Nelson & Colne College Group Workplace Health & Safety Appraisal

• Employer:

• Conducted on

  Date

• Prepared by

• Next appraisal due by:

  Date

Employer Details

• Address Line 1:

• Address Line 2:

• Address Line 3:

• Post code:

• Type of business:

• Placement contact name:

• Position:

• Telephone No:

• E-mail:

• Is the primary contact responsible for health and safety?

  Yes

  No

• Person responsible for health and safety:

• Position:

• No of employees:

• Risk banding:

  Low - 3 Years

  Medium - 2 Years

  High - 1 Year

Learner Details

• Learners 16 and 17:

• Learners 18+:

• Learner’s Course(s) / Type of Experience:

• Training Programme:

  Select Apprenticeship Work Experience Industry Placement T-Level Degree

  • Apprenticeship
  • Work Experience
  • Industry Placement
  • T-Level
  • Degree

Employer’s Liability Insurance

• Is a copy of the ELI certificate already on file?

  Yes

  No

• Copy of certificate:

  Media

• Policy number:

• Expiry Date:

  Date

• Insurance Company:

• Has the Insurance Company been informed of Learners?

  Yes

  No

  N/A

• Will any other insurance coverage be required?

  Yes

  No

• Details:

Standard 1 - Health & Safety Policy

• Is there a clear commitment to health, safety and welfare (written policy statement mandatory when 5 or more employees)?

  Yes - Written

  Yes - Verbal (<5 employees)

  No

• Date of written policy:

  Date

• Signed by:

• Are the responsibilities for H&S clearly stated (in writing when 5 or more employees)? E.g. H&S, first aid, and fire provisions.

• Are arrangements for H&S clearly stated (recorded when 5 or more employees)? E.g. First aid and fire evacuation procedures.

  Yes - Written

  Yes - Verbal (<5 employees)

  No

• How is initial health and safety information, instruction, and training given to all new employees on recruitment?

  Select Meetings Notices E-mails Staff Induction Staff Handbook Company Training Site Induction Intranet Risk Assessment Method Statements (RAMS) Other

  • Meetings
  • Notices
  • E-mails
  • Staff Induction
  • Staff Handbook
  • Company Training
  • Site Induction
  • Intranet
  • Risk Assessment Method Statements (RAMS)
  • Other

• Other:

• Assessment of Standard 1:

  Met

  Part Met

  Not Met

Standard 2 - Risk Assessment and Control

• Have risk assessments been carried out on procedures and substances used and significant risks identified?

  Yes - Documented

  Yes - Verbally

  No

• Risk assessments undertaken:

  Select Fire Work Equipment Noise COSHH PPE Electricity Gas Manual Handling DSE Radiation Lead Asbestos Working at height Lone Working Other

  • Fire
  • Work Equipment
  • Noise
  • COSHH
  • PPE
  • Electricity
  • Gas
  • Manual Handling
  • DSE
  • Radiation
  • Lead
  • Asbestos
  • Working at height
  • Lone Working
  • Other

• Other:

• Have control measures been identified and put in place as a result of the risk assessment?

  Yes

  No

What measures are in place to minimise the risk to Young Persons (16-17), considering their immaturity, inexperience and lack of awareness?

• Would the employer take a learner aged 16-18?

  Yes

  No

• Is there a Young Person Risk Assessment in place?

  Select Yes No Young Person Risk Assessment Checklist run through

  • Yes
  • No
  • Young Person Risk Assessment Checklist run through

• Is there a Safeguarding Policy in place?

  Yes

  No

• Assessment of Standard 2:

  Met

  Part Met

  Not Met

Standard 3 - Accidents, Incidents and First Aid

• What arrangements for First Aid materials been made?

  Select First Aid Box(es) Eye Wash Burns Kit Defibrillator Treatment Room Other

  • First Aid Box(es)
  • Eye Wash
  • Burns Kit
  • Defibrillator
  • Treatment Room
  • Other

• Who will deliver First Aid treatment?

  Select First Aid trained staff Self-administered Emergency services Previous experience / training (not in date) Untrained staff

  • First Aid trained staff
  • Self-administered
  • Emergency services
  • Previous experience / training (not in date)
  • Untrained staff

• Number of First Aid trained personnel:

• Type of First Aid training:

  Select Full (3-day) Emergency First Aid at Work (1-day) Paediatric Geriatric

  • Full (3-day)
  • Emergency First Aid at Work (1-day)
  • Paediatric
  • Geriatric

• How are employees and others told about first aid arrangements?

  Select Induction Lanyards, Badges, etc. Posters around the workplace

  • Induction
  • Lanyards, Badges, etc.
  • Posters around the workplace

• How are all accidents, first aid treatment, and industrial diseases recorded and reported to management?

  Select Paper accident form Online accident form Oracle (LCC)

  • Paper accident form
  • Online accident form
  • Oracle (LCC)

• How are legally-reportable accidents, diseases and injuries dealt with? (RIDDOR - Reporting of Injuries, Diseases, and Dangerous Occurrences Regulations)

  On the HSE’s website

  On the HSE’s phone line

• Have you ever received any enforcement action from the HSE?

  Yes

  No

• When?

  Currently

  Within last 12 months

  1-2 years ago

  3-4 years ago

  5+ years ago

• Details:

• Outcome:

  Prosecuted

  Rectified

  Pending

• Assessment of Standard 3:

  Met

  Part Met

  Not Met

Standard 4 - Supervision, Training, Information and Instruction

• Will the primary contact be supervising the learner(s)?

  Yes

  No

• Name / Position of person allocated to supervise the learner(s)

• How is ongoing health and safety information, instruction and training provided to all employees?

  Select On the job training Toolbox talks Group messaging / E-mails Staff meetings Other

  • On the job training
  • Toolbox talks
  • Group messaging / E-mails
  • Staff meetings
  • Other

• Other

• Is H&S information, instruction, and training recorded?

  Select N&CCG Induction Checklist and Risk Assessment in learner’s file Employer’s training records Site’s training records

  • N&CCG Induction Checklist and Risk Assessment in learner’s file
  • Employer’s training records
  • Site’s training records

• How is the effectiveness of H&S information and training assessed?

  Select Regular reviews and assessments take place with the N&CCG assessor, copies of which are held in the learner’s file. Reviews and assessments by the employer. Work observation.

  • Regular reviews and assessments take place with the N&CCG assessor, copies of which are held in the learner’s file.
  • Reviews and assessments by the employer.
  • Work observation.

• Assessment of Standard 4:

  Met

  Part Met

  Not Met

Standard 5 - Work Equipment and Machinery

• What machinery and / or equipment will the learner use?

• How is equipment maintained?

  Select Preventative Maintenance Manufacturer’s Service Schedule Repair / replace as necessary Maintained by hire company

  • Preventative Maintenance
  • Manufacturer’s Service Schedule
  • Repair / replace as necessary
  • Maintained by hire company

• What control measures are in place?

  Select Low voltage (transformer) Battery powered All required guards are in place Emergency cut-outs (manual stops) Interlock devices (automatic stops) N/A

  • Low voltage (transformer)
  • Battery powered
  • All required guards are in place
  • Emergency cut-outs (manual stops)
  • Interlock devices (automatic stops)
  • N/A

• Is PAT testing undertaken?

  Yes

  No (Visual checks only)

• Date of last PAT testing:

  Date

• Assessment of Standard 5:

  Met

  Part Met

  Not Met

Standard 6 - Personal Protective Equipment and Clothing

• Is PPE and , or PPC required for the tasks being undertaken?

  Yes

  No

• What PPE and / or PPC is provided?

  Select Overalls / Outer Wear / High Visibility Wear Gloves Aprons Eye Protection Ear Protection Mask / Visor Footwear Head Protection RPE Other N/A

  • Overalls / Outer Wear / High Visibility Wear
  • Gloves
  • Aprons
  • Eye Protection
  • Ear Protection
  • Mask / Visor
  • Footwear
  • Head Protection
  • RPE
  • Other
  • N/A

• Other:

• Does the employer pay for it?

  Select Completely Basic + Voluntary Employee Contribution N/A

  • Completely
  • Basic + Voluntary Employee Contribution
  • N/A

• Is training and information on the safe use of PPE / PPC provided to all employees?

  Yes

  No

  N/A

• Is its proper use and storage enforced?

  Yes

  No

  N/A

• How is PPE / PPC replaced?

  As required

  Annual personal budget

  N/A

• Assessment of Standard 6:

  Met

  Part Met

  Not Met

Standard 7 - Fire and Emergencies

• What methods of fire detection and alarm raising are in place?

  Select Verbal / Manual alarm Electronic alarm system Heat / Smoke detectors Emergency lighting Equipment supplied by client Not required for the learner’s work

  • Verbal / Manual alarm
  • Electronic alarm system
  • Heat / Smoke detectors
  • Emergency lighting
  • Equipment supplied by client
  • Not required for the learner’s work

• How often is the alarm / smoke detection system tested?

• What fire-fighting equipment is in place?

  Select Extinguishers Fire blanket Sprinklers Fire suppression system Client-supplied Not required

  • Extinguishers
  • Fire blanket
  • Sprinklers
  • Fire suppression system
  • Client-supplied
  • Not required

• Date of last extinguisher service:

  Date

• Number of emergency escape routes:

  Select 1 2 3 4 5+ Varies by site

  • 1
  • 2
  • 3
  • 4
  • 5+
  • Varies by site

• Fire exits are on which floors?

  Select Lower Basement Basement Ground Floor 1st Floor 2nd Floor 3rd Floor 4th Floor Varies by site

  • Lower Basement
  • Basement
  • Ground Floor
  • 1st Floor
  • 2nd Floor
  • 3rd Floor
  • 4th Floor
  • Varies by site

• Learner has access to which floors?

  Select Lower Basement Basement Ground Floor 1st Floor 2nd Floor 3rd Floor 4th Floor Varies by site

  • Lower Basement
  • Basement
  • Ground Floor
  • 1st Floor
  • 2nd Floor
  • 3rd Floor
  • 4th Floor
  • Varies by site

• Does the primary contact take charge in an emergency?

  Yes

  No

• Person / position in charge:

• How often are evacuation drills undertaken?

  Select Weekly Monthly Half-termly Termly Quarterly 6-monthly Annually Other N/A - no fixed premises

  • Weekly
  • Monthly
  • Half-termly
  • Termly
  • Quarterly
  • 6-monthly
  • Annually
  • Other
  • N/A - no fixed premises

• Frequency:

• Are tests and drills logged?

  Select Yes - fire log book Yes - online logging N/A - no premises

  • Yes - fire log book
  • Yes - online logging
  • N/A - no premises

• Assessment of Standard 7:

  Met

  Part Met

  Not Met

Standard 8 - The Working Environment

• Does the learner work within company premises?

  Yes

  No

• Are the premises suitable for the purpose?

  Yes

  No

• Who maintains the structure of the building?

  Select Landlord Employer LCC Diocese Contractor (e.g. Beacon) Parent company / organisation Client

  • Landlord
  • Employer
  • LCC
  • Diocese
  • Contractor (e.g. Beacon)
  • Parent company / organisation
  • Client

• Who maintains the fixtures and fittings?

  Select Landlord Employer LCC Diocese Contractor (e.g. Beacon) Parent company / organisation Client

  • Landlord
  • Employer
  • LCC
  • Diocese
  • Contractor (e.g. Beacon)
  • Parent company / organisation
  • Client

• Which aspects of the work environment are adequately controlled?

  Select Temperature Lighting Ventilation Noise

  • Temperature
  • Lighting
  • Ventilation
  • Noise

• Who does the cleaning?

  Select Staff responsible for their own work area Cleaning staff Contract cleaning staff N/A - Construction environment

  • Staff responsible for their own work area
  • Cleaning staff
  • Contract cleaning staff
  • N/A - Construction environment

• WhIch welfare facilities are provided by the employer?

  Select Toilets Hot and cold running water Ability to make a hot drink Ability to prepare / eat food Changing / Drying area Lockers Use client’s facilities Brought in my employer when necessary

  • Toilets
  • Hot and cold running water
  • Ability to make a hot drink
  • Ability to prepare / eat food
  • Changing / Drying area
  • Lockers
  • Use client’s facilities
  • Brought in my employer when necessary

• Assessment of Standard 8:

  Met

  Part Met

  Not Met

Hazardous Materials exposed to and the Control Measures in place

• Dust/Fumes

  Select Natural Ventilation Local Exhaust Ventilation (LEV) Dust Extraction / Suppression PPE Handwash Other

  • Natural Ventilation
  • Local Exhaust Ventilation (LEV)
  • Dust Extraction / Suppression
  • PPE
  • Handwash
  • Other

• Other:

• Carcinogens

  Select Restricted Access PPE Registered Waste Collection Separate Storage Area Other

  • Restricted Access
  • PPE
  • Registered Waste Collection
  • Separate Storage Area
  • Other

• Other:

• Micro-Organism

  Select Handwash PPE Sanitiser Other

  • Handwash
  • PPE
  • Sanitiser
  • Other

• Other:

• Radiation

  Select Restricted Access PPE Other

  • Restricted Access
  • PPE
  • Other

• Other:

• Lead/Asbestos

  Select Asbestos Awareness Course Restricted Access PPE Other

  • Asbestos Awareness Course
  • Restricted Access
  • PPE
  • Other

• Other:

• Flammable/Explosive

  Select Only Small Amounts Onsite Restricted Access Emergency Cut-off System Other

  • Only Small Amounts Onsite
  • Restricted Access
  • Emergency Cut-off System
  • Other

• Other:

• Irritant

  Select PPE Handwash Other

  • PPE
  • Handwash
  • Other

• Other:

• Corrosive

  Select Restricted Access PPE Handwash Other

  • Restricted Access
  • PPE
  • Handwash
  • Other

• Other:

Standard 9 - General Health & Safety Management

• How does the employer consult and communicate with employees, and allow them to participate in health and safety?

  Select Staff meetings Health and Safety Committee Social media group E-mails Open door policy Other

  • Staff meetings
  • Health and Safety Committee
  • Social media group
  • E-mails
  • Open door policy
  • Other

• Other:

• Does the employer provide any medical testing or health surveillance?

  Select Medical screening Medical questionnaire during appointment process Regular eye tests Regular hearing tests Occupational Health access DBS checks

  • Medical screening
  • Medical questionnaire during appointment process
  • Regular eye tests
  • Regular hearing tests
  • Occupational Health access
  • DBS checks

• Does the employer have access to competent H&S advice?

  Select N&CCG Health and Safety Officers HSE website and / or e-mails Consultant Parent Company / Organisation

  • N&CCG Health and Safety Officers
  • HSE website and / or e-mails
  • Consultant
  • Parent Company / Organisation

• Does the employer review H&S policies and procedures?

  Select Yes - annually Yes - after significant change Yes - verbally as and when required No

  • Yes - annually
  • Yes - after significant change
  • Yes - verbally as and when required
  • No

• Which necessary signs and notices are on display?

  Select PPE requirements COSHH Abrasive Wheels Fire Exits H&S Law poster H&S Law leaflet issues to staff N/A

  • PPE requirements
  • COSHH
  • Abrasive Wheels
  • Fire Exits
  • H&S Law poster
  • H&S Law leaflet issues to staff
  • N/A

• How does the employer manage employee’s work and safety while they work offsite?

  Select Online risk assessment platform (e.g. Oracle) Individual site risk assessments Lone worker policy Home / Hybrid working policy in place Business use on personal car insurance policy Driving and insurance policies N/A - no offsite working

  • Online risk assessment platform (e.g. Oracle)
  • Individual site risk assessments
  • Lone worker policy
  • Home / Hybrid working policy in place
  • Business use on personal car insurance policy
  • Driving and insurance policies
  • N/A - no offsite working

• How does the employer assess, review, and update employee’s capabilities?

  Select Employers have 12-weekly reviews with assessors Appraisals (formal) Job chats (informal) Shadowing Workplace observations

  • Employers have 12-weekly reviews with assessors
  • Appraisals (formal)
  • Job chats (informal)
  • Shadowing
  • Workplace observations

• Assessment of Standard 9:

  Met

  Part Met

  Not Met

Standard 10 - Management of Young and / or Vulnerable Persons’ H&S and Welfare

• Has the employer assessed the risk to learners/young persons, taking account of their age, immaturity & lack of awareness of risk, and any other special needs or circumstances, including any disability and/or medical condition?

  Select Young person risk assessment in place Young person risk assessment checklist run through with employer Employer’s own Safeguarding Policy is in place Learner is over 18 and classed as vulnerable N/A - learner is over 18 and not classed as vulnerable

  • Young person risk assessment in place
  • Young person risk assessment checklist run through with employer
  • Employer’s own Safeguarding Policy is in place
  • Learner is over 18 and classed as vulnerable
  • N/A - learner is over 18 and not classed as vulnerable

• What control measures are there as a result of 10A above, and how are the learner(s) and their supervisors informed of them?

  Select No lone working Increased supervision Increased training Mentor assigned N/A - learner is over 18 and not classed as vulnerable Other

  • No lone working
  • Increased supervision
  • Increased training
  • Mentor assigned
  • N/A - learner is over 18 and not classed as vulnerable
  • Other

• Other:

• Are there any restrictions on the use of any machinery / equipment, or on activities due to the learner’s age or vulnerability? (All equipment can be used / activities undertaken as long as the learner: has received sufficient training in the task; is assessed as capable of undertaking the task; and is adequately supervised during the task.)

• Is the primary contact the competent person providing supervision and training to the learner?

  Yes

  No

• Name of the competent person providing supervision and training:

• What pre-employment checks have been undertaken?

  Select Employer / Placement Induction Checklist completed ALS report created

  • Employer / Placement Induction Checklist completed
  • ALS report created

• Assessment of Standard 10

  Met

  Part Met

  Not Met

Standard 11 - Safeguarding

• Employer is aware the student is under the age of 18

  Select Yes No - Learner has not yet been assigned N/A - learner is over 18

  • Yes
  • No - Learner has not yet been assigned
  • N/A - learner is over 18

• Is the student classed as 'vulnerable' for educational, medical, behavioural or home circumstance reasons?

  Yes

  No

• Details:

• Have any additional measures been put in place?

  Yes

  No

• What additional control measures have been put in place?

• Will the student regularly work with a lone employer (1:1) for long periods (i.e. over half a day at a time)?

  Yes

  No

  N/A

• Does the learner have unimpeded access to their mobile phone or a land line?

  Yes

  No

• Is the employer located in isolated environments with 1:1 working?

  Yes

  No

• What measures are in place?

  Select Mobile phone signal check Active landline Location and estimated return time given to a parent / guardian

  • Mobile phone signal check
  • Active landline
  • Location and estimated return time given to a parent / guardian

• Does the student's work require residential/overnight stays?

  Yes

  No

• What measures are in place?

  Select Parent / Guardian consent Individual room

  • Parent / Guardian consent
  • Individual room

• Is the Employer/supervisor aware of the college Safeguarding Policy, including designated staff and contact numbers?

  Select College Safeguarding policy link and contact details emailed to employer

  • College Safeguarding policy link and contact details emailed to employer

• Confirm Employer understands the need to have learner’s contact telephone number (in case of emergency)

  Yes

  No

• Assessment of Standard 11

  Met

  Part Met

  Not Met

Actions required by the employer:

• Are there any action points for the employer?

  Yes

  No

• Action 1:

• Action 2:

• Action 3:

• Action 4:

• Action 5:

• Action 6:

• Action 7:

• Action 8:

Actions for Health & Safety Officer:

• Are there any documents to send?

  Yes

  No

• Documents to send:

  Select Accident form H&S Law Leaflet RIDDOR advice Fire alarm test / evacuation log sheet Young Person Risk Assessment Template H&S policy statement and risk assessment template H&S policy statement and risk assessment example Relevant industry risk assessment example

  • Accident form
  • H&S Law Leaflet
  • RIDDOR advice
  • Fire alarm test / evacuation log sheet
  • Young Person Risk Assessment Template
  • H&S policy statement and risk assessment template
  • H&S policy statement and risk assessment example
  • Relevant industry risk assessment example

• Documents sent:

  Date

• Are there any comments to record?

  Yes

  No

• Comments:

Assessment outcome:

• Recommendation

  Accept

  Accept with action plan

  Reject

Employer / employer’s representative:

• I agree that this is an accurate record of the assessment and I will complete the action plan if applicable:

  Sign

• Job title:

• Date:

  Date

Nelson & Colne College Group representative:

• Assessment undertaken by:

  Sign

• Name:

  Helen Cronan

  Karen Warne

• Job title:

  Health and Safety Officer

• Date:

  Date