Risk assessment of student placement Please use the attached risk factor guidance (Appendix A) to complete the following. Risk Assessment of job role. Risk to student Final risk to If Medium or If Medium or Initial risk to student after High Risk - High, are Risk student control measures please detail Control Measures (High, Medium or are applied. the Specific in place? Low) (High, Medium or Risk to (Provide basic Low) student details) (Provide basic details) If Low please leave blank Work Related Factors e.g. could there be any time that the student may be left alone on the premises? Travel and Transportation Factors Location and/or Regional Factors Please add a '' in the box next to the statements that apply to this placement For students with any identified individual factors, a personal Agree Individual Student Factors action plan will be agreed For students with any between the placement provider individual and the student. Disagree HIGH LOW Overall assessment of Yes Are the risks tolerable? No Contact Personnel: Responsible for Health and Safety Management/Student Placements The above Risk Assessment has been completed to the best of my knowledge and belief Name: Position: Tel No: Signed:_______________________ Position: Date: You can access SHU's Lone Working policy from our website at section SHU Policies/Student Support and Guidance
Risk assessment of student placement Please use the attached risk factor guidance (Appendix A) to complete the following. Risk Assessment of job role. Risk to student Initial risk to student (High, Medium or Low) If Medium or High Risk - please detail the Specific Risk to student (Provide basic details) If Low please leave blank If Medium or High, are Risk Control Measures in place? (Provide basic details) Final risk to student after control measures are applied. (High, Medium or Low) Work Related Factors e.g. could there be any time that the student may be left alone on the premises? Travel and Transportation Factors Location and/or Regional Factors Please add a '' in the box next to the statements that apply to this placement Individual Student Factors For students with any individual For students with any identified individual factors, a personal action plan will be agreed between the placement provider and the student. Agree Disagree Overall assessment of HIGH LOW Are the risks tolerable? Yes No Contact Personnel: Responsible for Health and Safety Management/Student Placements The above Risk Assessment has been completed to the best of my knowledge and belief Name: Position: Tel No: Signed:_______________________ Position: Date: You can access SHU's Lone Working policy from our website at section SHU Policies/Student Support and Guidance
2018SWPracticeLearningAndPlacementApprovalAudit_v5.docx