Employer Details Company name: Name of main contact: Registered address Health & Safety contact: (if any) Number of employees: Postcode Telephone No. Mobile No. E-mail address: Nature of work: Employers Liability Insurer Policy number Expiry date Information for the provider: Please note that the college is unable to place learners in any business that cannot provide evidence of current valid Employer Liability Insurance. Not to be confused with Public Liability. Name of Supervisor(s) Names of learners against this assessment 1 8 2 9 3 10 4 11 5 12 6 13 7 14 Occupational to be Undertaken Key Tasks, Location & Areas Hazards & significant Risk control measures List things that the student will be doing Just list significant hazards that could How is this managed? lead to injury
Employer Details Company name: Name of main contact: Registered address Postcode Health & Safety contact: (if any) Number of employees: Telephone No. Mobile No. E-mail address: Nature of work: Employers Liability Insurer Policy number Expiry date Information for the provider: Please note that the college is unable to place learners in any business that cannot provide evidence of current valid Employer Liability Insurance. Not to be confused with Public Liability. Name of Supervisor(s) Names of learners against this assessment 1 8 2 9 3 10 4 11 5 12 6 13 7 14 Occupational to be Undertaken Key Tasks, Location & Areas List things that the student will be doing Hazards & significant Just list significant hazards that could lead to injury Risk control measures How is this managed?
Work-Based-Health-and-Safety-Guidance-and-Procedure-HS003-01.docx