Outside Insight Programme Outline
INSTRUCTIONS: the person doing the shadowing and the person being shadowed will
need to discuss and agree upon the details of the visit prior to and during it taking place.
The person being shadowed is responsible for ensuring the form is completed and a
signed hard copy forwarded to the designated co-ordinator in their institution.
Details of person doing the shadowing and person being shadowed
name of person shadowing
their university address
telephone number
email
name of person being shadowed
host university
Where and when will the work shadowing take place?
university
campus/site
address
building/room number
date(s) and time(s)
length of Outside Insight visit
name and contact details of person to
report to on first day:
emergency contact name and details of
how to reach them:
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Agreed aims and objectives
In brief, what are the main objectives of the
Outside Insight visit?
(When completing this section consider
areas of interest; what you each hope to
achieve from the visit and ways in which it
might help you in your work)
Programme content and boundaries
Areas of work to be observed
Documents and information to share
Any other staff involved in the shadowing?
Any confidentiality issues?
Health & Safety / other requirements
Information to be provided by the person being shadowed either
before or at the start of the visit
Physical orientation of the department – location of washrooms,
kitchen, fire exits, tour of the building
Issue of security pass/access
Registration of vehicle/parking discs (if applicable)
Accident/Incident report forms
Calling First Aiders
Sounding the alarm
Intermittent and continuous bells
Assembly points and fire refuge points
Personal Emergency Evacuation Plan (if required)
Details of communication and other requirements (if applicable)
Equality Policy
Confidentiality Policy
date
initials
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Outline of Outside Insight visit
Schedule and details of the work shadowing visit
Person being shadowed signature:
Person doing the shadowing signature:
Please keep a copy for your own records. A copy should also be forwarded to the
designated co-ordinator for Outside Insight within the institution where the visit is to be
held.
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