Forms & templates
This page collects together the current versions of all forms and checklists available from Health & Safety Services. Please select from the topic list below.
- DSE
- Driving
- Events
- Maternity Risk Assessment
- First aid
- Fire safety
- Genetic modification, radiation & biological safety
- H&S induction
- H&S inspections
- Incident reporting & investigation
- Laser safety
- Local H&S Code
- Manual handling
- Portable Electrical Appliance Testing (PAT) – PAT scheduling form Risk assessment - general
- Other resources
- Travel
- PPE
| Display Screen Equipment (DSE) | |
| DSE workstation checklist [SG13 Appendix 3] | DSE workstation checklist |
| Eyesight test request form | Eyesight test request form |
| PhD student checklist | Ph.D student checklist |
| Driving | |
| Driver record form | Driver record form |
| Vehicle safety checklist | Vehicle safety checklist |
| Generic driving risk assessment | Generic driver risk assessment |
| Events | |
| Event notification form |
An example of a completed form can be found in Event Management CoP 33 |
| Event risk assessment | Event Risk Assessment |
| Event risk assessment example | Event Risk Assessment Example |
| Event contractor competency questionnaire | Contractor competency questionnaire |
| E&F form - safety check of temporary electrical installation | Safety check of temporary electrical installation |
| Maternity Risk Assessment | |
| CoP 57 Maternity | |
| First Aid | |
| Appointed Person Template Letter | |
| First Aid Needs Assessment | First Aid Needs Assessment Form |
| First Aid Poster | First Aiders Poster Template |
| Fire safety | |
| University fire procedure poster | Fire procedures poster |
| Personal Emergency Evacuation Plan | Personal Emergency Evacuation Plan |
| General Emergency Evacuation Plan | General Emergency Evacuation Plan |
| Genetic modification, radiation & biological safety | |
| GM Workers Registration Form | See Genetic Modification |
| GM Project Application Form - low risk | See Genetic Modification |
| GM Project Application Form - standard | See Genetic Modification |
| GM Risk Assessment Form GM03 | See Genetic Modification |
| Biohazard Risk Assessment Form | See Biological Safety |
| Occupational Health Questionnaire for Work with Genetically Modified Organisms and Hazardous Biological Agents. | |
| Activity-specific radiation risk assessment for and local rules for a controlled area | See Radiation Safety Secure Area |
| Example of a completed activity-specific radiation risk assessment for and local rules for a controlled area | See Radiation Safety Secure Area |
| H&S induction | |
| Induction checklist for new staff and postgraduate students | Health and Safety Induction Checklist |
| Health & Safety Information for Staff leaflet | Health and safety information for University staff |
| H&S inspections | |
| Inspection checklist for offices and general work areas | General office workplace inspection checklist March 2009 |
| Incident reporting & investigation | |
| University incident report form for reporting significant incidents and near misses to Health & Safety Services (if unable to access the online form) | University incident report form |
| Accident / incident investigation checklist | Investigation checklist |
| Incident investigation report template | Incident investigation form |
| Laser safety | |
| Laser Registration Form and guidance notes - for use when registering a laser facility with Health and Safety Services | Laser registration form and guidance notes |
| Laser Risk Assessment Form RA2L | Laser risk assessment form RA2L |
| Local H&S Code | |
| Local H&S Code | Local H&S Code template |
| Manual handling | |
| Manual Handling Risk Assessment Form (MH2) - specific assessment | MH risk assessment form MH2 |
| Risk assessment - general | |
| Generic Risk Assessment Form (RA1) | Risk Assessment Form RA1 |
| Project / Task Assessment Form (RA2) - to be used for assessing specific and more hazardous tasks | UoR Project risk assessment form RA2 |
| Risk Assessment Log - to be used to list all risk assessments for an area | |
| Travel Risk Assessment - overseas | TRA1 - International Travel Risk Assessment |
| Travel Risk Assessment | TRA2 Off Campus UK Business Travel Risk Assessment Non-fieldwork |
| Other Resources | |
| Template for Health and Safety Code - to be used by Schools/Functions | |
| Template for Annual Performance Review - to be used to assist Schools/Functions check that their H&S management system is working effectively and addresses all significant risks | To be added |
| Permit required for all maintenance, servicing and non-routine cleaning work in the University laboratories and workshops. | Permit to Work - Labs & Workshops |
| Laboratory decommissioning and clearance form | Laboratory decommissioning and clearance form |
| Radiological decommissioning and clearance form | Radiological decommissioning and clearance form |
| Sample training matrix | |
| PPE | |
| Respiratory Protection Equipment (RPE) | Qualitative face-fit testing report form |
| Respiratory Protection Equipment (RPE) | RPE maintenance record form |
| Reusable hearing protection maintenance record form | Reusable hearing protection maintenance record form |
See also
Things to do now
Contact Health & Safety Services:
- email: safety@reading.ac.uk
- tel: 0118 378 8888 (internal 8888)
- Report an Incident Online