/ Estates and
Buildings

Estates and Buildings University of Glasgow

Pre-Placement Health & Safety Checklist

Name of Placement Organisation: / University of Glasgow
Address: / Estates and Buildings Office
University Avenue
Glasgow, G12 8QQ
Telephone: / 0141 330
Email:
YES / NO
1.  Do you have a Health & Safety Policy?
(tick as appropriate)
2.  Do you have a policy regarding health & safety training for people working in your undertaking, including the use of vehicles, plant and equipment, and will you provide all necessary health & safety training for the placement student? (tick as appropriate) /
3.  Is the organisation registered with:
(tick as appropriate)
a)  the Health and Safety Executive?
or,
b) the Local Authority Environmental Health Dept?
4.  Insurance:
(tick as appropriate)
a)  Is Employer and Public Liability Insurance held?
b) Will your insurance cover any liability incurred by a placement student as a result of his/her duties as an employee?
5.  Risk Assessment:
(tick as appropriate)
a) Have you carried out risk assessment of your work practices to identify possible risks, whether to your own employees or to others within your undertaking?
b)  Are risk assessments kept under regular review?
c)  Are the results of risk assessment implemented?
YES / NO
6. Accidents and Incidents:
(tick as appropriate)
a) Is there a formal procedure for reporting and recording accidents and incidents in accordance with RIDDOR?
b) Have you procedures to be followed in the event of serious or imminent danger to people at work in your undertaking?
c) Will you report to the university all recorded accidents and incidents involving placement students?
d) Will you report to the university any sickness involving students which may be attributable to the work?
e) Will you provide the student an Induction on Day One of placement which includes Health and Safety instruction?
Contact Personnel
Who is nominated for compliance with the requirements of Health & Safety legislation?
Name: / Jim McConnell
Position: / Director of Estates and Buildings
Telephone: / 0141 330 4387
Email: /

Placement Providers Declaration

a)   We accept responsibility for the student(s) under the Health and Safety at Work Act 1974

b)   We confirm that the student(s) is/are deemed to be an employee for the purposes of our Employer’s and Public Liability insurances

c)   Should the student(s) be expected to work with restricted machinery, equipment or substances hazardous to health, safety precautions will first have been taken, first aid facilities will be available, training, supervision, and protective clothing will be provided

Signed on behalf of the Organisation providing placement
The above statements are true to the best of my knowledge and belief.
Signed:
Full Name:
Position:
Date:

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