The Sheffield College - Work Placement Assessment Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

Company Information

• Employers Name

• Address

• Telephone No.

• Number of Employees

• Nature of Business

• Health and Safety Contact

• Supervisor

• Type of work carried out at workplace location

Insurance

• Is Employers Liability insurance current and the insurance in place as appropriate to the business undertaking (minimum £5 million cover)?<br><br>Insurer's name<br>Policy number<br>Expiry date<br>(Please attach a picture of the certificate)

  Yes

  No

Health and Safety Policy

• Is there a Health and Safety Policy in place with responsibilities for staff clearly stated and is this recorded where there are more than 5 employees?

  Yes

  No

  N/A

• Is the policy communicated to employees and students?

  Yes

  No

  N/A

Risk Assessment and Control

• Have risk assessments been carried out and are they documented where there are more than 5 employees?

  Yes

  No

  N/A

• Are risk assessments shared with employees and students?

  Yes

  No

  N/A

Accidents, Incidents and Control

• Are there any trained first aiders on site?

  Yes

  No

  N/A

• Is there a first aid box available on site which is restocked regularly?

  Yes

  No

  N/A

• Is there a system in place for recording accidents and are staff aware of the reporting responsibilities under RIDDOR?<br>The college must also be notified of any accidents to students whilst on work experience.

  Yes

  No

  N/A

Fire and Emergencies

• Has a documented fire risk assessment been carried out for the premises by a competent person?

  Yes

  No

  N/A

• Is there a means of raising the alarm?

  Yes

  No

  N/A

• Are fire escape routes kept clear and checked regularly for any obstructions?

  Yes

  No

  N/A

• Is fire fighting equipment available on site and is this maintained by a competent person?

  Yes

  No

  N/A

• Is everyone aware of the fire evacuation procedures and provided with up to date fire safety training?

  Yes

  No

  N/A

• Are fire drills practiced regularly and are they recorded?

  Yes

  No

  N/A

Supervision, Information, Instruction and Training

• Are employees/students provided with adequate competent supervision where required?

  Yes

  No

  N/A

• Is initial health and safety information, instruction and training provided for employees/students when they commence employment?

  Yes

  No

  N/A

• Are there regular opportunities for health and safety issues to be discussed and a system for employees/students to report any issues to management?

  Yes

  No

  N/A

• Is the health and safety information, instruction and training given to employees/students recorded?

  Yes

  No

  N/A

Work Equipment and Machinery

• Is machinery and work equipment provided to the appropriate standards, including appropriate guards and other control measures?

  Yes

  No

  N/A

• Is machinery and work equipment adequately maintained?

  Yes

  No

  N/A

• Are safe electrical systems and electrical equipment provided and maintained?

  Yes

  No

  N/A

Personal Protective Equipment and Clothing

• Is PPE/C provided, free of charge, to employees/students as determined through risk assessment?

  Yes

  No

  N/A

• Are arrangements in place to ensure PPE/C is used properly and effectively?

  Yes

  No

  N/A

Occupational Health

• Are there work activities which dictate the need for medical/health screening/health surveillance or any vaccinations?

  Yes

  No

  N/A

• If this is provided, will the facilities be extended to students?

  Yes

  No

  N/A

General Workplace

• Are appropriate safety signs and notices displayed around the building, including the Health and Safety Law Poster?

  Yes

  No

  N/A

• Are there any issues with the workplace environment?<br>(I.e. Temperature, lighting, space, ventilation, noise)

  Yes

  No

• Are the suitable and sufficient welfare facilities and are these maintained to good standard?

  Yes

  No

  N/A

• Have the premises ever been visited by the HSE or other enforcing authority?

  Yes

  No

  N/A

Safeguarding

• Is the employer aware of their responsibilities for safeguarding young people and vulnerable adults?

  Yes

  No

  N/A

• Is the employer aware of PREVENT duties and their responsibilities?

  Yes

  No

  N/A

• Does the employer have a Safeguarding policy?

  Yes

  No

• If no policy are they happy to accept the Endorsement of Principals set out by the Sheffield College?

  Yes

  No

  N/A

• Is the employer aware of how to respond should a young person or vulnerable adult talk to them about abuse or neglect and are they aware of who to contact at College should they be concerned about a young person or vulnerable adult?

  Yes

  No

  N/A

• Will the student be working on a one to one basis with the supervisor or alone with them for long periods of time?

  Yes

  No

• If yes, is the supervisor aware of the safeguarding policy?

  Yes

  No

Placement Employer Risk Assessment for Student/Young Peron

• Student Name

• Student age (if known)

• Key tasks, locations and areas for the student (please list)

• Hazards and significant risks (please list)

• Risk control measures in place (please list)

• Prohibited or restricted tasks, areas or work equipment (please list)

• Detail any relevant learning/behavioural difficulties, disabilities, or medical/health conditions that may be restrictive or require special consideration prior to the student starting their work placement (please list)

• Is the placement suitable for under 18's?

  Yes

  No

  N/A

• I have taken in to account the risks to the young person taking in to account their age, inexperience, immaturity and lack of awareness of risks required in Regulation 19 of the Management of the Health and Safety Regulations.
  
  I confirm that the young person will not be involved in any work which is beyond their physical or mental ability, involves excessive manual handling, exposes them to working at height, involves lone working, is at night during the restricted period, exposes them to radiation, including excessive sunlight, exposes them to harmful substances, exposes them to harmful vibrations, exposes them to harmful levels of noise.

Recommendation

• Risk category ( high, medium or low risk)?

  High

  Medium

  Low

• Is the placement suitable?

  Yes

  No

  N/A

Further Actions Required (if necessary)

• Please list actions below with realistic target dates

Employer Sign Off

• Signature of employer or their representative

  Sign

• Position in the company

College Sign Off

• Signature of college assessor

  Sign

• Position in the company