Useful forms

Please find below a list of the most requested health and safety forms used at UCA.

  • DSE Self-Assessment form (Workstation Assessment form)

    Download the DSE Procedure or the DSE Assessment Form only.

  • Incident Reporting form

    All University incidents and accidents should be reported.

    Whether it be a near miss, an incident of threatening behaviour (verbal or physical), an incident requiring first aid or a more serious accident, the Incident Report Form should be completed.

    For any kind of incident, it is important that an investigation takes place, this could be a simple conversation with the injured person, or for more serious accidents - an investigation by the Health and Safety Manager. Either way, an investigation should help to prevent recurrence.

    There are a number of instances where we are required by law; to report an accident to the Health and Safety Executive (HSE). These circumstances include:

    • Death: If there is an accident connected with work and your employee, or self-employed person working on the premises, or a member of the public is killed we must notify the enforcing authority without delay.
    • A major injury: (eg: a fracture, penetrating eye injury, amputation etc).
    • An employee accident which leads to their absence for more than 7 days
    • Where an employee is in hospital for more than 24 hours.
    • When a member of public (student) is taken to hospital from our site.
    • Certain reportable diseases and dangerous occurrences.

    Full guidance can be obtained from the HSE website.

    If you are in any doubt, please contact the Health and Safety ext. 2657 or a Senior Manager on campus. 

    Download the Incident Report form.

  • Health & Safety Inspection forms

    Health & Safety Inspections should be undertaken as follows:

    Low Risk Areas: January

    Medium & High Risk Areas: January, April & October

    The H&S Inspection process is essential for:

    • Managers to understand the current health and safety standards within their areas of responsibility
    • Monitoring that health and safety emerging issues are identified and taken forward
    • To identify any areas for improvement
    • To inform the School or Department H&S budget setting process.

    Each Department and School shall inform their respective Campus Operations Group or the Estates & Facilities Health, Safety & Wellbeing Committee of:

    • The completion of any H&S inspections 
    • Any significant findings; medium or high risk issues. 

    Health & Safety Inspections are completed online and the relevant links are available from the University's Health & Safety Co-ordinator.

  • Risk Assessment

    Frequently used risk assessment forms

    • The Risk Assessment Matrix will help you to identify the likelihood, severity and overall risk rating for your activity or process.
    • The Generic Risk Assessment Form is a basic risk assessment template which can be applied to almost any area or activities requiring an assessment.
    • The Process Risk Assessment Form is specifically designed to risk assess studio and workshop activities.
    • The Student Work Risk Assessment Form is a risk assessment for students to complete where their project concept presents additional health and safety hazards or where the project involves new processes or materials.
  • Driving on University Business

    Staff who drive on University Business (driving to a location other than your normal base location) must complete the Driver Authorisation Form and confirm car insurance for 'Business Use' is in place. Line Managers will also need to see a copy of the driving license and a valid MOT certificate.