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APRC 120202 appendix 2 (PDF - 958KB) - University of Birmingham

APRC 120202 appendix 2 (PDF - 958KB) - University of Birmingham

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Appendix FourRisk assessment form(for each placement or group <strong>of</strong> placements)1. Risk Assessment andFurther Specific ActionsNecessaryRisk Pr<strong>of</strong>ile(High, Mediumor Low)Action Necessary?Action Completed?Work and/or study FactorsTravel and TransportationFactorsLocation and/or RegionalFactorsGeneral/EnvironmentalHealth FactorsIndividual Student FactorsInsurance Limitations2. Conclusions Action Necessary? Action Completed?Is a site safety visit requiredbefore placement isapproved?Are the risks tolerable suchthat the placement can beapproved?Yes / NoYes / NoPrepared by:Have the above actions been completed?I (print name:Date:Yes / No) approve this placement.

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