FORM

advertisement
ARCHAEOLOGICAL FIELDWORK RISK ASSESSMENT FORM (STAFF)
Discipline of Archaeology, School of Geography and Archaeology, NUI Galway.
(On completion, this form is to be signed and dated, and a copy of it submitted to the Administrative Assistant, Room 217, before commencing fieldwork)
Fieldwork category
Field research
Date commencing:
Field-school
Field-class
Module no./class
Date concluding:
Location(s) of fieldwork:
Address and phone no. of residential base:
Nearest A&E hospital to location(s):
Co-ordinator contact E-mail:
Co-ordinator contact telephone/mobile:
Field assistant(s) and contact mobile phone no. :
Fieldwork approved by head of discipline?
YES
NO
N/A
Suitable accommodation arrangements?
YES
NO
N/A
Suitable travel arrangements?
YES
NO
N/A
Permission granted to enter lands (if required)?
YES
NO
N/A
Participants given Health & Safety briefing?
YES
NO
N/A
Participants advised of Health & Safety info on website(s)?
YES
NO
N/A
‘Student/Participant Health & Safety Statement’ forms completed
and returned to Administrative Assistant?
YES
NO
N/A
Hazard Identification
Liklihood
(1-4)
Severity
(1-4)
L’hood x
Severity
Existing Control
Measures
Control measure required /
Remedial measures
Physical hazards
Environmental hazards
Biological hazards
Accessibility/mechanical/electrical hazards
Personal safety hazards
Other hazards
Assessor (staff member):
Signature:
Date:
Download