Supplementary Risk Assessment1 – Fieldwork Activities Please refer to the College’s Procedure and Guidance for the Management of Fieldwork Activities (SPR033) when completing this risk assessment. Assessor2 Line Manager/ supervisor/Personal Tutor Department/Division School/Directorate Staff Student Date of Assessment Description of proposed Activity Date of commencement Name(s) of fieldworker(s) Location(s) of activity Anticipated date of completion Give details: UK based Outside UK* *Researchers intending to travel outside the UK must download the travel insurance certificate from the Finance & Planning website Threat Analysis and Permission Does the FCO website advise against travel to the proposed location(s)? *If you have indicated “yes” please attach a copy of the FCO advice Yes* No Does any aspect of the proposed activity pose a significant risk to the life safety of the fieldworker(s)? *If you have indicated “yes” please ensure that this has been adequately addressed in this risk assessment document before seeking permission. Yes * No If you have answered “Yes” to either of these questions you must notify the College insurers and seek permission to continue from your Head of Department and Head of School (where necessary): Permission to undertake high risk fieldwork activity: Head of Department: Signature: Date: _______________________ ______________________ _________________________ Head of School: Signature: Date: _______________________ ______________________ _________________________ 1 For use in fieldwork activities which pose risks greater than normal everyday activities. For low risk activities please use the College’s Filter Risk Assessment (F071). 2 This may be the fieldworker, fieldwork team leader or other person responsible for the planning of a fieldwork activity Fieldwork Risk Assessment F072H-01-HSEPO Page 1 of 4 King’s College London Jun-2014 Health Does the proposed activity involve travel to countries or activities for which additional vaccinations or prophylaxis is recommended? Yes No If you have answered Yes to either of these questions you should seek advice from your GP or a travel health clinic at least 6 weeks before you intend to undertake the activity. Date of appointment: Precautions recommended: Are there other health risks (eg food and water hygiene, soil or waterborne pathogens, poor (or lack of) emergency medical facilities etc) associated with the proposed fieldwork location(s). Yes No If you have answered Yes, please provide a brief description of the precautions to be taken: Have any of the proposed fieldworkers notified their line manager or the fieldwork team leader of a health condition that requires additional precautionary or emergency measures? Yes No If you have answered Yes please provide details of the agreed additional measures: Accommodation and Travel Method(s) of travel Describe the method(s) of travel to the proposed fieldwork location(s) (include details of insurance and licence requirements if a hire vehicle or personal vehicle is to be used): Accommodation Fieldwork Risk Assessment F072H-01-HSEPO Provide details of the proposed accommodation(s) for the duration of the fieldwork: Page 2 of 4 King’s College London Jun-2014 Risk Assessment Research method Describe the method(s)/equipment to be used: Describe risks arising from the method(s)/equipment and the measure(s) to be taken to avoid or control the risks: Does the proposed activity involved deliberate work with or risk of exposure to human pathogens? Note: deliberate work with pathogens will require completion of a biological risk assessment. Yes (CoBRA No. ), No Environment Describe the environment(s): Describe the risks arising from the environment(s) and the measures to be taken to avoid or control the risks: Fieldworker What knowledge and skills do the researcher(s) need to undertake this activity? Will there be any lone working? Why is this necessary and how will it be managed? Research subjects and participants (Social Research only) N/A What is the subject to be researched? Are there any cultural, religious, gender or other sensitivities with regards to the compatibility of the proposed fieldworker? Are there any risks/sensitivities associated with the research subject? What are the characteristics of the participants? Describe any risks associated with these characteristics. What measures are necessary to avoid, control or mitigate the risks associated with the research subject and the participants? Fieldwork Risk Assessment F072H-01-HSEPO Page 3 of 4 King’s College London Jun-2014 Planning & Emergencies Who will be the Provide name, contact details and method(s) of communication. College-based contact during the activity? Who will be the offsite contact during the activity? If the activity is taking place outside the UK will it be necessary to have a local contact? If yes, provide name, contact details and method of communication. Monitoring arrangements How often will it be necessary for the fieldworker/team leader to communicate to assure the College contact that all is well? How will this be achieved? Accident & Incidents What arrangements are necessary to ensure that the fieldworker(s) can report accidents or incidents a soon as practicable? Will the fieldworker(s) have access to emergency first-aid? Describe source of first-aid support or whether provision of first-aid training and supplies is necessary: Personal safety What arrangements are necessary to provide an emergency response if there is a serious and imminent risk to personal safety? How will this be implemented? Implementation List any actions arising from the risk assessment: Action: Person responsible: Target date: Completion Date & Initials: Signatures: This risk assessment has been completed to the best of my knowledge and will be reviewed and revised if there are any significant changes to the proposed fieldwork activity or risks arising from the activity: Assessor: Signature: Date: I confirm that this risk assessment is suitable and sufficient for the proposed activity and that I authorise the resourcing and implementation of any recommended actions listed above: Line Manager: Fieldwork Risk Assessment F072H-01-HSEPO Signature: Page 4 of 4 Date: King’s College London Jun-2014