H&S Appraisal (Med & High Risk) ED8e

• Company Name

1. COMPANY DETAILS

• 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 Agriculture, Horticulture, Fishing & Forestry Animal Care (Handling) Animal Nursing / Care (Veterinary) Automotive Engineering (HGV Repairs & Garages) Automotive Engineering (Franchise) Building Maintenance & Caretaking Care (Hospitals) Care (Residential Care) Catering (Kitchens) Chemical & Chemical Production Construction Engineering (Mechanical & Electrical) Equestrian Haulage & Transportation Hotels & Restaurants (Non Catering) Manufacturing (Heavy) Mining & Quarrying Outdoor Activity Centres (Non Licensed) Security Sports Utility Companies Warehousing & Wholesale Waste & Recycling Centres

  • Agriculture, Horticulture, Fishing & Forestry
  • Animal Care (Handling)
  • Animal Nursing / Care (Veterinary)
  • Automotive Engineering (HGV Repairs & Garages)
  • Automotive Engineering (Franchise)
  • Building Maintenance & Caretaking
  • Care (Hospitals)
  • Care (Residential Care)
  • Catering (Kitchens)
  • Chemical & Chemical Production
  • Construction
  • Engineering (Mechanical & Electrical)
  • Equestrian
  • Haulage & Transportation
  • Hotels & Restaurants (Non Catering)
  • Manufacturing (Heavy)
  • Mining & Quarrying
  • Outdoor Activity Centres (Non Licensed)
  • Security
  • Sports
  • Utility Companies
  • Warehousing & Wholesale
  • Waste & Recycling Centres

• 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

  NA

• Policy Seen?

  Yes

  No

• 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

  NA

• Available to staff?

  Yes

  No

• H&S Policy been seen?

  Yes

  No

• Name of Competent Person

• H&S Law Poster Displayed?

  Yes

  No

4. FIRST AID PROVISION

• Are there Appointed Persons?

  Yes

  No

• Is First Aid Equipment Present?

  Yes

  No

• Are arrangements suitable for the environment?

  Yes

  No

• Are trained First Aiders provided?

  Yes

  No

• Is emergency communication provided?

  Yes

  No

5. EMERGENCY PROCEDURES

• Have Risk Assessment(s) been conducted?

  Yes

  No

• Are suitable alarms in place?

  Yes

  No

• Are drills undertaken?

  Yes

  No

• Are Fire Extinguishers serviced?

  Yes

  No

• Are correct extinguishers provided?

  Yes

  No

• Are exits & routes kept clear?

  Yes

  No

• Are there adequate signs provided?

  Yes

  No

• Are emergency procedures displayed?

  Yes

  No

6. ACCIDENT REPORTING

• Is the Company aware of RIDDOR?

  Yes

  No

• Does the Company record accidents?

  Yes

  No

• Does the Company investigate accidents & incidents?

  Yes

  No

• Are the findings acted upon?

  Yes

  No

• Is the company aware of the need to report accidents involving the learner to Coleg Cambria?

  Yes

  No

7. WELFARE & HYGIENE

• Are adequate toilet & washing facilities provided?

  Yes

  No

• Is there a clean drinking water supply provided?

  Yes

  No

• Is housekeeping good?

  Yes

  No

• Is there adequate lighting provided?

  Yes

  No

• Is there adequate heating provided?

  Yes

  No

• Is there adequate ventilation provided?

  Yes

  No

• Are there adequate catering facilities provided?

  Yes

  No

8. ELECTRICITY AT WORK

• Is the Company aware of its responsibilities under the Electricity at Work Regs?

  Yes

  No

• Are arrangements in place to ensure electrical safety inspections are completed?

  Yes

  No

• Is there a procedure to remove faulty equipment from use?

  Yes

  No

• Are records maintained?

  Yes

  No

9. ASSESSMENT OF RISK

• Is the Company aware of its responsibilities under the Management of Health & Safety at Work Regs?

  Yes

  No

• Has the Company got appropriate written risk assessments in place?

  Yes

  No

• Examples Seen:-

  Select General RA COSHH Asbestos Young Persons Display Screen Equipment Livestock Manual Handling Noise Traffic Movement or Vehicle Use Working at Height

  • General RA
  • COSHH
  • Asbestos
  • Young Persons
  • Display Screen Equipment
  • Livestock
  • Manual Handling
  • Noise
  • Traffic Movement or Vehicle Use
  • Working at Height

10. WORK EQUIPMENT & PROCESSES

• Is the Company aware of its responsibilities under the Provision & Use of Work Equipment Regs?

  Yes

  No

• Is the Company aware of the need to provide training prior to equipment/process use?

  Yes

  No

• Are systems in place to ensure work equipment/processes are safe?

  Yes

  No

• Does the work the learner will be carrying out require any specific H&S training?

  Yes

  No

• Examples Seen:-

  Select Lifting Equipment Certificates LEV Certificates MOT Certificates Maintenance Records

  • Lifting Equipment Certificates
  • LEV Certificates
  • MOT Certificates
  • Maintenance Records

• Is Manual Handling training provided?

  Yes

  No

• Is the level of supervision suitable & sufficient?

  Yes

  No

• Is PPE provided by the Company?

  Yes

  No

• Are physical attributes needed by the learner?

  Yes

  No

• Is the company able to make suitable adjustments to accommodate learners with any disabilities or additional learning needs?

  Yes

  No

• Are pre-employment medicals or health surveillance required?

  Yes

  No

• How are control measures communicated to the learners?

  Verbally

  In Writing

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

  Yes

  No

  NA

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

  Yes

  No

• Are COVID measures in place?

  Yes

  No

11. PROHIBITIONS

• Have any prohibitions been applied during this assessment?

  Yes

  No

• P1.

• P2.

• P3.

• P4.

• P5.

• P6.

• P7.

• P8.

12. RECOMMENDATIONS

• R1.

• R2.

• R3.

• R4.

• R5.

13. ASSESSMENT

• Organisational Risk

  LOW

  MEDIUM

  HIGH

• Occupational Risk

  MEDIUM

  HIGH

• Overall Risk

  LOW

  MEDIUM

  HIGH

• This placement is considered:-

  ACCEPTABLE

  ACCEPTABLE WITH DEVELOPMENTS

  UNACCEPTABLE

14. DEVELOPMENT PLAN

• Have any developments been agreed during this vetting?

  Not Applicable

  Yes

• Development 1.

• Target date agreed (Dev 1)

  Date

• Development 2.

• Target date agreed (Dev 2)

  Date

• Development 3.

• Target date agreed (Dev 3)

  Date

• Development 4.

• Target date agreed (Dev 4)

  Date

• Development 5.

• Target date agreed (Dev 5)

  Date

15. CONFIRMATION BY PLACEMENT PROVIDER

• We agree to complete the developments listed in the plan in line with the agreed target dates.

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

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

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

• Signature

  Sign

• Date

  Date

16. APPRAISAL COMPLETED BY

• Appraisal Completed By

• Appraisal Completed With (Name)

• Appraisal Completed with (Role within Organisation)

QUALITY CHECK

• Checked and entered by PLACEMENT CO-ORDINATOR

  Yes

  No

• Development plan (where applicable) brought to the attention of the relevant HS&S Technician.

  Yes

  No

• Technician Allocated

• Additional Comments