Oxford Brookes Job Placement Test

Placements Type *

Placement Details Role Title * Start Date * Finish Date * Benefits Other Benefits Proposed Placement Tasks * Format of Placement * Hours Per Week *

Organisation Details Organisation Name * Location * Main Switchboard Number *

Placement Address Street* City * County * Placement Country * Post Code *

Placement Contact First Name * Last Name * Job title * Telephone* Email Address *

Risk Assessment: Risk assessment examples/guidance You will need to refer to the risk assessment examples/guidance to answer the questions below. The guidance will help you assess levels of risk associated with your placement, understand if mitigation is needed, and understand what kind of actions you can take to manage those risks. Have you reviewed the Module Guide (including the deadlines for each assignment) and the Placement Guide along with emergency contact details on Moodle? * As far as you are aware, how would you rate your travel and transportation risks? * Travel/transportation factors what risk(s) have you identified and what will you do to mitigate these? If nothing is required, please put N/A As far as you are aware, how would you rate your working environment? * Work factors what risk(s) have you identified and what will you do to mitigate these? If nothing is required, please put N/A As far as you are aware, how would you rate the general health and safety risks associated with work place activities? * General/environmental health factors what risk(s) have you identified and what will you do to mitigate these? If nothing is required, please put N/A How would you rate risks associated with your personal circumstances? * Personal circumstances what risk(s) have you identified and what will you do to mitigate these? If nothing is required, please put N/A As far as you are aware, how would you rate the location/ regional risks? * Location factors what risk(s) have you identified and what will you do to mitigate these? If nothing is required, please put N/A

Insurance details Does your proposed provider have accident insurance cover that extends to you and your activities as a work placement student (e.g. Employer's Liability insurance)? * Does your proposed provider have liability insurance cover that extends to you and your activities as a work placement student (e.g. Public Liability insurance)? * Have you received copies of these insurance documents? *

Additional details Please use this box to add any further detail or to make us aware of any other important information The information I have provided to Oxford Brookes by completing information is to the best of my knowledge accurate and truthful. I understand that failure to declare any important information about my current physical or mental health that may impede my ability to work or study abroad and also impede the University's ability to provide necessary advice and support. I also understand that the University's insurers do not cover prior existing medical conditions.* I agree to inform the placement office if I am absent from work for 7 consecutive working days or more (excluding paid annual leave)* I am aware of the visa requirements of my host country and understand I am responsible to adhering to the guidelines associated with my travel and study/work in that location. Refer to https//www.gov.uk/foreign-travel-advice* I understand that my Placement can not start until I have approval from my module leader, a fully signed Work Placement Agreement and insurance documents (if undertaking a work placement) and have completed a pre-departure form (if travelling overseas). I am aware that the Partnerships and Placements team will advise me if and when I am cleared to go on placement.* If, following commencement, I have any concerns regarding any aspect of my placement, I will contact my Placement Tutor or the Placement office * I will log a Placement Update via the portal if there are any changes during my placement (i.e. placement address, line manager/ mentor)*