Risk assessment of student placement Please use the attached risk factor guidance (Appendix C) to complete the following. Risk Assessment of Risk to student job role. risk to student If Medium or High If Medium or High, are Initial risk to after control Risk - please detail Risk Control student measures are applied. the Specific Risk to Measures in place? (High, Medium (High, Medium or student (Provide (Provide basic details) or Low) Low) 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 Individual Student For students with any identified Agree Factors For individual factors, personal action students with any plan will be agreed between the individual placement provider and the student. Disagree Overall assessment of risks 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 under section SHU Policies/Student Support and Guidance
Risk assessment of student placement Please use the attached risk factor guidance (Appendix C) 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 details) If Low please leave blank If Medium or High, are Risk Control Measures in place? (Provide basic details) 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 Individual Student Factors For students with any individual For students with any identified individual factors, personal action plan will be agreed between the placement provider and the student. Agree Disagree Overall assessment of risks 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 under section SHU Policies/Student Support and Guidance
20178AuditPA.docx