Fieldwork Risk Assessment Form Film by d4nR45Y

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									                                                                                      PRSC/06-12/02
School of Arts &              King’s College London
Humanities                    Strand Campus
Film Studies Department       London WC2R 2LS
                              Tel +44 (0)20 7848 xxxx
                              Email: film-studies@kcl.ac.uk
                              www.kcl.ac.uk/film




Individual Fieldwork Risk Assessment Form (Staff and Students)

This form should be completed electronically, printed in triplicate, the three copies signed, and
lodged with your supervisor, the research & resources manager (Ida Akhtar) and one for
retention by yourself before fieldwork commences. This form must be completed for all
fieldwork taking place outside the Department of Film Studies.


Name:               __________________________________________________________________

Project Title:      __________________________________________________________________

Dates:              __________________________________________________________________

Location:           __________________________________________________________________

Contact             __________________________________________________________________
Address:

Contact Phone:      __________________________________________________________________

Mobile Phone:       __________________________________________________________________

Checklist

Have all the necessary permissions for access been sought and documents obtained?

Are you studying under a Tier 4 visa? Y / N

If yes, please ensure that you have read the relevant terms and conditions of your visa with regards to
periods of fieldwork undertaken away from the College. If you have any queries relating to this please
contact the Student Advice & International Student Support
http://www.kcl.ac.uk/campuslife/services/student-advice-support/how/immigration/index.aspx

What method of travel will be used (e.g., car, public transport)? Have all vehicle drivers been properly
instructed and their eligibility to drive checked?

Has adequate insurance been obtained in accordance with College regulations?




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Will the fieldwork involve travel abroad? If so, have all the visas and/or vaccinations been arranged?
Information on risks of travelling abroad can be optained via the UK Foregin and Commonwealth
Office website at http://www.fco.gov.uk/en/travelling-and-living-overseas/travel-advice-by-country

Has a routine method of communication been established (e.g. landline telephone, mobile phone)?

Has a daily itinerary been lodged with a responsible person?

Is there a daily routine for logging in and out with a nominated person, who could raise the alarm if
nessecary?


Signature of fieldworker



Countersignature (Students – Research Supervisor, Research Staff – Project Leader, Academic
Staff – Head of Department)



Name of Countersignatory




Risk assessment

   1. Identify risks in relation to the following headings;
   2. Categorise risks as high/medium/low;
   3. Specify steps taken to minimise risks including prior information gathering, specifying formal
      procedures, planning and reconnaissance, equipment/clothing provision, skills training, etc.

Societal and Other Hazards Affecting Personal Safety
(potentially dangerous equipment/buildings /vehicles/traffic and transport situations of all
kinds/exposure to infection/exposure to criminal activity/terrorist activities etc)

_________________________________________________________________________________




Steps taken to minimise risk



_________________________________________________________________________________


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Natural physical hazards
(extreme weather/mountains/cliffs/water/illness etc)
_________________________________________________________________________________
____




Steps taken to minimise risk




Any other potential hazards




_________________________________________________________________________________
____

_________________________________________________________________________________
____

Steps taken to minimise risk
_________________________________________________________________________________
____

_________________________________________________________________________________
____



Emergencies

Specify any relevant medical/health problems that might arise
_________________________________________________________________________________
____

_________________________________________________________________________________
____

Name of next of kin and full contact details

_________________________________________________________________________________
____
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_________________________________________________________________________________
____


Details of the hospital Accident and Emergency Department nearest to the site you will be visiting

_________________________________________________________________________________
____




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