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A - Production Information
Reference TV ADVERT CADBURY 2018 Confidential? -
Assessment title Meriden
Assessment Outline I will be shooting in Meriden village and the sound rounding area
Start date February 11th End date February 15th
Location details 8 Archery Road, Meriden, Coventry CV7 7LZ
Division - Department -
Series / Production / Unit - Programme / Area Advertising
Responsible Manager Ryan Hodgkins Contact details 01676521090
Key team members Ryan Hodgkins, Natalie Hodgkins and Oliver Hodgkins
Distribution & Comms -
Supporting documents -
Assessor Ryan Hodgkins Competence High
Authoriser Sophie Date authorised -
Privacy Notice - Personal information collected for the purposes of this form will be used to identify those at risk and those involved in controlling risk, from this or similar activities,
and to fulfil the laws of obligations under Health and Safety policy and legislation. It could be retained for up to 6 years after the conclusion of the event. It may be shared with other
organisations, including our agents and contractors, with whom the risk or the control of risk is shared.

Hazard Checklist – use this list to help you identify any significant hazards. Hazards in bold contain links to our Safety Guidelines.
Situational Tick Physical / Chemical Tick Health Tick
Asphyxiation / hypoxia (diving) Cold surface – contact with Allergic reaction
Attack by animal - Cold exposure / hypothermia Disease / infectious agent
Crush by load - Electric shock Fatigue / exertion -
Drowning - Explosive release of pressure Lack of food / water -
Entanglement in machinery Fire Repetitive actions
Falls from height - Hazardous substance Static body posture
Impact / collision (driving) - Heat exposure / exhaustion Psychological (stress /anxiety)
Manual handling Hot surface – contact with Human factors
Object falling, moving or flying Lasers Lack of the 4C’s *
Obstruction / exposed feature Noise Security / High Risk
Sharp object / material Radiation (ionizing) Abuse (child protection)
Slippery surface Radiation (non-ionizing) Personal abuse / threats
Stroboscopic light Vibration Assault by person
Trap in moving machinery Environmental Bomb threat / explosion
Trip hazard - Environmental damage / pollution Kidnap
High wind / air pressure - Environmental nuisance Shot by firearm
*Competence, Communication, Co-operation, Co-ordination

Location comments / amendments - use this box to record any last minute changes

Version – Mar 2017


Part B - Hazards, Controls and Risks
Activity
What is it you are doing and
where?
Cycling/Camera shoot
Cycling/Camera Shoot
Cycling/Camera shoot
Cycling
BBC Risk Assessment 2
Who is at Risk Significant Hazards Controls Risk rating
Anything about them Outline what could cause harm or Precautions which are / should be in place to control the risk of harm or damage All controls
which affects the risk? damage (use table in Part A to help you) applied (H/M/L)
Oliver Hodgkins Att ack by animal, in the Make sure that whatever fi eld we fi lm in, there is no animals in them L
Ryan Hodgkins surrounding fi elds
Oliver Hodgkins Crush by load, from delivery trucks Make sure to fi lm when the area is clear L
Ryan Hodgkins carrying shop goods
Oliver Hodgkins Drowning, cycling into the pond Sti ll as far away from the pond L
Ryan Hodgkins
Oliver Hodgkins Falls from a height, on the hill Film when there is hardly any wind, so to not risk of the actor been blown off the bike L

Cycling Oliver Hodgkins Fati gue/exerti on Take regular breaks, to ensure the actor is becoming stressed physically and mentally L
Eati ng Oliver Hodgkins Chocking Make sure both the crew and actor are stati onary when eati ng, especially when fi lming the L
Ryan Hodgkins actor eati ng the chocolate bar
Shooti ng Oliver Hodgkins Lack of food/water Make sure to bring excess of both of those to every shoot day L
Ryan Hodgkins

Version – Mar 2017