School of Electrical and Information Engineering
ELEC4702 Practical Experience
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

Please submit Section A of the form on ELEC4702 eCommunities site on Blackboard
BEFORE commencing your position (ref: Appendix A).
You will receive an academic approval through Blackboard which can be seen through your
grade for the submission.
When you start the work complete Section B and C of the form submit it on Blackboard to
ensure that you are covered by the University’s insurance if required.
Section A: To be Completed by Student
Student Details
Family Name:
SID:
Given Name:
Degree:
Home Phone:
Stream:
Mobile Phone:
Emergency Contact Name:
Phone:
Organisation Details
Name of Organisation:
Type of Work:
Start Date:
Finish Date:
FT/PT:
Address:
Suburb:
State:
Post Code:
Country (if outside Australia):
Student’s signature:
Date:
Office Use Only: Academic Advisor Approval Only
Academic Advisor’s Signature:
Date:
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Section B: To be Completed by Supervising Engineer
Start Date:
Finish Date:
FT/PT:
Supervising Engineer Details
Title:
Family Name:
Given Name:
Position:
Contact No:
Email:
Declaration
1. We confirm that we have a written Health and Safety Policy which is followed in our workplace.
2.
We confirm that we have a policy regarding health and safety training for people working in
our undertaking, including use of vehicles, plant and equipment, and will provide any
necessary health and safety training for the placement student.
3.
We confirm that we have undertaken risk assessments of our work practices to identify
possible risks, (Refer Appendix B) whether to our own employees or to others within our
undertaking.
Signed on behalf of Placement Provider
Signature: _____________________________
Date: ____________________
Name (Capitals): _______________________________________________________
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Section C Workplace Induction:
This form is to be completed by the student (Ref: Appendix A Note to Student Section) working at a
non-University of Sydney workplace. It should be completed and returned to their supervisor at the
School of Electrical and Information Engineering immediately after their first week at the workplace
Introduction to Workplace
(To be completed by Student)
Yes
Introduction to Supervisor
Provided personal data to workplace.
Accompanied tour of the workplace
“Off limits” areas explained
Risks explained
Safety rules explained
Safe work practices explained
Emergency procedures explained
Emergency exit route(s) shown
Assembly point shown
First Aider and First Aid facilities introduced
How to report accidents & safety issues explained
Personal Protective Equipment (PPE) Rules
Clothing
Hearing protection
Eye protection
Foot protection
Head protection
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N/A
Other protection
Additional Comments:
I have received information, instruction and training as shown above.
_____________________________________
Student’s signature
____________________
Date
_________________________________________________
Signature(s) of person(s) responsible for carrying out induction
____________________
Date
School contact details
Local: (02) 9351 3229
Admin Office phone
International: + (612) 9351 3229
Local: (02) 9351 3333
University Emergency Contact (24 hours/ 7 days)
International: + (612) 9351 3333
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Appendix A
Fieldwork
University Guidelines
http://sydney.edu.au/whs/guidelines/fieldwork/index.shtml
Definition
"Fieldwork" is any work, study or research authorised by the University and done by staff,
postgraduate or undergraduate students or authorised volunteers at sites other than the regular
campuses of the University such as the Darlington, Camperdown, Camden, Orange, Surry Hills,
Cumberland, Westmead, Mallett Street and Rozelle Campuses, teaching hospitals, permanent field
stations, farms or other rural properties of the University.
Fieldwork does not include activities such as distance education, student exchange programmes,
documentary research in archives, offshore teaching at other institutions or similar activities. Travel to
and from conferences is not considered to be fieldwork. Refer to the separate supplements for
guidance on health and safety in clinical placements and overseas fieldwork, as they are not
specifically addressed by these guidelines.
Project work (eg final year thesis) at a non-University of Sydney workplace is considered to be
fieldwork, as is any work placement that the school arranges for students. Research performed at
non University of Sydney workplaces is also considered to be fieldwork.
References
The University of Sydney uses WorkCover's Risk Matrix for its risk assessment. The relevant
documents (which contain the matrix and instructions on how to use it) can be found in University's
ohsrm program
Tasks/Responsibilities
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Require that at the start of semester all thesis projects are accompanied by a risk
assessment and state whether or not they involve fieldwork. Unit-coordinator.
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Perform and submit a written risk assessment of the project. Project supervisor

Submit the details of the fieldwork, including contact details of the workplace. Project
Supervisor
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Fill in the Section B and C of the forms with the organisation hosting the student: Project
Supervisor
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Require that all research project applications are accompanied by a risk assessment and
that they state whether or not they involve fieldwork. HOS
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Require that applications for staff consulting at another workplace are accompanied with
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a risk assessment and complies with field work guidelines. HOS
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Keep records of all staff and students currently doing fieldwork. Office
Steps for Working at Another Workplace
What is the nature of the work?

Has a risk assessment been done? Are there any 1, 2, or 3 level risks (from WorkCover's
Risk Matrix)?
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Send a form to the outside workplace reminding them of their responsibilities such as
inducting the student into their workplace, pointing out safety requirements and risks,
providing any training required, etc.

Make sure that the personal details of those doing the fieldwork are up to date and have
family or emergency contacts.

Provide the student and the outside workplace with the school's contact details and how to
report any concerns that they may have about their external work.

Have the student/staff member doing the fieldwork send in a form stating that the outside
workplace has provided an adequate induction.
Overseas Work
The University's policy on overseas fieldwork website at
http://sydney.edu.au/whs/guidelines/fieldwork/FieldworkOS.shtml must be read and complied
with for all overseas fieldwork.
If the staff member/student is working at another workplace then the steps detailed in “Steps for
working at another workplace” must be taken.
A risk assessment must accompany any application for overseas work.
Before approval, the DFAT smartraveller website at http://smartraveller.gov.au/ must be checked for
any travel advisories about the destination country. If the country is listed in the “advice against
travel” section the application will be refused. If the country is listed in the “reconsider your need to
travel” section then the application may be allowed depending upon the circumstances.
Make sure that the personal details of those doing the fieldwork are up to date and have family or
emergency contacts.
Make sure that your overseas contact details and that of the workplace are lodged with the
department.
High Risk Fieldwork
Any high risk field work needs to be discussed separately with those involved, the head of school,
and safety officer as there will be many more requirements if it is to be approved. High risk would
include work at remote sites or in areas where the risk assessment procedure shows risk levels of 1,
2, or 3 according to WorkCover's Risk Matrix.
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Note to Student
Workplace safety is an important part of all businesses and you will be required to comply with
workplace legislation, University rules and guidelines, and the rules and guidelines of the workplace
As well as filling in your details and the details of your induction using the following forms, it is
important that you report any concerns that you may have about your external work to both your
work supervisor and your project supervisor. This includes factors such as your ability to perform
tasks safely according to your experience level.
Please, take your induction seriously – following rules, safe working practices, and knowing what
to do in an emergency are an important part of working life. Make sure that the workplace has
your emergency details. If you have a medical condition that may be relevant to a workplace then
it is recommended that the information be provided to the supervising engineer so that any special
medical needs or emergency responses may be put in place.
Appendix B
Work Health Safety Policy
Risk Assessment
At the University of Sydney we use WorkCover's risk assessment matrix to determine risk levels to
help implement controls. A copy of the matrix is included for your reference.
Conclusion
Safety is paramount. Do not expose the student to high risk activities, especially those that you rate
at 1, 2, or 3 on the risk matrix. It would be better for the student to observe a higher risk activity
rather than participate in it.
WorkCover's Risk Matrix
The numbers show how important it is to do something:
1 do something immediately
6 do something when possible
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