Download General Risk Assessment Form

General Risk Assessment Form
Date: (1)
Assessed by: (2)
16th July 2012
Example by Safety
Services*
Checked / Validated*
by: (3)
Location: (4)
Assessment ref no (5)
Northern Uganda
Review date: (6)
Before departure &
during fieldwork
Task / premises: (7)
EXAMPLE risk assessment for fieldwork / placement in Northern Uganda
*Acknowledgements – risk assessment adapted from an original prepared by P. Moore (Chief Risk Officer University Hospital of South Manchester)
Activity (8)
Hazard (9)
Fieldwork in
Northern Uganda
Threat to
personal safety
Who might be
harmed and how (10)
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
See FCO advice at:
http://www.fco.gov.u
k/en/travel-andliving-abroad/traveladvice-bycountry/sub-saharanafrica/uganda
University risk assessment form and guidance notes.
Revised Aug07
Existing measures to control risk (11)
The Team Leader provides a briefing on personal safety
whilst working and travelling in Uganda within 7 days of
departure. This briefing includes:
Risk rating
(12)
L
Result
(13)
A
(i) assessment of the risk and expected behaviours of all
team members
(ii) objective(s) to be achieved
(iii) roles and responsibilities of team members
(iv) the latest UK FCO travel and security advice
(v) infection prevention and food hygiene advice
(vi) travel requirements including visa and approved modes
of transport
(vii) actions to be taken to maintain personal health, safety
and security of oneself and other team members whilst in
Uganda
(viii) local customs, practices and beliefs to be observed
(ix)appropriate dress code
(x) permitted recreational activities, and
(xi) relevant emergency procedures.
Team members are not permitted to depart from the
UK without having attended a briefing and signing to
acknowledge receipt of and willingness to comply with
the risk assessment (irrespective of how many times a
team member has visited Uganda)
p 1 of 12
Activity (8)
Hazard (9)
Cont’d
Threat to
personal safety
Cont’d
Fieldwork in
Northern Uganda
Threat to
personal safety
Fieldwork in
Northern Uganda
Threat to
personal safety
(cont’d)
Who might be
harmed and how (10)
Fieldworker
Existing measures to control risk (11)
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
Safe and secure accommodation is provided for team
members in xxxx 'the Safe House(s)'. All members of the
team MUST reside at the designated accommodation except
where, by prior arrangement, alternative accommodation is
required as part of an excursion or approved leisure activity.
Requests to reside at any accommodation other than the
'Safe House(s)' must be authorised in advance by the Team
Leader who must ensure the accommodation is safe and
suitable and team members remain in contact at all times.
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
University risk assessment form and guidance notes.
Revised Aug07
Risk rating
(12)
Result
(13)
L
A
A second briefing takes place upon arrival in order to (i)
refresh health & safety advice; (ii) go through relevant
emergency procedures; (iii) rehearse communication
protocols; (iv) orientate team members to the location and
accommodation; and (v) address requirements regarding
approved leisure activities.
Only use reputable tour operators to visit Uganda’s
national parks. Under no circumstances is camping or
residing in a local 'mud hut' permitted
In the event of a need for emergency accommodation arising
(i.e. accommodation becomes unsafe, damaged by fire or
flood), the Team Leader will arrange for alternative
accommodation in local hotels or University guest house(s).
Suitable accommodation to be considered for use in the
event of an emergency is identified in advance of the trip by
the Team leader, clearly marked on a map with contact
numbers and discussed with all team members at the predeparture briefing.
p 2 of 12
Activity (8)
Hazard (9)
Road travel
Who might be
harmed and how (10)
Personal injury from
RTA.
Existing measures to control risk (11)
Team members MUST travel in designated vehicles which are
roadworthy and driven by approved drivers with sufficient
local knowledge.
Risk rating
(12)
M
Result
(13)
A
L
A
Under no circumstances is travel using a motorcycle
(either as rider or passenger), bicycle or any other
mode of road transportation (other than in designated
vehicles) permitted
Fieldwork in
Northern Uganda
Threat to
personal safety
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
University risk assessment form and guidance notes.
Revised Aug07
Team Members deployed in XXXX are required AT ALL TIMES
to have a fully charged and credited mobile telephone and/or
two-way radio in order to maintain contact with the Team
Leader and other members of the team beyond the confines
of the accommodation.
Team members are not permitted to leave the confines
of the safe house(s) without at least one member of
the team in possession of a fully functioning and
credited mobile communications device (mobile
telephone or two-way radio). If team members
separate into groups then at least one member of the
group requires a mobile device. Staff must ensure
devices have the contact numbers of each member of
the team within the contacts list and maintain contact
with the team leader at least every 2 hours when
outside the confines of the safe house(s). Under no
circumstances are staff permitted to leave the safe
house alone after dark
p 3 of 12
Activity (8)
Hazard (9)
Fieldwork in
Northern Uganda
Threat to
personal safety
Car travel
Threat to
personal safety
Who might be
harmed and how (10)
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
Existing measures to control risk (11)
Fieldworker – incountry travel by car
DRIVER AND PASSENGER SAFETY PART 1
The leader must carry out a roll-call on a daily basis and
also make contact with a NOMINATED PERSON within
the predetermined UoM office every 48 hours (or more
frequently in the event of outbreaks of violence or crime in
the region or any other emergency situation arising).
Risk rating
(12)
L
Result
(13)
A
L
A
L
A
A 'Missing Person' protocol is used in the event a member of
staff is unaccounted for. The Protocol is kept at all Safe
House locations in XXXX and also within the school office in
the UK. The protocol covers what to do in the event a team
member is unaccounted for and arrangements for assistance
or immediate repatriation.
Keep car doors locked and windows up when driving or a
passenger in a car. Ensure valuables are out of view – this is
especially important in slow moving or stationary traffic. Do
not use public transport and never use matatus (mini
bus taxi) or boda-bodas (motorcycle taxi
Car travel
Threat to
personal safety
Fieldworker – incountry travel by car
DRIVER AND PASSENGER SAFETY PART 2
If the vehicle appears unroadworthy do not use it.
Before the vehicle is 1st used and at weekly intervals
thereafter the team leader is required to check the following
before the vehicle is used by team members:
(i) engine oil level
(ii) brake fluid level
(iii) coolant level
(iv) tyre pressures
(v) seat belt (sufficient number and working order of each
belt) and
(vi) lights
Do not stop at the scene of an accident. If your vehicle is
involved continue with your journey (if your vehicle is able to
do so) and report the accident at the nearest police station
University risk assessment form and guidance notes.
Revised Aug07
p 4 of 12
Activity (8)
Hazard (9)
Fieldwork in
Northern Uganda
Threat to
personal safety
Who might be harmed
and how (10)
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
Existing measures to control risk (11)
See FCO advice at:
(v) infection prevention and food hygiene advice
http://www.fco.gov.u
k/en/travel-andliving-abroad/traveladvice-bycountry/sub-saharanafrica/uganda
(vi) travel requirements including visa and approved
modes of transport
The Team Leader provides a briefing on personal safety
whilst working and travelling in Uganda within 7 days of
departure. This briefing includes:
Risk rating
(12)
L
Result
(13)
A
(i) assessment of the risk and expected behaviours of all
team members
(ii) objective(s) to be achieved
(iii) roles and responsibilities of team members
(iv) the latest UK FCO travel and security advice
(vii) actions to be taken to maintain personal health,
safety and security of oneself and other team members
whilst in Uganda
(viii) local customs, practices and beliefs to be observed
(ix)appropriate dress code
(x) permitted recreational activities and
(xi) relevant emergency procedures.
University risk assessment form and guidance notes.
Revised Aug07
p 5 of 12
Activity (8)
Hazard (9)
Cont’d
Cont’d
Who might be
harmed and how (10)
Fieldworker
Existing measures to control risk (11)
Team members are not permitted to depart from
the UK without having attended a briefing and
signing to acknowledge receipt of and willingness
to comply with the risk assessment (irrespective of
how many times a team member has visited
Uganda)
Risk rating
(12)
L
Result
(13)
A
A second briefing takes place upon arrival in order to (i)
refresh health & safety advice; (ii) go through relevant
emergency procedures; (iii) rehearse communication
protocols; (iv) orientate team members to the location
and accommodation; and (v) address requirements
regarding approved leisure activities.
Fieldwork in
Northern Uganda
Fieldwork in
Northern Uganda
Threat to
personal safety
Threat to
personal safety
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
Safe and secure accommodation is provided for team members
in xxxx 'the Safe House(s)'. All members of the team MUST
reside at the designated accommodation except where, by prior
arrangement, alternative accommodation is required as part of
an excursion or approved leisure activity. Requests to reside at
any accommodation other than the 'Safe House(s)' must be
authorised in advance by the Team Leader who must ensure the
accommodation is safe and suitable and team members remain
in contact at all times.
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
In the event of a need for emergency accommodation arising
(i.e. accommodation becomes unsafe, damaged by fire or
flood), the Team Leader will arrange for alternative
accommodation in local hotels or University guest house(s).
Suitable accommodation to be considered for use in the event
of an emergency is identified in advance of the trip by the Team
leader, clearly marked on a map with contact numbers and
discussed with all team members at the pre-departure briefing.
University risk assessment form and guidance notes.
Revised Aug07
L
A
Only use reputable tour operators to visit Uganda’s
national parks. Under no circumstances is camping or
residing in a local 'mud hut' permitted
L
p 6 of 12
Activity (8)
Hazard (9)
Road travel
Who might be
harmed and how (10)
Personal injury from
RTA.
Existing measures to control risk (11)
Risk rating
(12)
Result
(13)
Team members MUST travel in designated vehicles which are
roadworthy and driven by approved drivers with sufficient local
knowledge.
Under no circumstances is travel using a motorcycle
(either as rider or passenger), bicycle or any other mode
of road transportation (other than in designated
vehicles) permitted
Fieldwork in
Northern Uganda
Threat to
personal safety
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
University risk assessment form and guidance notes.
Revised Aug07
Team Members deployed in XXXX are required AT ALL TIMES to
have a fully charged and credited mobile telephone and/or twoway radio in order to maintain contact with the Team Leader
and other members of the team beyond the confines of the
accommodation. (Multiple phone networks to be used).
L
A
Team members are not permitted to leave the confines of
the safe house(s) without at least one member of the
team in possession of a fully functioning and credited
mobile communications device (mobile telephone or twoway radio). If team members separate into groups then
at least one member of the group requires a mobile
device. Staff must ensure devices have the contact
numbers of each member of the team within the contacts
list and maintain contact with the team leader at least
every 2 hours when outside the confines of the safe
house(s). Under no circumstances are staff permitted to
leave the safe house alone after dark
p 7 of 12
Activity (8)
Hazard (9)
Fieldwork in
Northern Uganda
Threat to
personal safety
Who might be
harmed and how (10)
Fieldworkers - Death,
serious trauma,
abduction, false
imprisonment,
kidnap, piracy,
assault or rape whilst
working or travelling
in Uganda. FCO
currently state there
is a high threat of
terrorism in Uganda
(as at July 2012).
University risk assessment form and guidance notes.
Revised Aug07
Existing measures to control risk (11)
Risk rating
(12)
The Team Leader must carry out a roll-call on a daily basis
L
and also make contact with a NOMINATED PERSON within
the predetermined UoM office every 48 hours (or more
frequently in the event of outbreaks of violence or crime in the
region or any other emergency situation arising).
Result
(13)
A
A 'Missing Person' protocol is used in the event a member
of staff is unaccounted for. The Protocol is kept at all Safe
House locations in XXXX and also within the school office
in the UK. The protocol covers what to do in the event a
team member is unaccounted for and arrangements for
assistance or immediate repatriation.
p 8 of 12
Activity (8)
Hazard (9)
Who might be
harmed and how (10)
Existing measures to control risk (11)
Travelling and
working within
Uganda.
PERSONAL
ILLNESS:
Serious illness
involving a
member or
members of staff
whilst travelling
and working
within Uganda.
Main hazards include:
(i) exposure to infection
during clinical practice or
whilst visiting clinical
areas / patient contact /
clinical waste sites or
waste handling
(Cholera, Ebola
haemorrhagic fever,
Marburg
haemorrhagic fever,
Meningococcal
disease and Hepatitis
E);
(ii) food poisoning
(Diarrhoeal disease E. coli, Shigella,
Entamoeba histolytica,
Salmonella,
Campylobacter, Giardia,
Cryptosporidia,
Cyclospora and Vibrio
cholerae,
Dehydration);
(iii) drinking
contaminated water
(Diarrhoeal disease,
Dehydration);
(iv) insufficient hand
washing materials and or
decontamination
The Head of School is responsible for evaluating and keeping
under constant review the latest Foreign Office travel advice. In
the event of a serious infectious outbreak in the area(s) to be
visited a decision on proceeding with the trip shall be taken in
partnership with advice from Occupational Health Physician and
Head of Safety Services and others as appropriate.
Risk rating
(12)
L
Result
(13)
A
Occupational Health Screening is undertaken to ensure an
individual is mentally and physically fit to undertake the journey
and activities planned, and has completed the relevant course
of immunisations for the area concerned.
Team members are not permitted to travel if they have
not received the required immunisations beforehand
and/or are deemed by occupational health to be unfit for
the mission
In addition to the provision of vaccines, Occupational Health
must also undertake an examination of each employee to
ensure they are physically and mentally fit to undertake all
work activities in Uganda.
facilities;
(v) reptile bite;
(vi) insect bite
(Malaria);
(vii) animal bite;
(viii) allergy;
(ix) needle stick /
contaminated sharps
injury;
(x) pre-existing illness
or injury prior to
travel; and
(xi) sun exposure
University risk assessment form and guidance notes.
Revised Aug07
p 9 of 12
Activity (8)
Hazard (9)
Who might be
harmed and how (10)
Travelling and
working within
Uganda.
PERSONAL
ILLNESS:
Serious illness
involving a
member or
members of staff
whilst travelling
and working
within Uganda.
Main hazards include:
(i) exposure to infection
during clinical practice or
whilst visiting clinical
areas / patient contact /
clinical waste sites or
waste handling
(Cholera, Ebola
haemorrhagic fever,
Marburg
haemorrhagic fever,
Meningococcal
disease and Hepatitis
E);
(ii) food poisoning
(Diarrhoeal disease E. coli, Shigella,
Entamoeba histolytica,
Salmonella,
Campylobacter, Giardia,
Cryptosporidia,
Cyclospora and Vibrio
cholerae,
Dehydration);
(iii) drinking
contaminated water
(Diarrhoeal disease,
Dehydration);
(iv) insufficient hand
washing materials and or
decontamination
facilities;
(v) reptile bite;
(vi) insect bite
(Malaria);
(vii) animal bite;
(viii) allergy;
(ix) needle stick /
contaminated sharps
injury;
(x) pre-existing illness
or injury prior to
travel; and
(xi) sun exposure
University risk assessment form and guidance notes.
Revised Aug07
Existing measures to control risk (11)
Risk rating
(12)
The Team Leader is responsible for ensuring adequate access to
L
bottled mineral water is available at all locations and whilst
travelling throughout Uganda.
Result
(13)
A
Water should only be drunk if you are sure of its purity.
Drink or use only bottled mineral water and avoid ice.
Milk should be boiled unless you are sure it has been
pasteurised.
All team members must carry and use hand hygiene products
including soap, hand gels and relevant personal protective
equipment such as gloves, apron, face mask (where appropriate
during clinical activities).
The decision to eat out at a restaurant, obtain take-away or
prepare food for consumption is done at the team members
own risk.
Under no circumstances are members advised to
purchase and consume food or food products from the
roadside, market stalls or facilities which do not appear
to be clean. Always consider the advice of trusted locals
Cheeses and ice cream are often made from
unpasteurised milk and should be avoided unless you are
sure of their quality. Meat should be thoroughly cooked
and eaten hot. Avoid eating leftovers. Take local advice
about eating seafood - when in doubt best to avoid.
Vegetables should only be eaten when thoroughly
cooked. Green salads should be avoided wash hands
thoroughly before eating or handling food.
Fieldworkers are to wear types of clothing to help prevent
sunburn and to use an appropriate SPF cream.
p 10 of 12
Activity (8)
Hazard (9)
Travelling and
working within
Uganda.
PERSONAL
ILLNESS:
Serious illness
involving a
member or
members of staff
whilst travelling
and working
within Uganda.
Who might be
harmed and how (10)
Main hazards include:
(i) exposure to
infection during
clinical practice or
whilst visiting clinical
areas / patient
contact / clinical
waste sites or waste
handling (Cholera,
Ebola haemorrhagic
fever, Marburg
haemorrhagic
fever,
Meningococcal
disease and
Hepatitis E);
(ii) food poisoning
(Diarrhoeal disease
- E. coli, Shigella,
Entamoeba
histolytica,
Salmonella,
Campylobacter,
Giardia,
Cryptosporidia,
Cyclospora and Vibrio
cholerae,
Dehydration);
(iii) drinking
contaminated water
(Diarrhoeal disease,
Dehydration);
(iv) insufficient hand
washing materials
and or
decontamination
facilities;
(v) reptile bite;
(vi) insect bite
(Malaria);
(vii) animal bite;
(viii) allergy;
(ix) needle stick /
contaminated sharps
injury;
(x) pre-existing illness
or injury prior to
travel; and
(xi) sun exposure
University risk assessment form and guidance notes.
Revised Aug07
Existing measures to control risk (11)
Risk rating
(12)
Result
(13)
Each team member is required to carry sufficient supplies of:
•Antimalarial pills
•Broad-spectrum antibiotics
•Rehydration salts
•Antidiarrheal drugs
•Antipyretics-fever reducers (aspirin, paracetamol)
•Anti-inflammatory drugs (Ibuprofen)
•Antihistamines (Loratadine, Benadryl)
•Antibacterial ointment for small cuts (Bactroban)
•Sun screen
•DEET-containing insect repellent
•First-Aid kit
Plus any other prescribed medications used by the team
member
Never step into an area that you can't check visually and never,
ever put your hands or feet in places that you can't see. All
snakes tend to avoid interaction with humans and, if made
aware of our presence before feeling threatened or cornered,
will retreat unnoticed. Keep your bag zips and mosquito nets
closed at all times, when not in use, and never walk at night
around the village without the aid of bright flashlight.
Team members returning home from malaria-risk areas and
developing fevers or flu-like symptoms, should consider malaria
as a possibility and must seek immediate medical attention and
inform Occupational Health.
In the event of serious illness repatriation will be considered.
Prior to departure the Insurance Office will provide details on
cover.
p 11 of 12
Action plan (14)
Ref
No
Further action required (examples)
2nd in command person to be nominated in the event of illness or incapacitation of team leader.
Action by
whom
HoS
Satellite phone to be taken and used in the event of prolonged down time of Ugandan phone
network.
Team leader
It is not uncommon for baggage to be delayed / lost or stolen. Team members will split and
pack their clothing luggage with a trusted colleague for the outbound flight.
Fieldworkers
Action by
when
Done
In the event a Team Member is held in custody by Ugandan police, the Team Leader will contact
the British Consulate in Uganda and/or the British Foreign & Commonwealth Office in London for
immediate assistance. The Team Leader will take whatever steps are necessary within Ugandan
law to secure the release of the Team Leader and will undertake as many visits that are
permitted to maintain contact with those held in police custody. Before departure to Uganda,
the Group will identify a deputy leader to take the lead in the event the Team Leader is held in
custody.
University risk assessment form and guidance notes.
Revised Aug07
p 12 of 12