H&S Appraisal (Low Risk) ED7g

• Company Name

• Date

  Date

1. COMPANY DETAILS

• Company Name

• Address

• Is the placement at more than one location?

  Yes

  No

• Telephone No.

• Email

• No. of employees

• Contact Name

• Nature of Learner's Employment

  Select Administration & Management Animal Care (Other) Care (Childcare) Caretaking & Portering Education Hairdressing & Beauty Hotels & Restaurants (Non-Catering) Manufacturing (Light) Outdoor Activity Centres (Licensed) Retail Trade Sports

  • Administration & Management
  • Animal Care (Other)
  • Care (Childcare)
  • Caretaking & Portering
  • Education
  • Hairdressing & Beauty
  • Hotels & Restaurants (Non-Catering)
  • Manufacturing (Light)
  • Outdoor Activity Centres (Licensed)
  • Retail Trade
  • Sports

• Placement Type

  Select Apprenticeships Jobs Growth Wales ODL Traineeships WBL Work Experience

  • Apprenticeships
  • Jobs Growth Wales
  • ODL
  • Traineeships
  • WBL
  • Work Experience

• Age of Learner

  Select Under 18 Over 18

  • Under 18
  • Over 18

• Induction scheme

  Yes

  No

• Supervisors Name

2. INSURANCE PROVISION

• Is Employers' Liability Insurance in place?

  Yes

  No

• Policy Seen?

  Yes

  No

  N/A

• Insurance Company

• Policy No.

• Expiry Date

  Date

• Has the provider made their insurance company aware of the learner?

  Yes

  No

• Has the company been made aware of its responsibility to maintain suitable insurance during the period of the placement?

  Yes

  No

3. HEALTH & SAFETY POLICY

• H&S Policy Applicable?

  Yes

  No

  N/A

• Available to Staff?

  Yes

  No

• H&S Policy Seen?

  Yes

  No

• Name of Competent Person

• H&S Law Poster Displayed?

  Yes

  No

4. ASSESSMENT OF RISK

• Is the company aware of their responsibilities under the Management of H&S at Work Regs?

  Yes

  No

• Has the company got appropriate written risk assessments?

  Yes

  No

  N/A

• Has the company been made aware of the requirement to report accidents involving learners?

  Yes

  No

• Is the placement provider aware of their obligation to safeguard the learner and the need to report any concerns?

  Yes

  No

• Is the placement provider aware of their obligation to report any concerns relating to radicalisation?

  Yes

  No

• Are COVID measures in place?

  Yes

  No

• We agree to our company details being held for a period of 4 years.

• We agree to our data being used solely for the purpose of supporting work experience and work based learning programmes.

• We agree to our data being shared only with college staff, relevant students and college appointed partners for that purpose.

Overall Risk Rating confirmed as LOW

5. COMPLETED BY

• Appraisal Completed By

• Date

  Date

Checked and entered by PLACEMENT CO-ORDINATOR

• Additional Comments:-

• Have any prohibitions been applied?

  Yes

  No

• undefined

• undefined

• undefined

• undefined