OVERSEAS TRAVEL TO HIGH OR EXTREME RISK COUNTRIES - RISK ASSESSMENT FORM
Leading Travellers’ name:
Staff or student:
Approver’s name:
Who is going where and when?
Dates of
travel:
Name all university
travellers and state if
staff or student
List all locations to be visited*(Country,
region, city) *itinerary to be included in
Travel Pack
Current CRG County
& City/Region Risk
Level:
Current FCO advice
Has the leading traveller gained experience of travel in the locations to be visited during the past 12 months?
Activity risk assessment
The traveller must refer to guidance on FCO/CRG web portals for controls to adopt. Travel from UK has been pre-entered with university policy). The box spaces
can expand as you type so that full information can be given.
ACTIVITY
HEADINGS
Travel from
UK to
international
destinations
Internal
travel during
trip
HAZARD
Financial issues, transport
company reliability,
ethical issues
PERSONS
AT RISK
all
Use these categories to answer
the questions: H/M/L =
high/medium/low
How severe
How likely is the
could the
hazard to
hazard be?
happen?
Controls: What have you done
/ or will do to reduce risks? [link
M
Northumbria University policy to use
approved travel provider with the
ability to alert the university
immediately any travel issues arise
M
to the Control Measures for UK & EU
Travel for prompts to help traveller]
How severe
could the hazard
be after your
control
measures?
How likely would
the hazard be
after your control
measures?
L
L
Traffic accidents
Mugging/hijack/kidnap
Political unrest
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ACTIVITY
HEADINGS
HAZARD
PERSONS
AT RISK
How severe
could the
hazard be?
How likely is the
hazard to
happen?
Controls: What have you done / or
will do to reduce risks? [link to the
Control Measures for UK & EU Travel
for prompts to help traveller]
How severe
could the hazard
be after your
control
measures?
How likely would
the hazard be
after your control
measures?
H
H
Personal safety (e.g.
attack)
Theft of belongings
Climate (e.g. altitude,
severe heat)
Health
Geographic e.g.
earthquake, flood,
Exposure to disease /
infectious illnesses – HIV,
Ebola, tropical diseases
Restricted access to
drinking water
Remoteness from
medical support
Equipment
Nature of equipment
used may be hazardous
– specify and show
controls
Work activity
e.g. are you researching
in a remote area?
Interviewing political
leaders/foreign
dignitories? Involving
night time working?
What risks are there if
you fail to comply with
local culture?
e.g. involved in higher
risk sports (motor racing/off
Cultural
Social time
piste skiing) OR other high
risk action (e.g bungee
jumping)
Contact details of nearest medical
support to be obtained prior to
travel
all
H
H
Northumbria University insurance
does not extend to ‘high risk social
activity’--- travellers should arrange
separate travel insurance.
2
LEAD TRAVELLER DECLARATION
There is no known reason to prevent the named travellers from involvement in the activities stated overseas.
Yes / No
I have reviewed and taken action (if needed) from the travel health assessment:
https://intranet.northumbria.ac.uk/facultiesandservices/hri/och/healthprog/travelassessment/
I have read the Travel Insurance & Emergency Assistance Fact Sheet and will keep this with me throughout my travel
https://www.northumbria.ac.uk/static/5007/campserv/TravelCoverSummary.pdf
I have ensured my “In Case of Emergency” (ICE) Contact details are up-to-date on the travel provider’s system
Yes / No
I hold a current EHIC card (where some / all of my travel is in Europe)
Yes / No
I have given a copy of my itinerary to my line manager with accommodation address, contact names and numbers
Yes / No
If my internal travel plans change I will advise my line manager
Yes / No
I have downloaded the travel safety application recommended by Northumbria University onto my mobile telephone
Yes / No
I shall maintain a contingency fund in case of emergencies (recognising that in such situations it is often difficult to access banking facilities)
Yes / No
I shall evacuate from or abandon my trip if advised to by either Northumbria University or the Foreign and Commonwealth Office
Yes / No
In the week preceding my travel I will recheck the security situation in my destination cities and alert my line manager to any changed risk rating
Yes / No
Yes / No
Yes / No
When completing my risk assessment I
have calculated my H/M/L ratings
according to this table
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To be completed by the person undertaking the risk assessment:
Name:
Job Title:
Signature:
Date:
To be completed by the Traveller's Line Manager :
I consider this risk assessment to be suitable and sufficient to control the risks to the health & safety of both employees undertaking the tasks and any other person
who may be affected by the activities.
Name:
Job Title:
Signature:
Date:
…………………………………….......................................
……………………..
NB – If Line Managers do not agree that the risk assessment is suitable and sufficient then the assessment must be reviewed.
GROUP TRAVELLERS DECLARATION – to be read and signed by others travelling in the group
I agree to implement the identified control measures identified in the attached risk assessment in order to minimise any risks, in line with University guidance
and specialist travel security advice from the FCO and Control Risks Group (CRG).
Name of traveller
Signature
Date
4