Professorial and Senior Manager Vacancy Request Form (VRF-PSM)
SECTION 1
Completed by the Head of Department
Date
Post Title:
Department:
Section (if applicable):
If the appointment is jointly made with another Department, please state the other Department and Section
Department:
Section (if applicable):
Departmental contact name:
e-mail
Tel.
Alternative contact name:
e-mail
Tel.
Anticipated start date:
New Post
or Replacement post
If a replacement post, who is it replacing? (Forename, Surname)
Does this post require: Pre-employment checks? (e.g. General Medical Council registration)
CRB (Criminal Records Bureau) check? (unsupervised contact with under 18 year olds or vulnerable adults)
Source of funding: (Dept, research grant name,HEFCE etc)
Cost code:
Grading and Salary range
Grade/expected Prof band:
Salary (Full Time Equivalent): £
FTE:
Type of contract: Open
Duration (if fixed term):
Fixed Term
Months
SECTION 2: Departmental Justification
Completed by the Head of Department (articulate how this proposal fits with the medium to longer-term
academic and financial strategy of the Department)
a) Please provide details justifying the appointment:
b) Please provide details of research groupings and distribution of existing Chairs:
(Chair appointments only):
Research Group
Existing Chairs
Next step: Forward to the Departmental Management Accountant for commentary
SECTION 3: Financial Commentary Completed by Departmental Management Accountant
Date
Comments:
Approved Grade:
Advertised Salary:
Spine Point Range:
Cost of Post (incl on-costs)[not required for R codes] £
Next step: Management Accountant to forward to Director of Corporate Planning for comment
Date
SECTION 4: Academic Planning commentary
Completed by Director of Corporate Planning (in consultation with the Deputy Vice-Chancellor and
Academic Co-ordinator. This confirms that the proposal accords with the signed off medium-term plan and
the long-term strategy for the Department)
Comments:
Next Step: Forward to the Vice-Chancellor for comment and approval
SECTION 5: Vice-Chancellor
Approval
Completed by the Vice Chancellor
Comments:
Vice-Chancellor Authorisation:
Date:
Next step: Forward to HR Services to commence recruitment
SECTION 6:
To be completed by HR Services
HR Services Check
Current Post Holder end date (if applicable):
HERA Role ref:
HERA Grade indicated:
The HERA role is that held by the previous postholder, or the role reference agreed with the Rewards Team for a new post. If the HERA
grade indicated is different from the recruitment grade in Section 1, query with the Recruiting Manager
SECTION 6: Health Aspects of
the Post
(see next full page)
Completed by the Head of Department
The section on the next page identifies the health aspects of the post. It will form the first page of the
Health Questionnaire sent to the successful applicant as part of the Offer of Appointment pack.
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Health screening requirements
SECTION 1
This is to be completed by the Recruitment Manager as part of a vacancy request form procedure.
Completion is essential to ensure notification of health screening and health surveillance
requirements of the post to Occupational Health.
POST DETAILS
Post title
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Department / section
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Start date
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Hours of work
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RECRUITMENT MANAGER / SUPERVISOR DETAILS
Name
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Telephone Number
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Email
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HEALTH QUESTIONNAIRE
If any checks are made in this section a full health questionnaire will be issued to the employee in
addition to the health declaration form
Does the post belong to any of the following categories? Please check all that apply.
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Night worker / regular shift worker
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Driving University vehicles
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Food handler or regular work in areas where food handling occurs
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Maintenance staff, including electricians, joiners or plumbers
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Technical, academic, research or teaching staff working in labs or workshops
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Campus services cleaning and porter staff
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Nursery staff
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Gardeners / grounds staff
Any other role considered to be safety critical or where more detailed health screening is
requested?
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HEALTH SURVEILLANCE
Health surveillance allows for early identification of ill health and helps identify any corrective action
needed. It may be required if the employee is exposed to noise or vibration, solvents, fumes, dusts,
biological agents and other substances hazardous to health. Health surveillance provision is subject
to Departmental risk assessment and should be notified to Occupational Health.
Does the post involve or require any of the following? Please answer all that apply.
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Work with animals including insects
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Work with human blood or tissue
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Hearing tests for work with noise (80dba-8hrs twa)
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Hand arm vibration surveillance for regular work with vibrating equipment
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Work with Artemesia, biomass or other plant material requiring respiratory surveillance
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Hazardous chemicals or biological agents requiring regular surveillance eg blood tests for
work with Schistosoma
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Other hazards where a health record requirement is identified
Other work where health surveillance or a medical appointment is requested - please specify
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Managers should ensure that appointments are attended before the activity commences or as soon
as possible (no later than four weeks)
JOB REQUIREMENTS
Please also indicate any of the following other aspects of the job which apply and/or answer below.
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Managerial responsibilities for people / systems
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Regular VDU / computer use
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Lone working
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Work outdoors
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Work at heights
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Work in confined spaces
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Regular manual handling / lifting
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Electrical hazards
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Travel abroad
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Other chemical hazards eg cleaning agents
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Latex
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Ionising radiation
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Lasers
Any other hazards not already list above, specify below:
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