OVERSEAS TRAVEL AUTHORISATION FORM PART B – RISK ASSESSMENT For medium to high risk visits Description of Activity / Type of Activity Fieldwork Research Recruitment Other (please specify) Conducted with other organisation Yes No If yes, name and address of other organisation and main contact person Have you travelled to this country (ies) before Yes No (please specify when you last visited) Please specify if you have extensive knowledge of the country you are visiting (gained from residence, citizenship or work experience). Are you aware of the cultural differences and expectations of the country(ies) being visited? What are the current risks specified by the FCO and CR24 for the country(ies) being visited? What are the arrangements for maintaining 151012 Named contact person: contact with the University during the trip? Method of contact: Frequency of contact: Have you consulted Occupational Health in relation to this visit? Yes No If the answer is No – please contact OH Department for advice. (If appropriate you will be asked to complete the Occupational Health Travel Health Assessment Form (Part C). Please use the template below to detail the hazards, risks and proposed control measures for this visit. To complete the template please refer to the Risk Assessment Check List, Foreign and Commonwealth Office Advice, CR24 and UCEA www.ucea.ac.uk Hazard Associated Problems Probability/high (H) Measures taken to See Appendix 3 medium (M) low (L) reduce risk Risk assessment or not applicable N/A guidance for examples Accommodation Civil Unrest Climate conditions Confined spaces Contact with animals 151012 Contact with insects Contact with reptiles Contaminated food Contaminated water Crime Electricity Emergencies Hazardous substances Infections Local culture and legislation Natural phenomenon Stress Transportation Workplace environment Other (specify) 151012 Approvals: Travellers/PIC: Print: Sign: Date: Sign: Date: Director/Dean: Print: Comments or recommendations by Safety Officer Approval by Safety Officer: Print: 151012 Sign: Date: RISK ASSESSMENT GUIDANCE HAZARD Accommodation ASSOCIATED PROBLEMS Adequate lighting, drinking water, RECOMMENDATIONS ventilation, temperature, Before travelling check the suitability and facilities of the accommodation. cleanliness, space, equipment, washing and sanitary facilities, security Civil Unrest Security alerts, terrorism, Make yourself aware of the of the shootings, bombings, security situation at the location demonstrations, abductions and www.fco.gov.uk kidnapping. Avoid visiting locations which have civil unrest. Avoid all demonstrations and public gatherings. Climate Conditions Dry/desert, hot, cold, (high humidity, hypothermia), oxygen deficiency/rarefied air, sunburn, seasonal weather. sunstroke, heat exhaustion dehydration, skin cancer, tidal and Use high factor sunscreen and carry water in hot conditions. other water considerations, unusual winds (e.g. tornado, Be aware of weather forecasts and Protect extremities, hands/feet from cold/wet conditions. hurricane). Avoid strenuous activity during hot periods. Wear good quality wet weather gear in wet conditions. Confined Spaces, Becoming trapped, asphyxiation, Caving, Tunnelling drowning. etc Ensure you have sufficient and appropriate training. Check safety procedures that are in place at the location. Be aware of local hazards, e.g. mine shafts, crevices etc. 151012 HAZARD ASSOCIATED PROBLEMS RECOMMENDATIONS Contact with Allergies, asthma, bites and other Do not approach animals. Animals physical contact, dermatitis, rabies, Avoid markets and other places stings. Contact with Bites/stings Lyme’s disease, malaria, Insects yellow fever, other. where animals are sold. Ensure you have had the inoculations relevant to the location. Wear appropriate clothing, e.g. long sleeves, to avoid bites. Determine if malaria is a risk if so, consult GP for medication Contact with Availability of antidotes/medical back- Reptiles/Snakes up. Determine level of threat at location. Ensure there is appropriate first aid/medical service locally Contaminated Allergies, food poisoning, dysentery, Food diarrhoea, Hepatitis A. Wear appropriate clothing Eat thoroughly cooked recently prepared food. Avoid buffets. Drink sufficient water to avoid dehydration. Avoid ice Contaminated Diarrhoea, dysentery, legionella, Water leptospirosis, cholera, polio, typhoid. Drink bottled water only. Check bottled water has been sealed before opening. 151012 Do not have ice in drinks. Use bottled water to clean teeth HAZARD Electricity ASSOCIATED PROBLEMS Compatibility of equipment and RECOMMENDATIONS supply, safety standards (higher/lower/different), power cuts. Prior to travel check compatibility of equipment with local supply. Take torches, batteries, adaptors. Do not use electrical equipment, sockets, etc, which looks faulty Hazardous Antidote availability, spillage Substances arrangements, transport requirements, MSDS information. Comply with Material Health and Safety Data Sheet. Utilise appropriate personal protective equipment Infections Transmission of HIV, Hepatitis B or similar by use of non-sterile needles. Take a travel first aid kit including needle and syringe. Do not undertake unprotected sexual activities or drug taking Local Culture and Culture, language, customs, dress, Dress appropriately at all times. Legislation religion, behaviour. Local regulations, Make yourself aware of and respect legislation, codes of practice. local restrictions and customs. Make yourself aware of and abide by local legislation. Ensure you have valid permits which may be required. Do not take into the country medicines which are not permitted Dangerous Sports Increased risk of injury Avoid dangerous sports whilst on University funded trips 151012 HAZARD Natural Disasters ASSOCIATED PROBLEMS Avalanche, earthquake, volcano, RECOMMENDATIONS tornado, avalanche. Determine the likelihood of such events Determine the emergency procedures at place of accommodation Stress Accommodation problems, civil unrest, crime, vandalism and violence, extremes of heat/cold, Make preparations and evaluations described in this guidance. fatigue, language/communication Set up system for support with line manager, family member of friends. problems, lack of support (especially family/peers), loads/expectations excessive, loneliness/remoteness, sickness, unfriendly environment. Transportation Incompetent driver(s), hazardous If driving, ensure you have correct terrain, improperly maintained insurance, licence, and are aware vehicles, unsuitable transport. of driving regulations. If using a taxi check licence details shown belong to your driver. If using public transport, consider the road worthiness of vehicle. Workplace Adequate lighting, drinking water, Environment ventilation, temperature, cleanliness, suitability and facilities of the space, equipment, work areas, workplace. washing and sanitary facilities, traffic routes, freedom from fall and falling objects, clothing storage, changing facilities, rest areas etc. 151012 Before travelling check the Determine the health and safety arrangements within the workplace.
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