PLACEMENT HEALTH AND SAFETY CHECKLIST
Training Provider’s stamp (name & address)
Name of employer
Telephone number Fax number
Contact name Position
Number of employees Number of learners
Normal working hours
Name of the competent person responsible
for management of health & safety
Date of health & safety vetting
Vetting carried out by (please print name)
Accompanied by (please print name)
Combined Risk Band (using matrix)
Unacceptable High Medium Low
New checklist required by
Planned date of next health and safety monitoring
ELI renewal date Date of previous H&S vetting
Type of Check Work Based Learning Short Term Work Experience
To be used for adding a new provider and/or a new vocational area
Vocational Area(s) Organisation Date
Please refer to the Checklist Guidance Notes when completing this checklist
1. WORKING CONDITIONS Yes No Comments
1.1 Lighting Heating & Ventilation
1.2 Toilet washing facilities acceptable
1.3 Disabled toilet available
1.4 Drinking water available
1.5 What rest/eating arrangements are
1.6 Gangways and stairways kept clear
1.7 Out of reach storage safely
managed (e.g. cupboard tops)
1.8 Comment on standards of house-
keeping including outside areas if
1.9 What arrangements are there for
the protection of non-smokers?
1.10 Disabled Access
2. FIRE PRECAUTIONS
2.1 Is a Fire Certificate held (if
required)? If yes, date of issue
Are fire risk assessments being
2.2 Are staff trained in fire procedures,
including outside work where
2.3 Are fire drills carried out?
2.4 Are fire extinguishers appropriate
2.5 Are doors/exits unobstructed?
3. FIRST AID
3.1 Qualified first aider(s) in post
3.2 Appointed person in post (name)
3.3 Suitable first aid box(es) available
4. ACCIDENT PROCEDURES Yes No COMMENTS
4.1 How are accidents recorded?
4.2 Employer understands accident
reporting procedure (statutory &
4.3 Who is the competent person
responsible for investigating
4.4 Has the employer a system in
place to investigate accidents and
take action to prevent re-
5. SUPERVISION & TRAINING
5.1 Record named supervisor SWE
5.2 Has the supervisor(s) been made
aware of their H&S responsibilities?
Has H&S advice card been issued?
5.3 Which part of the premises, if any,
are out of bounds to learner(s)?
5.4 How will the learner(s) be advised
about these areas?
5.5 Has appropriate placement
induction been agreed with the
5.6 How will the employer provide the
necessary training to cover H&S
aspects of all work activities?
5.7 Does the employer maintain
employee training records covering
induction and other H&S issues
associated with work activities?
6. MACHINERY AND EQUIPMENT
Learners may only use machinery/equipment after receiving suitable training
6.1 What high-risk tools, equipment, SWE
machinery and processes will the
learner be using?
6.2 What prohibitions on use of SWE
machinery and processes will
6.3 Machinery and equipment properly SWE
guarded and maintained?
6.4 What systems are in place to
ensure electrical safety?
6.5 Efficient methods of stopping,
starting and isolation fitted?
7. POLICY & STATUTORY NOTICE Yes No COMMENTS
7.1 Health & Safety policy seen?
7.2 Date of issue or most recent Day Month Year
7.3 How are employees and learners
made aware of the policy and
7.4 Health & Safety Law Poster - what
you should know
Poster displayed or
Leaflet given to each
8. REGISTRATION OF PREMISES under Factories Act or Offices Shops & Railway Premises Act
8.1 Are the premises registered with SWE
the Local Authority or Health &
9. PROTECTIVE CLOTHING AND EQUIPMENT (Following assessment of risks)
9.1 What protective clothing, footwear SWE
and equipment is provided?
9.2 Who is responsible for the
provision, maintenance and
9.3 Are adequate storage facilities
10.1 Indicate type of insurance held:
Employer Liability or
10.2 Is learner covered under this SWE
10.3 Employer Liability Certificate
10.4 Vehicle insurance (driving duties SWE
11. ADDITIONAL HEALTH AND SAFETY CHECKS NECESSARY FOR OCCUPATIONAL AREA(S)
IN THIS PLACEMENT
Consider recognised good practice for the occupational area, published codes of practice,
medical requirements and reference to specialist health and safety material.
Aspect assessed Comments
12. HAZARDS AND RISKS
A) Have risk assessments been carried out?
B) Have assessments been recorded?
C) Have appropriate measures been taken?
A B C
Yes No Yes No Yes No
12.1 Management of Health & Safety
at Work Regulations
12.3 Display Screen Equipment
12.4 Manual Handling
12.6 Other (please specify)
12.7 Following risk assessments
above, are safe systems of work
12.8 Do all the risk assessments take
into account the age/inexperience
of the learner?
12.9 Are any health surveillance
checks required for employees, if
so, how will provisions be
12.10 Comments on any of 12.1 to 12.9
OCCUPATIONAL RISK BANDING
High Medium Low
Agriculture Animal Care (including Retail) Administration
Animal Nursing Care Education
Catering (Kitchen) Electronics Retail Trade
Chemical & Chemical Products Hairdressing & Beauty Sales
Engineering (Mechanical & Electrical) Hotel & Restaurants (non-catering)
Manufacturing/Craft Sport/Recreation & Leisure
Repair of Motor Vehicles & Motorcycles
Organisation Risk Definitions for Placements
Low Risk: Demonstration of high standards of health & safety. Detailed evidence of
compliance with health & safety contractual requirements.
Medium Risk: Demonstration of basic standards of health and safety. Minimum level of
compliance with health and safety contractual requirements. Improvements
required in accordance with an agreed development plan.
High Risk: Demonstration of poor standards of health and safety. Insufficient compliance
with health and safety contractual requirements. Significant improvements
necessary, unacceptable until a Development Plan with strict timescales has
been agreed and initiated.
Unacceptable: The organisation’s attitude and/or non-compliance with health and safety
requirements determine the placement unacceptable. Unable to agree
The purpose of vetting is to ensure that the learner is placed in a safe environment and is not exposed
to undue risks.
Learner not to be placed with an employer with a combined risk band of Unacceptable.
It is important to include a judgement regarding the employer’s attitude towards health, safety and
welfare before deciding on the organisation risk banding.
14. RISK BANDING
Circle appropriate Occupational & Organisational risk level
Highest Occupational Risk Level
Low Medium High
Organisation Low Low Low Medium
Risk Medium Low Medium High
High High High High
15. PLACEMENT COMBINED RISK BAND
High Medium Low Unacceptable
Combined Risk Band
N.B: Include combined risk band on the front page of checklist
16. FOLLOW-UP ACTION
Note action required as a result of the placement assessment
Name of Provider Date
Name of Employer
Section Action Agreed By Whom To be completed Sign and
No. by (date) date when
17. STUDENTS’ TASKS
Brief outline of student’s expected tasks:
We certify that the information recorded on this checklist was accurate at the time of checking
Signed on behalf of the Assessing Organisation Date
Name (please print) Registration No
Signed on behalf of the Employer Date
Name (please print)
The information on the front cover of the document will be stored electronically. The information will
only be available to registered providers of the LSC and will only be used for the purposes of
confirming the vocational area, the date and name of the provider carrying out the check.
Comments by the Provider's H&S Adviser (for internal audit purposes only)