ࡱ> U wbjbjnn chaaw .....$RRRR,~,R~2$f t#.#..8555F..5555LFF5N0~5  5 .55###~ B : RGS-IBG FIELD WORK RISK ASSESSMENT FORM sECTION 1: General ArrangementsProject leader: Team members/others involved: Location: DatesFrom:To:SECTION 2: DETAILED ITINERARYPlace of departure:Destination(s): Mode of transport/travel arrangements:Dates of stay at accommodation: Name, address and telephone number of accommodation: Name, address and telephone number of fieldwork base camp (if different): Brief summary of proposed activities: Equipment/techniques to be used: SECTION 3: PRE-TRIP PREPARATION AND CHECKSInsurance (please specify personal, third party, travel, equipment) arranged with and date: Record of next of kin details for each individual available to Course leader? *Yes/NoRecord of Foreign Office advice (to be checked immediately prior to overseas trips): SECTION 4: DECLARATIONThe above has been completed to the best of my/our knowledge and is an accurate identification of the known or foreseeable hazards and of the safety controls to be followed.  Team namesSignature:Date:Signature:Date:Signature:Date:Signature:Date: RGS-IBG: FIELDWORK RISK ASSESSMENT FORM Name of assessor:Date Conducted: Project name:Ref No Hazard under reviewNo & Description of those InvolvedExisting ControlsAssessed Level of RiskFurther Action RequiredBy (Date) + Review Date L M HPhysical Hazards (e.g. extreme weather, mountains and cliffs, quarries, excavations, marshes and quicksand, fresh or seawater, etc)* Biological Hazards (e.g. poisonous animals or plants, aggressive animals, soil (tetanus), freshwater where rats may be endemic (leptospirosis or Weils disease), dense vegetation (where Lyme disease from sheep ticks could be endemic), insects, hygiene, etc)* Chemical Hazards (e.g. pesticides, dusts, contaminated soils, chemicals brought on the site, biological fixatives, etc)*  Infrastructure Hazards (e.g. electrical equipment, machinery, transport and vehicles, insecure buildings, slurry and silage pits, power and pipelines, military property)*  Personal Safety (e.g. lone working, night working, attack on person or property, cultural differences, poor communication/remoteness etc)*Environmental Hazards (e.g. pollution, rubbish, disturbance of eco-system, etc)*Other Hazards (please specify)*  * Specify precisely which apply To be completed by RGS-IBG This project has been reviewed and approved. 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