Appendix 2. Example overseas travel risk assessment OVERSEAS TRAVEL RISK ASSESSMENT FORM TEMPLATE ONLY PLEASE EDIT FOR EACH SPECIFIC TRIP. – Risk Assessment For Assessment Undertaken By Assessment Reviewed Service / School: Name: Name: This section to be used if this risk assessment is to be used for further identical trips Location of Activity: Date: Date: [insert location, country] Activity: Persons name overseas travel to (insert Signed by Dean of School / equivalent or location, country, travel modes / dates and describe nominee: This risk assessment must be reviewed fully the activities to be undertaken date of travel, against latest 2 weeks prior to travel leisure activities with inherent risks, etc.) REF: Date: Note: Not all of the hazards or controls listed below will be relevant to your intended travel - delete as appropriate List significant hazards List groups of List existing controls, or refer to safety procedures etc. For risks, which are not Remaining here: people at adequately controlled, list level of risk: actions needed. risk: high, med or low Personal to Persons name Ensure staff receive required Insert level ‘fitness’ travel disabilities, vaccinations and health of risk for – Traveller advised to see their GP and seek medical advice on their surveillance as appropriate via medical each hazard fitness to travel and vaccinations required for travel to (Country). conditions, country University Occupational Health identified. Regular travellers overseas to have medical examinations; specific diseases, etc Provider / GP after (e.g. Malaria, Typhoid, controls Traveller must have had necessary vaccinations and purchased Consult FCO: Hepatitis A, Diphtheria, have been anti-malarial drugs prior to travel (where necessary); Yellow Fever). implemented No member of staff or student is permitted to travel on University business against advice of their GP. Detail any relevant Consult FCO:
Appendix 2. Example overseas travel risk assessment OVERSEAS TRAVEL RISK ASSESSMENT FORM TEMPLATE ONLY – PLEASE EDIT FOR EACH SPECIFIC TRIP. Risk Assessment For Assessment Undertaken By Assessment Reviewed Service / School: Name: Name: This section to be used if this risk assessment is to be used for further identical trips Location of Activity: [insert location, country] Date: Date: Activity: Persons name overseas travel to (insert location, country, travel modes / dates and describe fully the activities to be undertaken date of travel, leisure activities with inherent risks, etc.) Signed by Dean of School / equivalent or nominee: This risk assessment must be reviewed against latest 2 weeks prior to travel REF: Date: Note: Not all of the hazards or controls listed below will be relevant to your intended travel - delete as appropriate List significant hazards here: List groups of people at risk: List existing controls, or refer to safety procedures etc. For risks, which are not adequately controlled, list actions needed. Remaining level of risk: high, med or low Personal ‘fitness’ to travel – disabilities, medical conditions, country specific diseases, etc (e.g. Malaria, Typhoid, Hepatitis A, Diphtheria, Yellow Fever). Detail any relevant Persons name Traveller advised to see their GP and seek medical advice on their fitness to travel and vaccinations required for travel to (Country). Regular travellers overseas to have medical examinations; Traveller must have had necessary vaccinations and purchased anti-malarial drugs prior to travel (where necessary); No member of staff or student is permitted to travel on University business against advice of their GP. Ensure staff receive required vaccinations and health surveillance as appropriate via University Occupational Health Provider / GP Consult FCO: Consult FCO: Insert level of risk for each hazard identified. after controls have been implemented
FM_SHE_013_Overseas_Staff_Travel__Guidance_rev.docx