Assessment Outcome

Recommendation

Overall Risk Category

Type

Other

Action Plan

CRB Recommendation

Action Point 1

Ref. No.

Action required

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Target date

How was completed action verified?

Date of confirmation
Action Point 2

Ref. No.

Action required

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Target date

How was completed action verified?

Date of confirmation
Action Point 3

Ref. No.

Action required

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Target date

How was completed action verified?

Date of confirmation
Action Point 4

Ref. No.

Action required

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Target date

How was completed action verified?

Date of confirmation
Action Point 5

Ref. No.

Action required

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Target date

How was completed action verified?

Date of confirmation
Action Point 6

Ref. No.

Action required

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Target date

How was completed action verified?

Date of confirmation

Basic Details

Contact Name

Street Address

District

Town

County

Postcode

Health and Safety Contact

Tel. No.

Email address

Website address

Size of organisation

Image (if appropriate)

Insurance

1.1 Is the employers' liability insurance policy current and is other insurance cover in place as appropriate to the business' undertaking (e.g. public liability and vehicle insurance)?

Employers liability

Insurance company

Policy number

Liability level (£M)

Expiry date
Public liability

Insurance company

Policy number

Liability level (£M)

Expiry date

Basic Health and Safety Requirements

1.3 Has the organisation registered with the appropriate enforcing authority for health and safety (OSR1 / F9 Form)?

Comments / Actions

1.4 Does the organisation display appropriate health and safety signs and notices?

Comments / Actions

1.5 Does the organisation keep up to date with the requirements of health and safety legislation? How does the organisation access Health and Safety Advice?

Comments / Actions

1.6 Has the organisation received any prosecutions, prohibitions, or Improvement Notices served by the Health and Safety Executive, Environmental Health Officer or Fire Service in respect of any Health and Safety or fire legislation? Do you have any investigations pending? (If yes to any of the above, give details)

Comments / Actions

1.7 Does the Organisation have a Safeguarding Policy? (Copy obtained)

Comments / Actions

1.8 Child Protection: Have child protection issues been considered and appropriate actions implemented to safeguard young people? (Staff CRB checked)

Comments / Actions

1.9 In relation to CRB checks: if disclosures are evidenced, how are they assessed and managed by the provider?

Comments / Actions

Health and Safety Policy and Risk Assessment

2.1 Is there a current health and safety policy in place? Is it dated and signed?

Comments / Actions

2.2 Does the policy include arrangements for the health and safety of young people?

Comments / Actions

3.1 Have risk assessments been carried out to identify significant risks and put adequate risk control measures in place? (Copy obtained)

Comments / Actions

Accidents, Incidents and First Aid

4.1 Have adequate arrangements for first aid equipment and/or facilities been made?

Comments / Actions

4.2 Have adequate arrangements for first aiders and/or appointed persons been made?

Comments / Actions

Who is responsible for first aid?

To whom should accidents be reported?

4.3 Are accidents and first aid treatment appropriately recorded?

Comments / Actions

4.4 Are schools/parents informed of any accidents? If so, how?

Comments / Actions

4.5 Are or will all RIDDOR reportable events be reported to the enforcing authority and will the Organisation investigate and take suitable remedial action?

Comments / Actions

Supervision, information, instruction and training

5.1 Do arrangements for the initial induction and training of young people appear to be adequate? What arrangements are in place?

Comments / Actions

5.2 Who is the named person in the organisation responsible for the pupils?

5.3 Do arrangements for the supervision of students appear to be adequate (including lunch breaks)? What arrangements are in place?

Comments / Actions

5.4 Do pupils go off site for lunch? If so, how are the school/parents made aware of this?

Comments / Actions

5.5 Do you have arrangements for monitoring attendance and how do you report this to schools?

Comments / Actions

5.6 Do teaching staff visit you to check on the progress of students? If so, how often?

Comments / Actions

5.7 Is ongoing health and safety information, instruction and training given to all employees? Recent example?

Comments / Actions

Work equipment and machinery

6.1 Is machinery and work equipment installed and operating at the appropriate standards (e.g. guards, emergency stop buttons, anti-glare screens etc.)?

Comment / Action

6.2 Is machinery and work equipment adequately maintained?

Comment / Action

6.3 Are safe electrical systems and equipment provided and maintained?

Comment / Action

Personal equipment, fire and emergencies

7.1 Is PPE/C provided, free of charge, to learners as determined through risk assessment?

Comments / Actions

7.2 What arrangements are in place to ensure that PPE/C is used properly and effectively?

Comments / Actions

8.1 Has a suitable and sufficient fire risk assessment been carried out?

Comments / Actions

8.2 Are adequate arrangements in place for dealing with fires and other emergencies?

Comments / Actions

Safe and healthy working environment

9.1 Are premises and the working environment safe and healthy?

Comments / Actions

9.2 Are adequate welfare facilities and arrangements provided?

Comments / Actions

9.3 Are measures in place to ensure that the risks presented by workplace traffic are properly controlled?

Comments / Actions

9.4 Do pupils go out on visits to other sites as part of the programme?

Comments / Actions

9.5 If so, are schools and parents informed and how is that undertaken? Also, what are staffing ratios?

Comments / Actions

9.6 If learning takes place at other locations e.g. work experience, work placements etc. do arrangements include assessing Health and Safety and Safeguarding suitability prior to the learning taking place? (Sample copies of H&S audits, Risk Assessments required)

Comments / Actions

9.7 Do staff who conduct Health and Safety visits/assessments hold appropriate qualifications? If so, what are they?

Comments / Actions

9.8 How is information passed back to schools / parents about the risks attached to going on a placement?

Comments / Actions

9.9 What are the arrangements for monitoring attendance on work placements and how are these reported back to schools?

Comments / Actions

Provider statement and Agreement

I confirm that the information recorded herein is true and that:

- opportunities will be open equally to learners regardless of gender, race, disability, cultural and religious beliefs.

- learners will carry out meaningful work, planned and supervised by competent person(s) at all times, and the provider will take responsibility for the health, safety and welfare of learners during the period of engagement / provision.

- the provider will comply with all relevant current health and safety legislation and official guidance and is registered with the appropriate enforcement authority.

- learners will not do work prohibited by law - for example operate dangerous machinery, carry out manual handling tasks or handle dangerous substances that may endanger their health or safety.

- at the commencement of their provision learners will be given a health and safety induction which will include hazards, control measures, fire, emergencies, first aid, accident reporting and security and welfare arrangements.

- learners will be briefed on and have access to whatever first aid facilities and arrangements are provided for employees.
the organisation will provide and maintain suitable & appropriate equipment and machinery which is safe and without risk to the health of the learner.

- learners will be given appropriate instruction before and close supervision while operating machinery or equipment or handling substances.

- learners will be provided with and instructed on the correct use of appropriate personal protective clothing / equipment and its use will be enforced.

- learners will be covered, for the period of the provision by the appropriate insurance and insurers suitably notified. Where appropriate learners are similarly covered by any relevant Motor Vehicle insurance.

- the provider complies with RIDDOR 1995 and in the case of any accident, incident, sickness, or behaviour considered unacceptable by the placement the learners’s school or relevant authority will be informed, without delay, by telephone.
the provider will allow access for Local Authority staff or their representative to carry out accident investigation or check agreement compliance.

- the provider will take into account any information, supplied by parents / guardians or school relating to the learners’ specific support needs so as not to create additional risks either to the learner or staff.

- the provider will ensue that learners are safe from bullying and harassment and that adequate Child Protection / Safeguarding measures are in place.

Signature

Position in company

Date
EBP Assessor

Assessment summary

Does there appear to be a High, Medium, or Low level of risk associated with the placement occupational context?

Does there appear to be a High, Medium, or Low level of risk associated with the Employer's compliance and understanding of Health and Safety Issues?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.