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  • Risk Assessment Form

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    Zeeshan Ahmed
    100 views5 pages
    This document contains a risk assessment report for an employer's workplace. It collects information about the employer such as the organization name, number of employees, and details of employer liability insurance. It also assesses various safety aspects of the workplace including working conditions, supervision of learners, health and safety training, machinery maintenance, policies and signage, risk assessments, first aid, and control of hazardous substances. The document is signed by representatives of the employer organization and training provider to agree on the assessment and any necessary actions.

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    This document contains a risk assessment report for an employer's workplace. It collects information about the employer such as the organization name, number of employees, and details of employer liability insurance. It also assesses various safety aspects of the workplace including working conditions, supervision of learners, health and safety training, machinery maintenance, policies and signage, risk assessments, first aid, and control of hazardous substances. The document is signed by representatives of the employer organization and training provider to agree on the assessment and any necessary actions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    100 views5 pages

    Risk Assessment Form

    Uploaded by

    Zeeshan Ahmed
    This document contains a risk assessment report for an employer's workplace. It collects information about the employer such as the organization name, number of employees, and details of employer liability insurance. It also assesses various safety aspects of the workplace including working conditions, supervision of learners, health and safety training, machinery maintenance, policies and signage, risk assessments, first aid, and control of hazardous substances. The document is signed by representatives of the employer organization and training provider to agree on the assessment and any necessary actions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 5

    Employer Workplace

    Safety / RISK
    ASSESSMENT Report

    Organisation

    Name of employer

    D600 Page 1 of 5
    RISK ASSESSMENT FORMS
    Health & safety is at the heart of a work based learning programme. It is important to
    everyone that each Apprentice feels safe and protected from risk whilst working and learning.

    To ensure every learner is working and learning in a safe environment, we give all learners an
    induction which covers health & safety and ask you to complete this questionnaire with your
    Gateway representative.

    Insurance
    Total number of
    Employer
    employees □ □
    liability
    Total number of site Yes No
    insurance held
    employees
    Insurance company name

    Policy number Expiry date

    Delivery location address

    Name of employer representative


    agreeing this assessment

    Name of Gateway representative


    completing this assessment

    Date this assessment was agreed

    D600 Page 2 of 5
    Working conditions
    Are working conditions to a satisfactory
    Y N Comments
    standard
    Supervision
    Is there adequate supervision in place for all
    Y N Comments
    learners
    Have all learners received a full H&S
    Y N Comments
    induction
    Are all learners receiving on-going H&S
    Y N Comments
    training
    Are all learners appropriately supervised
    Y N Comments
    whilst working
    Lone working
    If applicable have appropriate controls been
    Y N Comments
    put into place to cover lone working
    Machinery & equipment
    Is all machinery checked and maintained on
    a regular basis in accordance with relevant Y N Comments
    regulations
    Health & safety policy
    Does your organisation have a formal written
    Y N Comments
    Health & Safety Policy
    Do you have on display a copy of the HSE
    Health & Safety law poster and is it Y N Comments
    completed with statutory details
    Are statutory safety signs displayed
    appropriately to warn staff of potential Y N Comments
    hazards
    Risk assessments
    Where risk assessments are undertaken do
    they take into account individual’s lack of
    maturity or experience, specific disability, Y N Comments
    pregnancy, physical capability and manual
    handling.
    First aid
    Do you have suitably trained appointed first
    Y N Comments
    aiders on site
    Do you have means of recording accidents
    Y N Comments
    Are you aware of RIDDOR requirements
    Y N Comments
    Control of substances hazardous to health (COSHH)
    Have COSHH risk assessments been carried
    Y N Comments
    out and recorded appropriately

    Safeguarding
    D600 Page 3 of 5
    Does your organisation have an equal
    Y N Comments
    opportunities policy
    Are there any specific industry related
    safeguarding issues that need to be Y N Comments
    addressed before training can commence
    Please list any prohibitions (dangerous equipment) or restricted working practices for young or inexperienced
    workers.

    Enter
    Your Business Sector Risk Level
    H/M/L
    Catering/Hospital (Kitchen) (H)igh (M)edium (L)ow
    Engineering/Mechanical/Electrical
    Catering/Hospitality (Non kitchen)
    Active Leisure & Learning
    Retail/Trade/Sales
    Administration/Office/Reception
    Health/Care
    Transport/Logistics
    Other-Please
    Specify

    Agreement
    Organisation representative
    Date
    signature

    Signed for and on behalf of


    Date
    Gateway Training

    Action plan
    Ref. Action required Responsible Agreed close out
    person date

    D600 Page 4 of 5
    D600 Page 5 of 5

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