PRSC/06-12/02
School of Arts & Humanities
Department of
Culture, Media &
Creative Industries
Chesham Building
Strand Campus
London WC2R 2LS
Email: cmci@kcl.ac.uk
Individual Fieldwork Risk Assessment Form (Staff and Students)
This form should be completed electronically, printed in triplicate, the three copies signed, and
lodged with: your Supervisor; the Research & Resources Manager (Sarah Rowe) and one kept
by yourself before fieldwork commences. This form must be completed for all fieldwork taking
place outside the Department of Culture, Media and Creative Industries.
Name:
__________________________________________________________________
Project Title:
__________________________________________________________________
Dates:
__________________________________________________________________
Location:
__________________________________________________________________
Contact
Address:
__________________________________________________________________
Contact Phone:
__________________________________________________________________
Mobile Phone:
__________________________________________________________________
Checklist
Have all the necessary permissions for access been sought and documents obtained?
Are you studying under a Tier 4 visa? Y / N
If yes, please ensure that you have read the relevant terms and conditions of your visa with regards to
periods of fieldwork undertaken away from the College. If you have any queries relating to this please
contact the Student Advice & International Student Support
http://www.kcl.ac.uk/campuslife/services/student-advice-support/how/immigration/index.aspx
What method of travel will be used (e.g., car, public transport)? Have all vehicle drivers been properly
instructed and their eligibility to drive checked?
Has adequate insurance been obtained in accordance with College regulations?
Will the fieldwork involve travel abroad? If so, have all the visas and/or vaccinations been arranged?
Information on risks of travelling abroad can be optained via the UK Foreign and Commonwealth
Office website at https://www.gov.uk/foreign-travel-advice
1
PRSC/06-12/02
Has a routine method of communication been established (e.g. landline telephone, mobile phone)?
Has a daily itinerary been lodged with a responsible person?
Is there a daily routine for logging in and out with a nominated person, who could raise the alarm if
nessecary?
Signature of fieldworker
Countersignature (Students – Research Supervisor, Research Staff – Project Leader, Academic
Staff – Head of Department)
Name of Countersignatory
Risk assessment
1. Identify risks in relation to the following headings;
2. Categorise risks as high/medium/low;
3. Specify steps taken to minimise risks including prior information gathering, specifying formal
procedures, planning and reconnaissance, equipment/clothing provision, skills training, etc.
Societal and Other Hazards Affecting Personal Safety
(potentially dangerous equipment/buildings /vehicles/traffic and transport situations of all
kinds/exposure to infection/exposure to criminal activity/terrorist activities etc)
_________________________________________________________________________________
Steps taken to minimise risk
_________________________________________________________________________________
2
PRSC/06-12/02
Natural physical hazards
(extreme weather/mountains/cliffs/water/illness etc)
_____________________________________________________________________________________
Steps taken to minimise risk
Any other potential hazards
_____________________________________________________________________________________
_____________________________________________________________________________________
Steps taken to minimise risk
_____________________________________________________________________________________
_____________________________________________________________________________________
Emergencies
Specify any relevant medical/health problems that might arise
_____________________________________________________________________________________
_____________________________________________________________________________________
Name of next of kin and full contact details
_____________________________________________________________________________________
_____________________________________________________________________________________
Details of the hospital Accident and Emergency Department nearest to the site you will be visiting
_____________________________________________________________________________________
3
PRSC/06-12/02
4