Policies - General Health and Safety SOP
Policies - General Health and Safety SOP
Policies - General Health and Safety SOP
TITLE:
REVIEW INFORMATION
Procedures and guidance in Reviewed: Oct 2018
relation to the College’s
commitment and legal Next Review Due: Oct 2020
responsibility to ensuring the
health, safety and welfare of
its staff, students and others Requires CMT Approval (yes/no): Yes
(visitors and contractors) so
Previous Reference (for control purposes):
far as is reasonably
practicable. 065-09-2013: Fire Evacuation
063-09-2013: First Aid
034-06-2013: COSHH
078-01-2014: Animals on Campus
031-06-2013: New and Expectant Mothers
064-09-2013: Accident and Incident Reporting
038-06-2013: Notifiable Infectious Diseases
021-04-2013: Lone Workers
104.03-2014: Risk Assessment
173-12-2014: Health and Safety Audits
Date Created:
August 2015
1.2 Although staff have day-to-day prime responsibility for safe working practices within the
areas under their control, this does not preclude the responsibilities of all staff or
students of their legal duties to safe working practices and a safe environment under
the Health and Safety at Work (NI) Order 1978.
1.3 Staff and students have a duty to take reasonable care of their own health and safety
and that of others who may be affected by their acts or omissions at work. To this end,
staff and students should correctly use all work items and procedures provided in
accordance with their training and the instructions they receive. Individuals should also
understand the implications of ignoring their responsibilities as laid out in the SERC
Health and Safety Policy, which may lead to disciplinary or legal action being taken
against them.
1.4 This SOP acknowledges the College’s duties under the Special Educational Needs and
Disability Order (SENDO) 2005 and the Disability Discrimination Act 1995 (DDA) and
the Disability Discrimination (NI) Order 2006 (DDO). However, where there is a conflict
between the need to make reasonable adjustments and the duty of care, then Health
and Safety will be the priority. Link to SERC Learning Support
2.0 Scope
2.1 The following procedural sections apply to SERC staff, students, visitors and
contractors.
Section 3 Fire Evacuation
Section 4 First Aid
Section 5 Control of Substances Hazardous to Health (COSHH)
Section 6 Animals on Campus
Section 7 New and Expectant Mothers
2.2 In addition to the above, the following procedures are applicable to staff:
Section 8 Accident and Incident Reporting
Section 9 Notifiable Infectious Diseases
Section 10 Lone Workers
Section 11 Risk Assessment
Section 12 Health and Safety Audits
3.1 Introduction
This section sets out procedures for the safe and quick evacuation of all students,
staff, contractors and visitors from the campus in the event of a fire evacuation, fire
drill or any other emergency. It also sets out the procedures for the development of
199-09-2015 2 General Health and Safety SOP
Personal Emergency Evacuation Plans (PEEPs) to enable staff and students with
disabilities to respond to an alarm and either leave the building or move to a
designated place of safety within each building in an emergency without the direct
intervention of the Fire and Rescue Service.
All staff must be given a fire safety briefing as part of the induction process. Staff
must also complete mandatory Fire Evacuation online training.
All students must be given a fire safety briefing as part of the student induction
process. All teaching staff must ensure that they have adequately covered fire
evacuation procedures in their Health and Safety induction programme with students
at the start of each term. For students who are confined to wheelchairs or have
restricted movement, the lecturer must also provide a detailed personal emergency
evacuation plan to each individual.
▪ Make arrangements to have those individuals who are located at refuge points
removed to the nearest fire assembly/safe point using EVAC chairs or “Fire
There should be adequate Fire Marshalls (staff members wearing yellow bibs) to
move evacuees safely away from the building to the Assembly Points, ensure that
each Assembly Point is manned to check with lecturers that all students in their
charge are safely accounted for; and to help prevent cars entering or leaving the car
parks.
In the event of a fault or false alarm, a member of College Management Team or
Campus Management Team or other designated College staff (following liaison with
the caretakers and NIFRS) will declare the building safe to re-enter.
On completion of the Fire Evacuation, those staff Fire Marshalls (yellow bib wearers)
directly involved in co-ordinating the evacuation of the building MUST report
immediately any concerns or health and safety issues they may have observed during
the evacuation to the Red Bib wearer. The Red Bib wearer will then complete the
appropriate “Fire Report”, found in the Red Fire Box or alternatively on the Health
and Safety Team site in the Forms and Templates folder. On completion, the “Fire
Report” must be forwarded to the College’s Head of Health and Safety immediately
via internal email.
Staff/carers must report such cases and the locations to the Evacuation Co-ordinator
(red bib wearer) in reception. Class Lecturers must be able to account for all class
members.
• Caretaker Role
Caretakers should scrutinize the main fire panel and establish the location and reason
for the activation of the alarm (break glass or smoke detector activation). They should
then investigate if the alarm is a genuine emergency or a false alarm and advise the
Evacuation Co-ordinator (red bib wearer) and Reception Staff. Before evacuating the
building themselves, the caretakers may act as Fire Marshalls and sweep the
building, (only if it is safe to do so), to ensure that it is clear. They must never
endanger themselves or put their own lives at risk whilst sweeping the building.
Once the building has been evacuated, available caretakers can assist yellow bib
wearers to ensure that no vehicles either leave or enter the car parks and that
roadways are kept clear.
In the event of a planned fire drill, the caretakers may, on occasion, sweep each floor
to ensure all occupants have left the building and all rooms have been left unlocked.
Any evidence of occupants ‘straggling’ or not vacating rooms should be reported to
the Evacuation Co-ordinator (red bib wearer).
Caretaking staff should reactivate the fire alarm panel on completion of the fire
drill/evacuation.
• NIFRS Role
In the event of a fire, the Northern Ireland Fire and Rescue Service (NIFRS) will be
responsible for tackling the fire and declaring the building safe to re-enter.
LIFTS MUST NOT BE USED apart from those specifically designed and installed as
‘Fire Evacuation Lifts’ to assist people with disabilities. (A number of specialised ‘Fire
Evacuation Lifts’ are currently installed at Lisburn and Downpatrick Campuses). NB:
Staff should familiarise themselves of the location of Fire Evacuation Lifts and include
this as part of any induction programme.
Class lecturers must evacuate the room as quickly as possible, closing the door
behind them, escorting their students to the nearest Assembly Point and remaining
there until further notice.
Class Lecturers must ensure that any Personal Emergency Evacuation Plans (see
Section 5 re PEEPs) held by disabled students are implemented. Any disabled
student not having a PEEP must be assisted down stairwells (where possible) and
escorted to the nearest Assembly Point. If this is not possible, an EVAC chair should
be used. SERC Staff members have been trained in the use of evacuation chairs
and will be available to assist during an evacuation of the building. In the event of an
EVAC chair not being available, they should be escorted to a fire-protected zone
between two fire doors which is clearly marked as a Refuge Point and has a
communication system linked to reception. Arrangements should then be made to
have individuals removed by fire wardens (yellow bib wearers).
Staff/carers must report such cases to the Evacuation Co-ordinator (red bib wearer)
in reception. Class Lecturers must be able to account for all class members.
All instructions given by Fire Marshalls (wearing red or yellow bibs) must be followed.
Any student out of the classroom when the alarm sounds should proceed directly to
the nearest exit and join their class outside the building and register their attendance
to the Class Lecturer at the Assembly Point.
All other staff, students, contractors and visitors must proceed to the nearest
Assembly Point and remain there until further notice. No-one must leave the
Assembly points during an evacuation, either by foot or by vehicle – as this will make
accountability very difficult and create problems for emergency services vehicles
arriving at the campus.
NEVER RE-ENTER BUILDINGS for any reason until advised to do so.
It is College procedure to generate a PEEP for every member of staff or student with
a disability which may affect their ability to respond in an emergency. A PEEP is
The PEEP is a personal plan so it must be drawn up with the active participation of
the person concerned. It explains the method of evacuation to be used by the
disabled person in each area of a building, recording the safety plan e.g. routes,
corridors, stairs or refuges etc., identify those persons who will assist (if required) and
any training or practice required.
It should not be assumed that because a person has a disability that they will need
or ask for a PEEP. Many may not be aware that a PEEP is required. Of those who
do know about the PEEP, some will be confident that they can get out of the building
unaided. It should be highlighted that people with “hidden impairments” such as a
heart condition or epilepsy may also require assistance in an emergency situation.
All staff and students (Buddies) who could be expected to aid the evacuation of a
disabled person should receive a copy of the relevant PEEP.
Learning Support is responsible for ensuring that the HOSDU and Class Lecturer is
informed of any student who has declared a disability and/or indicated the need for a
PEEP. Learning Support will maintain appropriate records on the student’s personal
file. Where a member of SERC Leaning Support staff is assigned to look after a
particular student on a permanent basis, they MUST carry out the Emergency
Evacuation Assessment (and PEEP if required) and include it in the student’s
Individual Education Plan.
Human Resources will inform the HOSDU and Line Manager of any staff member
who has declared a disability and/or given notification of the need for a PEEP, arrange
any occupational health assessments to provide advice about any medical actions
required to enable a PEEP to be put in place, advise the HOSDU of any employment
issues should there be a conflict of opinion about reasonable adjustments. They will
maintain appropriate records on the staff member’s personal file.
Course Co-ordinators, in conjunction with Class Lecturers (full and part time)
are responsible for carrying out Emergency Evacuation Assessments and, if required,
developing a PEEP for all disabled students as informed by Learning Support.
However, if the Class Lecturer believes there is any other student who may need a
PEEP, the same action should be taken immediately and Learning Support informed.
Health and Safety Department will, on request, provide specialist advice and
arrange staff training in relation to evacuation procedures and completing a PEEP
In relation to STUDENTS:
Course Co-ordinators (or their nominated Class Lecturer) should, with input from
the student, complete the Emergency Evacuation Assessment (Student) form which
is located in the ‘Forms’ section of the Health and Safety Team Site (see example at
Appendix 3). This will establish if the student has any particular needs to enable safe
evacuation from SERC premises.
If a particular need is identified, the Course Co-ordinator (or their nominated Class
Lecturer) must develop a Personal Emergency Evacuation Plan with the student,
using the Student PEEP form located in the ‘Forms’ section of the Health and Safety
Team site (see example at Appendix 4).
However, where a member of SERC Leaning Support staff is assigned to look after
a particular student on a permanent basis, they must carry out the Emergency
Evacuation Assessment (and PEEP if required) and include it in the student’s
Individual Education Plan.
The Course Co-ordinator will provide a copy of the PEEP to:
▪ The student
▪ Any ‘Buddy’ assigned to the student
▪ All the student’s class lecturers
▪ Learning Support
▪ All persons designated to assist in executing the evacuation plan
The PEEP must be reviewed on an annual basis (at least) and/or when any significant
changes occur (to the building or student).
In relation to STAFF
Line Managers should complete the Emergency Evacuation Assessment (Staff)
form located in the ‘Forms’ section of the Health and Safety Team Site (see
completed example at Appendix 3). This will establish if the member of staff has any
particular needs to enable safe evacuation from SERC premises.
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Nb: By becoming a qualified SERC First Aider you have agreed that your name can
and will be added to the campus rota and you are consenting to make yourself
available on an agreed day and time. (Morning or afternoon session)
In addition to the above mentioned First Aiders the college will also provide
emergency First Aid response training to all SERC Duty Managers who can also be
called upon to offer practical guidance and support in the absence of the regular
SERC first aiders.
SERC will provide opportunity for all College First Aiders to update qualifications on
a regular basis and may offer additional training such as epilepsy, anaphylaxis and
Epi-Pen, defibrillators etc.
• Insurance
All fully trained, in certificate, College First Aiders will be covered by SERC’s Public
Liability/Indemnity Insurance whilst administering first aid. However, First Aiders must
ensure that their certificate is current and that they operate within the scope of their
training and standard operational procedures for the delivery of First Aid at Work.
https://serc2.sharepoint.com/sites/na/has/Pages/First-Aiders.aspx
If a College First Aider within the department is unavailable, summon any College
First Aider based on the campus. A list of current College First Aiders is available
online on the Health and Safety Team site, which may be accessed via this link:
College First Aiders
If no College First Aider is on the premises when required, any Senior Manager or
Director coming into contact with an emergency situation must assume control of an
accident or illness situation and summon assistance e.g. an ambulance where
necessary. However, they must not administer any First Aid unless they have been
specifically trained to do so.
• Follow up Action
If required under the RIDDOR Regulations, the Head of Health and Safety will use
the information contained in online report forms to immediately notify the HSE.
The Head of Health and Safety will immediately forward reports of serious accidents
or incidents to College Management Team (CMT), making them aware of any legal
or other implications and any proposed corrective action. Before corrective action is
taken, CMT approval must be obtained.
The Head of Health and Safety will monitor accidents and incidents, complete
investigations, maintain records and carry out statistical analysis.
Online accident or incident report forms will also be used as the basis for any further
investigation by the College. The seriousness of an accident or incident will
determine the level of investigation required. In many cases, the official report form
will contain sufficient information as to constitute an investigation; in other cases a
more thorough investigation may be required to determine if non-compliance to
SERC Health and Safety Policy. This decision will be made by Head of Health and
Safety.
Reported accidents and incidents will be monitored by the College’s Health and
Safety Committee, CMT and the Governing Body.
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5.0 COSHH
5.2 Requirements
Activities which may expose staff, students or others to substances hazardous to
health should not be carried out unless a current risk assessment to comply with
COSHH regulations has been made.
NO ONE should handle any equipment or substance unless they have been
authorised and trained to do so.
Students should NOT be allowed to handle hazardous substances unless they are
assessed to have the necessary maturity and competence and are adequately
supervised.
Heads of School/Unit should ensure that, where relevant, their staff are adequately
trained in COSHH Regulations, associated Approved Code of Practice and related
guidance. On identifying a staff training need, Heads of School/Unit should contact
the Head of Health and Safety to arrange suitable training.
Staff members should not transport or move chemicals between campuses in their
own vehicles or should not ask Estates members of staff/caretakers to assist them
using SERC minibus. A specialist company should be contacted.
Authorised staff and students must be trained in the safe handling and use of
hazardous substances and know the location of COSHH Material Safety Data
Sheets. This training must be recorded.
Any workshop or room in which hazardous substances are stored or handled must
contain a working COSHH Register which:
▪ Contains an indexed list of separate loose Materials Safety Data Sheets (MSDS)
for all hazardous substances (in a ring-binder type file which allows loose sheets
to be easily removed and replaced as necessary to ensure the register is up to
date at all times).
▪ Is kept up to date by the allocated member of staff.
▪ Is prominently located in the room.
▪ ALL users (including students) of the workshop or room must be fully aware of the
location of the COSHH Register and its relevance.
MSDS information (including handling and storage instructions) and control
measures for harmful substances must be complied with in addition to the procedures
set out below.
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Animals are not normally permitted within any SERC property. This restriction
recognises that animals pose potential risks related to disruption in the educational and
work environments, health, safety, and hygiene.
6.1 Definitions
Animal: Domestic birds, reptiles, fish, or mammals.
Handler: Individual who brings an animal or support animal into a College building or
onto SERC property. The handler may also be the animal's owner.
6.2 Exceptions
Animals are only allowed within any SERC campus or building in the following
circumstances:
▪ Animals used in approved teaching, research clinical activities within SERC’s
Animal Care/Animal Management Courses.
▪ Assistance dogs, trained to assist a person with a specific disability and qualified
by an organisation registered as a member of Assistance Dogs (UK) (See Types
of Assistance Dogs and Membership at Appendix 8.)
▪ PSNI/Police security dogs on duty.
▪ Special events: in special circumstances, approval may be obtained from SERC
Head of Department/School/Unit for animals to be brought on campus for a
singular event involving the display or demonstration of specialised skills or
natural behaviours. Written permission must be sought and gained from the
relevant Head of Department/School prior to such an event.
▪ NB Students and visitors may be asked to leave with their animals from SERC
grounds if written permission is not available when requested.
6.3 Responsibilities
The responsibility to maintain and enforce this SOP rests with each Head of
Department/School/Unit in conjunction with the Head of Health and Safety. They will
act on behalf of SERC Senior Management and Governing Body.
It is the responsibility of each animal handler to follow this procedure and to respect
the rights and concerns of others while on campus property. Any assistance and
clarifications with this procedure can be obtained from College Management Team
(CMT) and/or the Head of Health and Safety within SERC.
6.4 Procedures
For those animals permitted on College controlled, leased, or owned property under
the following conditions:
• The animal shall be restrained at all times.
6.6 Non-compliance
Any animal on SERC property that is not restrained, detracts from the educational or
work environment, or poses a health, safety or hygiene risk may be impounded and
removed from campus property by USPCA or if required and deemed necessary the
PSNI.
Students: Disciplinary actions involving student handlers and student owners in non-
compliance with this procedure will be enforced through the SERC Student Code of
Conduct process.
Employees: Disciplinary actions are the responsibility of the direct line
manager/supervisor of the employee in non-compliance of this procedure. SERC
Senior Management will deal promptly and effectively with any member of staff who
blatantly fails to comply with this procedure in regards “having animals in the
workplace.”
Guests and Visitors: Disciplinary actions are the responsibility of SERC Senior
Management and the College Board of Governors.
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Review and ensure that all risk assessments have been adequately recorded and
filed by HR department.
Review risk assessments carried out by academic staff in respect of students, only
when requested to do so.
Ensure action is taken to reduce, remove or control any identified risk.
If called upon, assist staff to monitor and review risk assessments (for staff and
students) where appropriate.
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8.1 Background
The College is required to ensure that there is an official record of all accidents and
incidents. In compliance with legislation and the College’s risk assessment process,
this Standard Operating Procedure (SOP) sets out the practical implementation of
SERC’s Health and Safety Policy in relation to reporting accidents and incidents
involving staff, students, visitors or contractors.
The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (NI)
1997 (RIDDOR) require organisations to report certain types of accident to the Health
and Safety Executive (HSE); in some circumstances, this needs to be done
immediately.
‘Accident’ means an occurrence which is unplanned, undesired and usually results
in some sort of loss (eg injury, damage to equipment or property or both).
‘Incident’ means an occurrence which is unplanned, undesired but does not usually
result in loss but had the potential to do so (eg a ladder falling down or a breach in
security). An incident may also be a near miss. By investigating near misses, there is
an opportunity to put corrective action in place which may prevent an accident
occurring. If near misses are not investigated the occurrences will normally happen
again and at some stage someone will be injured because of it.
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To control and prevent the spread of ‘notifiable’ infectious diseases, this section
provides all staff with guidance and procedures which must be followed if a student
or member of staff informs them of a suspected or confirmed case of a notifiable
disease within the College.
New staff members must be fully inducted in the procedures for notifiable infectious
diseases within an agreed time period, preferably before commencement of
classes/duties.
All staff will be required to complete the mandatory Notifiable Disease online training
programme annually in accordance with the staff development programme. The Head
of Health and Safety, in conjunction with HR, will keep staff informed (by email and
further training if deemed necessary) of any changes that are made to its standard
operating procedures and any new infection control measures.
Following the recent outbreak of the Ebola virus in West Africa, the British Medical
Officer issued direct guidelines to all Further Education Colleges and highlighted
measures which should be introduced for those students who have travelled to
countries such as Guinea, Liberia, Sierra Leone and Nigeria. A copy of the Ebola
Risk Assessment in FE was circulated to all staff by the Head of Health and Safety
in October 2010. (Ebola is not currently listed as a ‘Notifiable Disease’.)
9.5 Procedure
Staff may be informed directly by a student or staff member (or their relative/friend) that
they have a suspected or confirmed notifiable disease.
PLEASE NOTE:
Staff must treat the affected student/staff information as confidential unless
otherwise instructed by the Head of Health and Safety.
It is essential not to create alarm or cause rumour amongst other students or
staff members.
vii) Contact the student’s parent/guardian or staff member’s next of kin and make
arrangements for them to be collected from the College and request that they visit
their GP as soon as possible.
viii) If in College, the Campus Manager must remain with the student or staff member
until they are collected.
ix) Give consideration to contacting parents of the remaining student group, especially
those with respiratory conditions or low immune system.
x) In conjunction with Learning Support, give consideration to those other students in
the class with existing medical conditions to be released from class. Ensure that
parents/guardians of these students are contacted in same method as above.
xi) Instruct student (and parent/guardian) or staff member that they MUST inform the
College of the outcome of the visit to the GP. Request that they provide a note
from their GP to say that they are medically fit and infection free before they can
return to College/work.
xii) Do not create alarm or cause rumour amongst other students or staff members. At
this stage a notifiable disease has not been confirmed.
xiii) Notify Head of School/Department/Unit, class tutor/line manager and Human
Resources.
xiv) You MUST consult the Head of School/Department/Unit or the Head of Health &
Safety before dismissing any student/class.
xv) The Head of School/Department/Unit should contact the student / staff member
within 24 hours to enquire about the condition of the student / staff member.
xvi) Outside College Hours (off-campus educational visit only): if the above staff
members are not available on their mobiles and you have serious medical
concerns about any of your students as regards an infectious disease then contact
the emergency services for urgent assistance by telephoning 999.
▪ Check the National Travel Health Network and Centre website for recommended
immunisations: http://travelhealthpro.org.uk/country-information/
▪ Take advice from their GP or the Communicable Diseases Section of their local
Department of Public Health Medicine.
▪ Take the precautions and/or preventative measures that are advised or required.
199-09-2015 32 General Health and Safety SOP
▪ Take medical advice on return to the UK in respect of any medical condition
contracted whilst abroad, ensuring the doctor is informed of the visit abroad.
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The roles and responsibilities of staff are shown in the table below:
10.8 Training
As part of the staff induction process, all new staff will be briefed on the College’s Health
and Safety policies and procedures in addition to employee responsibilities including
security arrangements, risk management and safe systems of work.
Specific safety and security training will provide Lone Workers with the skills to identify
and manage risks arising from lone working, including communication skills to manage
challenging or potentially violent behaviour.
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11.1 Background
This section provides staff with guidance and procedures for carrying out risk
assessments, required under the Management of Health and Safety at Work
Regulations (Northern Ireland) 2000. The assessments need to address risks to
employees and other people, for example, students, visitors and contractors.
The purpose of a risk assessment is to make sure that no one gets hurt or becomes
ill as a result of activities which take place at any SERC Campus. A risk assessment
is identifying what could cause harm to people, assessing what is in place to prevent
that harm from occurring and improving those measures where necessary.
Risk assessments must be undertaken prior to any new or changed operation.
11.3 Responsibilities
• All Staff
All staff have a duty to take reasonable steps to ensure that they do not place
themselves or others at risk of harm.
All staff must make themselves aware of the risk assessments for their area.
Any serious Health and Safety risk or concern must be immediately reported to the
appropriate HOS/D/U and Head of Health and Safety.
Staff must fully comply with any procedures that the College may introduce as a
measure to protect the safety and well-being of all College staff members, students,
contractors and visitors.
Staff who have been allocated a room, workshop, or other area where they are not
fully aware of assessed risk should immediately update themselves of all risks and
hazards within that area. This information is available on the Health and Safety
Team Site or directly from the “responsible” person who compiled the Risk
Assessments.
Should the area be used for “any other purpose” other than that specified by the
current Risk Assessments, “additional” assessment may be required. If such
planned activities or events in any way comprise the health, safety and well-being
of individuals then it is the responsibility of that person organising the new
activity/event to compile and provide additional risk assessments. They must also
seek approval from their Line Manager/HOS prior to carrying out any such
activities.
All staff should attend Risk Assessment training at least once every three years.
• Head of School/Department/Unit
HOS/HOU will, in consultation with their staff, nominate an appropriate and capable
person from their staff on each campus who will be responsible for compiling,
updating and uploading of Risk Assessment and relevant COSHH documentation
to the Health and Safety Team Site. Risk assessments can be carried out by any
member of staff with a good knowledge of the area which they are assessing, who
has received adequate Risk Assessment training through staff development and
understands the process of completing the Risk Assessment form.
It is the responsibility of the HOS/HOU to ensure that their nominated staff are
suitably trained and equipped to carry out Risk Assessments.
HOS/HOU must ensure that Risk Assessments are kept under review by the
responsible person(s) and are updated periodically or if changes to
procedures/equipment dictate. Current College requirements are that all
assessments are reviewed at least annually.
HOS/HOU (or their nominated Assistant HOS) will ensure that their appointed
responsible person(s) have the necessary risk assessments in place; they are
relevant, signed, dated and uploaded to the Health and Safety Team Site.
• Human Resources
The Staff Development Department in conjunction with the Head of Health and
Safety will ensure that adequate training is provided to those staff members who
may require additional Risk Assessment training and for new members of staff in
their induction programme.
Staff will be trained/up-skilled on Risk Assessment procedures whenever new
Health and Safety practices are implemented or changes in circumstances or
equipment dictate. All staff however, should attend Risk Assessment training at
least once every three years.
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In compliance with current legislation this Standard Operating Procedure (SOP) sets
out the practical implementation of SERC’s Health and Safety Policy and risk
assessment process in relation to ensuring the highest health and safety standards
at all SERC campuses and all project work carried out by students on or off campus.
The purpose of formal Health and Safety audits is to systematically review and
critically examine current Health & Safety procedures across the College (and all
student placements), recording findings and providing guidance on how procedures
may be improved.
199-09-2015 43 General Health and Safety SOP
These procedures apply to all SERC staff with Health and Safety Audit
responsibilities, outlined below.
12.1 Responsibilities
• Head of Health and Safety:
Ensure that all Risk Assessments have been carried out by the appointed
‘Responsible Person’ within each School/Department/Unit.
Develop the annual Audit Academic Year Planner in consultation with Heads of
School/Department/Unit and Union Health and Safety Representatives.
Regularly review and update all audit documentation in conjunction with the Head of
School/Department/Unit.
Co-ordinate the audit programme in conjunction with the Union Health and Safety
Representatives.
Carry out audits in conjunction with Union Health and Safety Representatives.
Ensure that completed audit reports are uploaded to the appropriate Team Site on
the College intranet.
Review/update the SERC Audit Proforma yearly to reflect any changes in legislation
and/or College procedures.
Meet monthly with the Chief HR Officer to review the H&S audit of their area and to
discuss any corrective or remedial action deemed necessary.
• Head of School/Department/Unit:
Ensure that all Risk Assessments, COSHH registers and documents relating to H&S
are accurate, complete, signed, dated and uploaded to the H&S team Site.
Regularly review and update all audit documentation in conjunction staff within their
School/Department/Unit and with the Head of Health and Safety for clarification if
necessary.
Ensure that identified and appropriate corrective action is implemented.
Actively promote a health and safety culture with staff at team meetings and stress
the importance and consequences of Health and Safety Audits throughout the
campuses.
Meet with the Chief HR Officer and the Head of Health and Safety to discuss any
relevant issues highlighted in the audit report and to act upon any findings or take
agreed corrective measures with immediate effect.
• Responsible Person:
Ensure that all Risk Assessments and COSHH Registers are carried out, are current,
signed, dated and uploaded to the Health and Safety Team Site on the College
intranet.
Ensure that all classrooms, workshops and training areas are safe places to work
and study for all staff, students and visitors to the college.
12.5 Audit
Stage 1: Pre Audit Contact by the Head of Health and Safety and Trade Union H&S
Representative (the ‘auditors’) to HOS/Department /Unit confirming times and dates
when auditors will be carrying out inspections. NB: The exact location of rooms, and
workshops will not be disclosed due to the nature of the audit.
Stage 2: Auditor’s Inspection and verification of the information provided by
reviewing the relevant documentation requested (i.e. Risk Assessments) and
checking random physical conditions of the area in question. This verification
inspection also allows the auditors to gain a general view of the health and safety
culture which exists within the department/school/unit.
Stage 3: Audit Report uploaded to the Health and Safety Team site (within 2 weeks
of the audit inspection) and made available to all staff. At the same time, the report
and details of any ‘Non-Conformance’ and/or ‘Corrective Actions’ will be discussed
with the Chief HR Officer at monthly meetings with the Head of Health and Safety.
NB If deemed necessary, a further meeting with HOS/U/D may be required to clarify
199-09-2015 45 General Health and Safety SOP
audit results and the findings may also be raised and discussed at Campus Health
and Safety Committee meetings.
Non-Conformance Notice which detail any identified issues (See Appendix 16)
A ‘Non-Conformance’ notice highlights areas where, in the opinion of the auditors,
College policy and/or health and safety legislation/guidance is not being adequately
adhered to.
Corrective Action Form (see Appendix 17) which details any required corrective
action for the responsible person and target date for implementation. This form will
be issued (if deemed necessary) to the appropriate Head of School/Department/Unit
following the scheduled meeting of the Chief HR Officer and Head of Health and
Safety. This form may also highlight other responsibilities and remedial action aimed
at Estates and H&S Department.
Every month during the academic year, the Head of H&S will meet with the Chief HR
Officer to review, access and sign-off completed audits. At the end of each academic
year, the Head of Health and Safety will forward a mHealth and Safety Report to the
Chief HR Officer which will include all relevant statistical information relating to Health
and Safety Audits carried out during that academic year. This report may then be
forwarded to the CMT/Governing Body for approval.
14.0 Review
These procedures will be reviewed (and updated if necessary) biannually or sooner to
reflect changes in legislation or circumstance.
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Appendix 1
LISBURN
Appendix 2
Assembly Points at Main Campuses
199-09-2015 50 General Health and Safety SOP
BANGOR CAMPUS
Any detail provided will be handled in confidence and shared only with the necessary parties
required to ensure the person’s safety and that of others. All information provided will be stored
and kept in accordance with the Data Protection Act.
The student (Jim) is located mainly in the plumbing workshop on C Floor at the top of the
building. He has been given induction on where the nearest fire evacuation exit is and has
also been allocated a buddy (fellow student) to assist him if required. He uses the
restaurant/canteen at the front of the building but again a buddy is there if assistance is
needed.
Jim needs to be immediately informed if an alarm sounds. He must then be taken from the
plumbing workshop via the fire evacuation exit and down the outside stairs to the back of
Block C. The fire assembly point is located at the rear of the campus at Wallace Avenue.
Continue on a separate sheet if required.
Would it help if a written personal emergency evacuation procedure was in place?
Yes: No:
Does the emergency evacuation procedure need to be provided in an alternative format e.g.
BSL, Braille, tape, large print etc?
Yes: No:
Does the student have any difficulty with reading and/or identifying the signs that mark the
emergency exits and evacuation routes to the emergency exits?
Yes: No:
Does the student have any difficulty hearing the fire alarm(s) provided in the place(s) of
work?
Yes: No:
Would the student experience any difficulty raising the alarm if a fire was discovered?
Yes: No:
Yes: No:
Yes: No:
Yes: No:
If the student uses a wheelchair would they have problems being able to transfer from their
wheelchair without assistance?
Yes: No:
General Comments (to include any relevant information not already identified above):
Jim is a very capable and intelligent young individual and one may not recognize that he
actually has a disability on first meeting him. His lip reading skills are excellent but one must
ensure that you are facing him when giving verbal instruction or warnings about equipment
etc.
It is easy to forget that the student cannot hear the alarm sounding in the event of a fire or
emergency siren.
If you have ticked ‘YES’ to any of the above then the Personal
Emergency Evacuation Plan (Student) MUST be completed.
Any detail you provide will be handled in confidence and with your consent stored only with the
necessary parties required to ensure your safety and that of others.
Note: This plan must be reviewed on an annual basis (at least) and/or when any significant
changes occur (of the building or employee).
A: Alarm System
The student would be able to set the alarm off but he would have no way to tell if
the siren is actually being sounded.
Jim has been issued with a vibrating “Deaf Alert System” which vibrates should
the alarm go off. In addition to this an additional flashing beacon has been
installed in the welding booth when he is working alone.
• The lecturer in charge will immediately stop all operations on hearing the alarm
sound and go directly to the student (Jim).
• It is important that the lecturer makes good eye contact and stands in front of the
student to assist lip reading/communication. Remember that the student has to lip
read and fully understand what is actually happening during the evacuation of the
building.
• Jim will remain beside the lecturer in charge at all times unless instruction has been
agreed that his fellow buddy/student will take him to the fire assembly point as
rehearsed during induction.
C: Designated Assistance
(details of the roles of persons designated to assist in executing the evacuation plan)
Jim has been allotted a “Buddy”/student assistance and this assists him get to the
restaurant at lunchtime and ensures that he is heard when placing orders for meals etc.
Jim has been issued with a Deaf Alert vibrating card by the Learning Support Team. It is
checked each morning that it is functioning and that the battery is full.
D: Safe Routes
(description of the primary and secondary routes)
A building layout plan should be attached to this form with routes clearly marked.
See below.
The Fire Assembly Point for all plumbing students is located at back of the College on
Wallace Avenue. This is accessed via Block 3 using the fire evacuation route detailed
below.
The Fire Assembly Point is located immediately in front of the Fire and Rescue Service
building located on Castle Street. Use the main entrance of the campus (Level B, Block
1) when evacuating the building in the event of a fire alarm being raised.
Provide assistance at all times in compliance with their ‘First Aid at Work’ training.
Be aware of the limits of their competency and when to call for an ambulance or
assistance.
Take charge of the casualty until a satisfactory level of recovery has been achieved or
until the emergency services have arrived.
Ensure that the condition of the casualty does not deteriorate as far as reasonably
practicable by implementing their first aid training.
Refer the patient onto hospital or to their own GP as appropriate if they are in the opinion
that further treatment/attention is required.
Complete appropriate online forms upon discharging first aid duties in ALL cases where
treatment has been rendered in line with Accident and Incident Reporting SOP.
Keep designated first aid boxes fully stocked and ensure that all items are within their
expiry date. Replacement items are available through the Head of Health and Safety.
Frequently check first aid rooms in their area to ensure that they are fully equipped and
tidy/clean. Any problems should be reported immediately to the Head of Health and
Safety.
Do take all necessary precautions to prevent puncture wounds, cuts and abrasions in the
presence of blood and body fluids.
Do avoid use of, or exposure to, sharps (needles, glass, metal etc) when possible and
discard sharps directly into the sharps container immediately after use, and at the point of
use.
Do take particular care in handling and disposal if use of sharps is unavoidable – one use
only contaminated sharps must be discarded in to an approved sharps container. This must
be constructed to BS 7320; 1990 / UN 3291, and used containers must be disposed of
through a waste management company who will dispose of them safely as ‘waste for
incineration only’.
Do protect all breaks in exposed skin by means of waterproof dressings and/or gloves.
Do apply good, basic hygiene practices including hand-washing before and after glove use,
and avoid hand-to-mouth/eye contact.
Do control surface contamination by blood and body fluids by containment and appropriate
decontamination procedures.
Do dispose of all contaminated waste safely and refer to relevant guidance if you are
uncertain how to classify and dispose of your waste.
In the event of a needle stick injury or contamination from blood or bodily fluids to cuts,
eyes, mouth, the employee must attend Accident and Emergency within 1-2 hours, in order for
clinical risk assessment and prophylactic measures to be undertaken if indicated as appropriate.
This injury must be reported to management and health and safety notified.
• Guide Dogs: assist people who are blind or are visually impaired.
• Hearing Dogs: assist people who are deaf or are hearing impaired
• Support Dogs/Dogs for the Disabled: can be trained to do many other tasks which
their owner may find difficult or impossible.
• Support Dogs: also train dogs for people with disabilities and Seizure Alert dogs for
people with Epilepsy.
2. Mental Demands Y N
Does the role involve meeting challenging deadlines? ………………………………
Does the role involve rapidly changing priorities and demands? ………………….
Does the role require a high degree of concentration? ...........................................
Note: This checklist is to be kept on the employee’s personal file for at least three years. (In the
case of students, it should be retained by the Health and Safety department.)
Risk Assessment
Name of person carrying out Risk Assessment …………………..……………… Date assessment carried out………………….…
Review Date ……………………..…
Area / Activity Hazards Who might be What are you What further action is Action by Date of Done
harmed and already doing? necessary? whom Action
how?
Working at height Review necessity for working at height or provide assistance / partner
where unavoidable.
Confined spaces Areas to be checked and assistance to be provided in all cases where
woman accesses a confined space.
Changing size / shape of the employee Continuous checks to be undertaken as pregnancy progresses.
2. Mental Demands
Flexible deadlines where possible.
Challenging deadlines Continuous communication between employee and line manager or
student and tutor/supervisor.
Changing priorities / demands Provision of information to the woman as soon as available.
Continuous communication between employee and line manager or
student and tutor/supervisor.
Notifiable Infectious Diseases under the Health Protection (Notification) Regulations 2010
Acute Encephalitis/Meningitis Bacterial
Acute Encephalitis/Meningitis Viral
Anthrax
Chickenpox
Cholera
Diphtheria
Dysentery
Food Poisoning
Gastroenteritis (< 2years)
Hepatitis A
Hepatitis B**
Hepatitis Unspecified
Legionnaires' Disease
Leptospirosis
Malaria
Measles
Meningococcal Septicaemia
Mumps
Paratyphoid Fever
Plague
Poliomyelitis (Paralytic)
Poliomyelitis (Acute)
Rabies
Relapsing Fever
Rubella
Scarlet Fever
Smallpox
Tetanus
Tuberculosis (Pulmonary)
Tuberculosis (Non Pulmonary)
Typhoid
Typhus
Viral Haemorraghic Fever
Whooping Cough
Yellow Fever
Food poisoning notifications include those formally notified by clinicians and reports of Salmonella,
Campylobacter, Cryptosporidium, Giardia, Listeria and E Coli O 157 informally ascertained from
laboratories.
Back to Notifiable Infectious Diseases
Appendix 13
Notifiable Infectious Disease (Suspected or Confirmed)
Clarity and accuracy of recorded information is crucial. It will be needed should contact be
made with the relevant reporting authority (HSENI or Health Promotion Agency).
Date: Time:
Information received by:
Method of notification:
Details of person providing information:
Name: Contact No:
Class or Department:
Class Tutor or Line Manager:
Special Educational Needs (if any):
Existing Medical Condition (if any):
GP / Medical Practice Details
Name:
Telephone Number:
Diagnosing Doctor’s name (if applicable):
Type and Symptoms of the Disease (if known):
The period of time that the Doctor/GP has stipulated that the individual must remain at
home/away from College/work place (if known):
Hazard identification:
Identify all the hazards specific to the lone working activity; evaluate the risks and record the
appropriate risk grading; describe all existing control measures and identify any further measures
required.
Specific hazards may need to be assessed for an individual Lone Worker e.g. pregnancy risk
assessment. These assessments should be completed using the relevant SERC recording forms
and should be cross referenced with this document.
Workplace:
Identify any hazards specific to the workplace or work environment which may create particular
risks for lone workers e.g. confined spaces, lack of emergency call systems
Process:
Identify any hazards specific to the work process which may create particular risks for lone
workers e.g. electrical systems, use of dangerous substances
Equipment:
Identify any hazards specific to the work equipment which may create particular risks for lone
workers e.g. manual handling aids, mechanical failure
Violence:
Identify the potential risk of violence – you may find it helpful to review recent and past incidents
to assess the “true” picture
Individual:
Identify any hazards specific to the individual which may create particular risks for lone workers
e.g. medical conditions, pregnancy/breastfeeding, young workers.
Work pattern:
Consider how the lone worker’s work pattern integrates with those of other workers in terms of
both time and geography
Other:
Please specify
Persons at Risk: Identify all those who may be at risk.
Training: Identify the level and extent of information, instruction, and training required.
Consider experience of workers.
Additional Information: Identify any additional information relevant to the lone working activity,
including emergency procedures.
Description of Non-conformance
Raised due to: Internal Audit / Staff/student Complaint / Normal Working (delete not
applicable)
Reported by :
Remedial Action
Estates
Health and
Safety Dept
Other (Graham’s
etc)