Fieldwork Risk Assessment Form

Fieldwork Risk Assessment Form

Contact details: / First Aid qualifications: / Position/Role on Field Course:
Fieldwork Leader / Supervisor:
Other participants:
If solo fieldwork and/or unsupervised undergraduate / postgraduate fieldwork involved elaborate here :
Brief description of and reason for Fieldwork:
If applicable:
Number of participants: / Participants with special needs / under 18's / other:
Staff to participant ratio: / First Aid staff to participant ratio:
Fieldwork Details:
Time period / Dates: / Activities: / Permissions/licenses required: / Specialised equipment / training required / Other comments:
Travel Arrangements:
Accommodation details:
Other third party providers:
Checklist of prerequisites: / Yes / No / Yet to do / NA / Comment
Read BEES Field safety manual and sign consent at bottom of this RA form.
Health Questionnaire (including next of kin contacts) and consent form retrieved from all participants if necessary
Contacts for Medical Service and Emergency Protocol / Local GP, Hospital & Emergency services / School/Base Emergency Contacts / Irish Embassy / consulate / UCC Overseas 24 hr Emergency Medical Contact: AIG Assistance
Phone: 0044 208 762-8514 Travel Policy Number: PAE61285
Hazard identified / Control measures in place / Further control measures required including methods and timescale for implementation / Action by / Residual Risk Level (i.e. risk after controls) Low / Moderate / Substantial / High
Yes / No / NA
Follow Tier 1 or 2 protocol as appropriate: / Overall risk level is LOW / Tier 1: approval by Fieldwork Leader, forward to Approvals Board for records only
Overall risk level is MODERATE TO HIGH / Tier 2: forward to Approvals Board for assessment and approval.
I have read and understood the School of BEES Guidance on Safety in Fieldwork Manual. I am fully aware of my responsibilities within the School policy, as an individual researcher / Fieldwork Leader / Supervisor to myself and to my co-workers / student(s) (delete as appropriate).
Signature of Fieldwork Leader: / Date:
Tier 2: / Date: / Approved / Not Approved
Signature of Approvals Board member(s):
Signature of Head of School:
Further Action required: