Placements
Type of Placement
*
--None--
Paid Work Experience
Sandwich Year
Voluntary
School
--None--
Architecture
Biological and Medical Sciences (BMS)
Built Environment
Engineering, Computing and Mathematics
Psychology, Social Work and Public Health (PSP)
Sport, Nutrition and Allied Health Professions (SNAHP)
Subject Area
*
--None--
Course
--None--
Placement Details
Role Title
Start Date
Finish Date
Currencies
£ - GBP
$ - USD
€ - EUR
Other
Salary Frequency
--None--
Hourly
Daily
Weekly
Monthly
Annually
Salary (and benefits)
Hours Per Week
Organisation
Organisation Name
Main Switchboard Number
Placement Address
Street
City
County
Country
Post Code
Company Contact
Company Contact First Name
Company Contact Last Name
Telephone
Email
Line Manager
Line Manager First Name (If different)
Line Manager Last Name (If different)
Phone
Email Address
Fitness to Practice
Safeguarding
--None--
Yes
No
N/A
Safeguarding Cert Number
Safeguarding Date
DBS
--None--
Yes
No
N/A
DBS Number
DBS Date
First Aid
--None--
Yes
No
N/A
First Aid Cert Number
First Aid Date
Risk Assessment
Have you attended the mandatory on-campus health & safety/ academic assignment briefing session that takes place before the start of the placement?
--None--
Yes
To follow
Have you received health & safety information from your placement employer?
--None--
Yes
No
To Follow
Have you reviewed the Module Guide (including the deadlines for each assignment) and the Placement Guide along with emergency contact details on Moodle?
--None--
Yes
To follow
As far as you are aware, how would you rate your travel and transportation risks?
--None--
LOW:No significant Travel
MEDIUM: Long daily commute / regular driving / night travel
HIGH: Demanding travelling / driving unfamiliar vehicles / driving others
As far as you are aware, how would you rate the location/ regional risks?
--None--
LOW: UK with no significant local risks
MEDIUM: Overseas placements in low risk countries (as per the Foreign & Commonwealth Office)
HIGH: Significant risk of civil disorder/ crime/ war zone areas
As far as you are aware, how would you rate your working environment?
--None--
LOW: Office/ business environment
MEDIUM: Industrial/ workshop/ building site/ kitchen environment with in- house training provided
HIGH: Working with hazards that have the potential to cause permanent injury or fatalities such as operating heavy machinery
As far as you are aware, how would you rate the general health and safety risks associated with work place activities?
--None--
LOW: No significant health risks
MEDIUM: Some precautionary measures (such as optional inoculations/ medical travel kits
HIGH: Mandatory and specific health protection (such as working in very hot, cold or strenuous conditions or compulsory inoculations)
How would you rate risks associated with your personal circumstances?
--None--
LOW: You have no personal factors that may cause episodes of illness and you understand the role requirements
MEDIUM: You have personal factors that may require specific adjustment or support during work
HIGH: You have personal factors (i.e. health, disability, linguistic or cultural) which may increase the risk of illness or accident
As far as you are aware, how would you rate the insurance risks?
--None--
LOW: UK and covered by the employer's public liability insurance (WAVES will check this)
MEDIUM: Overseas and covered by the employer's liability insurance (WAVES will check this)
HIGH: Overseas and not covered by the employer's liability insurance (WAVES will require proof that you have organised your own liability insurance)
I agree to inform the placement office if I am absent from work for 7 consecutive working days or more (excluding paid annual leave)
If, following commencement, I have any concerns regarding any aspect of my placement, I will contact my Placement Tutor or the Placement office (Your tutor will be assigned after your placement is approved) DO NOT QUIT YOUR PLACEMENT EARLY WITHOUT CONTACTING YOUR PLACEMENT OFFICER
I will remember to re-enrol for my placement year via my student record page before the start of the academic year (Week 1 ). THIS IS IMPORTANT SO THAT STUDENT FINANCE CHARGE YOU THE CORRECT TUITION FEE FOR THE PLACEMENT YEAR
I will log a Placement Update via the portal if there are any changes during my placement (i.e. placement address, line manager/ mentor)