School of Geography
New Project, Equipment, Materials or Processes Assessment Form
Reference No
School of Geography
New Projects Safety Assessment Form
(For New Projects, Equipment, Materials or Processes)
Project Title
……………………………………………………………………………
Brief Description
……………………………………………………………………………
……………………………………………………………………………
Location
……………………………………………………………………………
Source of Funds
……………………………………………………………………………
Possible Hazards (Tick appropriate boxes)
Mechanical
Electrical
Chemical/Dust (COSHH)
Noise
General Nuisance
Have all necessary Health & Safety precautions been considered and safety
equipment/disposal costs included?
YES/NO
Has the Trade Union Safety representative been informed?
YES/NO
Has the individual who is responsible for the local area* been informed?
(* see safety policy document)
YES/NO
Estimate Installation & Operational Dates
Supervisors
___/___/___
___/___/___
……………………………………………………………………………………
Signed ……………………………………………..
Date
Approved
Date ……………….…
…………………………..(Head of School)
…………………
NB:
1. A suitable and sufficient Risk Assessment, under the Management of Health and Safety at
Work Regulations 1992, will be required as the project progresses.
2. Completed forms should be sent to the School Safety Officer.
3.Additional Information can be found in Safety Office Circular 7/88E, “Safety implications for
the introduction of new projects or the use of new materials or equipment”.