Internal, open access

Forms & Other Resources

This page collects together the current versions of all forms and checklists available from Health & Safety Services. Please select from the topic list below.

 

Display Screen Equipment (DSE)
DSE workstation checklist [SG13 Appendix 3] DSE workstation checklist
Eyesight test request form Eyesight test request form

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Driving
University Driving for work Policy Driving for work policy
Driver record form  Driver record form
Vehicle safety checklist Vehicle safety checklist
University vehicle insurance information  University vehicle insurance information
DVLA Driving entitlement consent form  DVLA Driving entitlement consent form
Generic driving risk assessment Generic driver risk assessment
Drivetech Answer Sheet for FMD drivers (Please contact Health & Safety Services for the question sheet) Drivetech answer sheet

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Events
Event Notification Form (an example of a completed form can be found in Safety Guide 33 - Event Management)

Event notification form

Events Risk Assessment form (an example of a completed form can be found in Safety Guide 33- see link above) Event risk assessment form
Event Contractor competancy questionnaire  Contractor competancy questionnaire

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Expectant (and new) mothers risk assessment

Expectant mothers risk assessment form NB An example of a completed risk assessment can be found in  Safety Note 27 - Maternity Health & Safety Issues

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Fire safety
University fire procedure poster  Fire procedures poster

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Genetic modification, radiation & biological safety
GM Workers Registration Form GM worker registration form
GM Project Application Form - low risk GM Project Application Form - low risk
GM Project Application Form - standard GM Project Application Form - standard
GM Risk Assessment Form GM03 GM Risk Assessment Form GM03
Biohazard Project Application Form
This form is for intentional work with biological agents and incorporates the biohazard risk assessment form below.
Biohazard Project Application Form
Biohazard Risk Assessment Form
This form is for intentional work with biological agents, and should be used for notification and risk assessment when additional biological agents are added to an approved project.
Biohazard Risk Assessment Form
Worker Registration Form for Work with Non-Notifiable Hazard Group 2 Agents Worker Registration Form for Work with Non-Notifiable Hazard Group 2 Agents
Work with Notifiable Hazard Group 2 Agents and Hazard Group 3 Agents Work with Notifiable Hazard Group 2 Agents and Hazard Group 3 Agents
Occupational Health Questionnaire for Work with Genetically Modified Organisms and Hazardous Biological Agents. Occupational Health questionnaire for GM & BA work
Risk assessment for Incidental exposure to hazardous biological agents This form is intended for work that may entail exposure to hazardous biological agents, where there is no intention to isolate, concentrate or propogate them. Risk assessment for incidental exposure to hazardous biological agents
Activity-specific radiation risk assessment for and local rules for a controlled area Activity-Specific Radiation Risk Assessment Form
Example of a completed activity-specific radiation risk assessment for and local rules for a controlled area Example of a completed activity specific radiation risk assesment

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H&S induction
Induction checklist for new staff and postgraduate students Health and safety induction checklist
 Health & Safety Information for Staff leaflet  Health and Safety Information for Staff
Student placement induction checklist (SG31 Appendix 6) Safety Guide 31 - Student Placements

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H&S inspections
Inspection checklist for offices and general work areas General office workplace inspection checklist March 2009

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Incident reporting & investigation
University incident report form for reporting significant incidents and near misses to Health and Safety Services University incident report form
Accident / incident investigation checklist Investigation checklist
Incident investigation report template Incident investigation form

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Laser safety
Laser Registration Form and guidance notes - for use when registering a laser facility with Health and Safety Services Laser registration form and guidance notes
Laser Risk Assessment Form RA2L Laser risk assessment form RA2L

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Manual handling
Manual Handling Risk Assessment Form (MH2) - specific assessment MH risk assessment form MH2

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Risk assessment - general
Area / Generic Risk Assessment Form (RA1) UoR Area risk assessment form RA1
Project / Task Assessment Form (RA2) - to be used for assessing specific and more hazardous tasks UoR Project risk assessment form RA2
Register of Risk Assessments - to be used to list all risk assessments for an area Register of Risk Assessments

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Other Resources
Template for Area Health and Safety Code - to be used by Schools/Directorates  
Template for Annual Performance Review - to be used to assist Schools/Directorates check that their H&S management system is working effectively and addresses all significant risks  To be added
Permit required for all maintenance, servicing and non-routine cleaning work in the University laboratories and workshops. Permit to work - Lab and Workshops

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