managerAlso: senior adviser Safety across a slate or a studio.
Grade by grade: what you need before moving up
Medical
GradeWhat you doBefore moving up
First responderAlso: e.g. FREC 3First aid cover on smaller shoots and crowd days.Experience in events or pre-hospital care.
Unit medicAlso: set medicMedical cover for the unit, call to wrap.Registration as a paramedic (HCPC) or nurse (NMC), or advanced first response.
Lead medicAlso: medical coordinatorMedical cover across a large production.Several productions as unit medic.
Health and safety
GradeWhat you doBefore moving up
Assistant health and safety adviserInductions, checks and paperwork for an adviser.A recognised safety qualification.
Health and safety adviserAdvises the production on risk and compliance.Industry experience and professional membership, such as IOSH.
Production safety managerAlso: senior adviserSafety across a slate or a studio.Chartered status and years of production experience.

HSE: theatre, film, TV and broadcasting · Every department's ladder: Careers A–Z · Getting work · Working freelance

Safety first

Health, safety and speaking up

Everyone on a unit has a duty to work safely and to speak up. The safety adviser and the medic help the producer meet the legal duty. Here's what every new starter needs to know before day one.

Start the safety module Take the safety check

Watch first

Module 1 of Your first day on set. Mark them done there to track your progress.

The hazards

7

What hurts people in this department on UK sets, and what keeps them safe.

  1. The briefingListen to every safety briefing. It tells you the hazards, where to stand and who's in charge. Missed it? Say so.
  2. Trips, slips and cablesThe commonest accidents. Watch your feet, keep walkways clear, ramp cables.
  3. Lifting and carryingKit is heavy. Lift with your legs, ask for help, use trolleys.
  4. Height and overheadNever work at height without training. Never stand under a load being lifted.
  5. Hours and fatigueLong days lead to mistakes and car crashes. Know the 48-hour average and your rest breaks, and say if you're too tired to drive.
  6. Mental health and bullyingLong hours, pressure and bad behaviour hurt people. You can report bullying and harassment, and get free support any time.
  7. Accidents and near missesReport every accident and near miss to your HoD and the medic. It goes in the accident book.

Who is responsible

  • The producer, as employer, is responsible in law.
  • The health and safety adviser advises and checks.
  • The unit medic gives first aid and keeps records.
  • Everyone has a duty to work safely and to speak up.

As a trainee, never

  • Never ignore a hazard because someone senior walked past it.
  • Never work at height or with machinery you haven't been trained on.
  • Never keep an accident or near miss to yourself.

Anyone can say stop. If something feels wrong, say so to your head of department or the 1st AD.

Where this comes from

Checked 13 November 2026. This is awareness, not a safety qualification: follow your production's risk assessment and your head of department.

Check yourself

4 situations. Get them all right.

Pass the safety check before the rest of the path. One wrong safety answer means try again. It's practice, and your answers stay on this device.

Question 1: You see a stand without a sandbag in a busy walkway. It's not your department.

Question 2: You trip on a cable and hurt your wrist. It's probably fine.

Question 3: It's day 11 in a row of 13-hour days. You're nodding off at the wheel on the drive home.

Question 4: A HoD keeps making comments about your faith in front of the crew.

Health, safety and medical, in detail

What it does on a UK unit

Health and safety law applies to every UK production, paid or unpaid. The employer, usually the production company, holds the legal duty, and the HSE is clear it can't be delegated.

Day to day the producer is responsible and the 1st AD runs safety on the floor. HoDs answer for their own crews and kit.

Productions bring in two kinds of specialist to help:

  • A health and safety adviser. The HSE suggests one for complex, hazardous or specialist productions. They review risk assessments, visit locations, advise on stunts, SFX, water, heights and vehicles, and help set up the safety system. They advise; they don't take over the producer's duty.
  • A unit medic. Employers must provide adequate first aid, based on a first aid needs assessment (Health and Safety (First-Aid) Regulations 1981). On drama that usually means a medic on the unit, and extra cover on stunt, SFX and water days.

Who it works with

  • Producer and production manager: the safety system, the budget and the decisions.
  • 1st AD: the safety briefings and the order of work on the floor.
  • Stunt coordinator and SFX supervisor: risk assessments for hazardous action.
  • Locations and construction: recces, set builds under the CDM Regulations 2015, and welfare.
  • Every crew member: reporting injuries, near misses and anything that looks wrong.

Kit and vocabulary

Term What it means
Risk assessment Identifying hazards, who could be harmed and how the risk is controlled
RAMS Risk assessment and method statement, often written by a specialist department
Dynamic risk assessment Reassessing as conditions change on the day
First aid needs assessment The employer's assessment of what first aid cover is needed
RIDDOR The rules for reporting serious injuries and incidents to the enforcing authority
CDM 2015 The construction regulations that apply to set builds
Near miss An event that could have caused harm but didn't; report it

How to get in

You come to both jobs from another career. Medics come from the ambulance service, nursing, the forces or event medicine. Safety advisers come from health and safety practice, often in construction, events or broadcasting, or from production roles followed by safety qualifications. Every new entrant, in any department, should know the basics: the Mark Milsome Foundation's online PSA1 production safety awareness course is a good start.

Pay

There is no Bectu rate card for medics or safety advisers. Medics and advisers are usually booked through specialist companies, and rates are agreed with the production.

Where Futures in Film helps

Where we come in

Hold a health, safety and medical grade on a crewed unit.

ApplyTrain in Health, safety and medical

Last reviewed 9 November 2026