ࡱ> ` bjbjss :bxxxxxxxx.x.x.8.T/'=00(000000111<<<<<<<$><x1 1111<xx0000< 2 2 21x00x00< 21< 2 26xx800/ x.+1479<0'=78B_1B(8Bx811 211111<<1111'=1111d# #$xxxxxx  SECTION 1 FIELDWORK DETAILS1. PRIVATE Fieldwork 2. Duration3. Location4. Description of Activities: 5. Course Organizer/Leader6. Course Supervisors (Include non-employees)7. Number of Students/ Others (detail)8. Pre-fieldwork Requirements9. Supervision10. Itinerary: 11. Means of TransportSECTION 2 - HAZARD IDENTIFICATION12. Potential Hazards Identified13. Possible Outcome14. Control Measuresa)  b) c)  SECTION 3 PERSONS AT RISK15. Identify Persons at Risk SECTION 4 ENVIRONMENTAL PROTECTION16. Measures to Protect EnvironmentSECTION 5 EMERGENCY PROCEDURES17. First Aid: 18. Emergency Contact Arrangements (provide details for all locations used):  University Contacts SECTION 6 TRAINING/COMPETENCE REQUIREMENTS19. Demonstrators 20. StudentsSECTION 7 INSURANCE DETAILS21. Staff22. StudentsSECTION 8 ACCEPTANCE OF RISK ASSESSMENT Signed............................................................................ (Fieldwork Organizer: ) Signed............................................................................ (Head of Department/School: .) Signed............................................................................ (School Safety Adviser: ..)  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