STUDENT FIELDTRIP RISK ASSESSMENT

STUDENT/S TRAVELLING
Philip Adu-Bobie

Reason for travel: To gain a global experience looking into the film side of media .

Destination(s): Amsterdam

Proposed dates of travel: 4th February -9th February

Staff contact details - ac4698@coventry.ac.uk

Rachel Chapman
Relative/friend in UK in case of Mum-07415223946
emergency:
(For internal copy only)

Brief outline of travel program /
work to be carried out:
Travelling to Amsterdam. Focusing on Film. So Ill go to the eye film
museum where ill gain research and know more about the film world in
Amsterdam and ill like to compare to the Uks. Additionally ill be going to
Amsterdam cinemas to watch there film to gain a primary source for my
research. Ill also research online for secondary source. Ill also be taking
pictures and filming interviews.

Do you have travel insurance details and EH1C card (if applicable)? Yes / No
Have all students completed confidential information forms & supplied details of travel Yes / No
insurance?
Specify where confidential information forms are stored for the University to access in an emergency:

Have all persons received advice/vaccinations from GP where appropriate? Yes / No

Are medical kits required (i.e. in countries with poor healthcare facilities)? Yes / No

Arrangements to maintain Email or call.

contact with the University

Emergency contacts School/Faculty contact (Daytime): 02476

24hr University contact (Protection Service): 02476 888 555
Local healthcare/emergency services: 088 003 0600

Please attach a list of all participating students to this form.

 PLEASE USE THE HAZARD CHECKLIST AS A GUIDE WHEN COMPLETING THIS SECTION.

Hazard Precautions to be used

Nature of the site:
E.g.: university, remote area,
workshop, construction site etc Construction on the roads and buildings.

Environmental conditions:
E.g.: extremes of temperature,
altitude, weather conditions, tidal Cold weather condition could be icy due to snow.
conditions, cliffs, bogs, caves,
mountains etc

Site specific conditions:

E.g.: local endemic diseases,
political unrest, terrorism risk etc
See FCO* website does it
advise of risks greater than there
would be for the UK?
*FCO = http://www.fco.gov.uk/en/travel-and-living-abroad/travel-advice-by-country/
Work factors:
E.g.: climbing, driving,
questioning on sensitive issues,
lone working, working with Lone working
animals, chemicals etc

Equipment:
E.g.: operation of machinery, use
of specialist equipment, manual
handling, LPG etc Using my own canon DLR 1300d camera for taking pictures and
recording also my mobile phone.

Transport:
E.g.: on site (bus, boat etc),
to & from site Boat and cab

Other:
Detail any special arrangements
required, i.e. regarding
vulnerable individuals,
permissions required,
accommodation, catering etc

Assessment carried out by (STUDENT): Authorisation to proceed (MODULE LEADER):

Signature: PA Signature:
Date: 27th January Position:
Date: