volunteer works assessment...volunteer works assessment • 7before sending this form back please...
TRANSCRIPT
Volunteer works assessment
www.cormacltd.co.uk
We are delighted that you are thinking of volunteering in partnership with Cormac Solutions Ltd and would like to thank you for your interest in helping us to make Cornwall a better place to live and work.
Volunteer works assessment • 3
ForewordDear volunteer,
Cormac Solutions Ltd take safety of their volunteers very seriously and our volunteer pack is designed to help you through the processes that must be undertaken before you can work with us. Please be assured that we want this process to be as simple as possible and we will assist you at all stages to ensure you are able to get on with the job quickly.You will be required to complete the volunteer event notification form and return this for approval prior to starting your activity. This should include a sketch map of the site showing access and entrance points. If you are working at the same site on a number of occasions (for example to keep a flower bed maintained through the growing season), then you only need to fill out one event notification form specifying the dates you will be working on the flower bed.
Please also complete the volunteer risk assessment form. This form needs to be returned as above prior to works commencing for the first time. This will also need to be updated if there is any significant change to the site itself or working conditions. For example, if a risk assessment has been completed for flower planting, it is decided you also wish to paint the raised beds surrounding the site, the form would need to be updated. A further example is a situation where temporary roadworks are being undertaken near your site, and you need to change your normal access route into the site. The risk assessment form should be a live document, with a copy held on site. It should be updated as required throughout the works.
The form attached in the pack has some suggestions of what could be covered by your individual risk assessment. These should not however be seen as exhaustive, and indeed on some occasions the hazards we have suggested may not be present and can be removed. This is your risk assessment, for your site, and should be specific to the type of works you are undertaking. Remember if you have done your best to carefully consider what hazards and associated risks you and your volunteer team may come across during the course of your works, then you are doing all that you can be reasonably expected to do. We will be more than happy to give you any additional advice and guidance that we can – just ask.
Once you have completed your volunteer works assessment please return the documents to either Rebecca Dickson in the east of the county, or Danny Konik in the west. We will then have the details assessed and approved where appropriate, or work with you to revise your plans in order that they can be approved if necessary.
Rebecca and Danny should be your first points of contact throughout the process so please do not hesitate to get in touch should you with to clarify anything in the pack or chat through your options.
We look forward to working with you.
Ben Pyle Managing Director
4 • Volunteer works assessment
Part oneThis agreement indicates the seriousness with which we treat our volunteers. The content of the agreement is to assure you both of our deep appreciation of your services and to indicate our commitment to do the very best we can to make your volunteer experience with Cormac Solutions Ltd. (CSL) a productive and rewarding one.
As a volunteer you can expect:
• to be treated with respect and courtesy; and fairly, regardless of gender, sexual orientation, age, parental or marital status, disability, religion, colour, race, ethnic or national origins, or socio/economic background;
• Cormac and our staff to respect the skills, dignity and individual needs of our volunteers and do our best to adjust to individual requirements; and we will be receptive to any comments from our volunteers regarding ways in which we might mutually better accomplish our respective tasks;
• respect your right to privacy in accordance with the Data Protection Act; and
• provide an explanation of safe workplace procedures without a risk to your health.
Volunteer agreementPart twoIn return we ask that you:
• remember that you are a representative of Cormac when volunteering on any Council owned sites or those managed by Cormac;
• are open and honest in your dealings with us;
• treat fellow volunteers, staff and members of the public when carrying out your volunteering with courtesy and respect;
• use all equipment safely and for its intended purpose;
• undertake volunteering in a way not to endanger yourself or others; and
• as appropriate, return uniform and all equipment when volunteering ceases.
Volunteer works assessment • 5
Part three
As a volunteer at (location)
Do you consider yourself to have any disability which may affect your volunteering activity with us
Yes: No: Prefer not to say:
If Yes, please give details here
I hereby assume all responsibility for any and all risk of personal property damage or personal bodily injury that I may sustain while participating in any voluntary duties
Yes: No:
Name (print)
Location
Signed (volunteer)
Date
This agreement is binding in honour only, is not intended to be a legally binding contract between us and may be cancelled at any time at the discretion of either party.
6 • Volunteer works assessment
Volunteer event application
Name of organisation: e.g. Charity/ business/ personal
Event organiser name:
Event organiser address:
Event organiser email address:
Event organiser telephone number:
Volunteer event location (please include full address and grid reference)
Date of event:
Start and finish time:
Description:Please give a short description of what volunteer works will be undertaken during this event
Estimated maximum number of people likely to attend:
Does the site have suitable level access/entrance points?
Please show on annotated map of site.
Yes: No: You must consider how the access/entrance would be affected in an emergency situation.
How will you be disposing of any arisings from the works carried out?
Details:
Whilst, as part of any agreement to use Council land or for various licences, the Council require you to show evidence of you having carried out a safety plan and risk assessments, they do not assess these nor do they approve your safety plans.
Volunteer works assessment • 7
Before sending this form back please make sure you have you included:
• Risk assessment
• Annotated map of the area you wish to use and showing all access/entrance points
Please return at least one month prior to your event to:
East – Rebecca Dickson, Community Partnership Officer Cormac, Higher Trenant Road, Wadebridge PL27 6TW or by email to [email protected]
West – Danny Konik, Community Partnership OfficerCormac, Scorrier Depot, Radnor Road, Scorrier TR16 5EH or by email to [email protected]
Who owns the land where the volunteer event will take place?
Do you have the land owners permission? (please tick)
Yes: No: Please supply full details of the land owner and evidence of permission
Will your event impact on any areas of special interest i.e. Local nature reserve, SSSI? If so, please provide further details.
Yes: No:
Is the work you are undertaking likely to affect the free flow of traffic?
Yes: No: There is a range of event guidance available on our website www.cornwall.gov.uk/default.aspx?page=24209 which you may find useful when planning your event.
Will your work require a road closure? Yes: No: For more information see www.cornwall.gov.uk/eventroadclosure (please note it takes 12 weeks to process a road closure application)
Do you require the use of a council car park? (please tick)
Yes: No: If you wish to use it as anything other than pay and display please contact our car parks team on 0300 1234 222.
Do you intend to use electricity/gas?(please tick) If yes, what for?
Yes: No: Further safety advice regarding the use of electricity/gas is available from www.hse.gov.uk
Have you undertaken any consultations with interested parties i.e. Residents associations, local businesses?
Yes: No:
If yes who with?
8 • Volunteer works assessment
Legal and managementSF-GA-03 Risk assessment page 1 of 6
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 1 of 6
Sit
e:
Act
ivit
y:
Ris
k A
sses
smen
t N
o.:
R
evie
w
Dat
e:
Rev
isio
n
No
.:
Per
son
co
nd
uct
ing
as
sess
men
t N
ame:
Em
plo
yer:
S
ign
atu
re:
Dat
e:
Per
son
su
per
visi
ng
w
ork
N
ame:
Em
plo
yer:
S
ign
atu
re:
Dat
e:
No
of
Per
son
s Ex
po
sed
Em
plo
yees
: O
ther
Wo
rker
s:
Pu
bli
c /
Vis
ito
rs:
Vu
lner
able
Per
son
s:
Tota
l at
risk
: 0
RIS
K =
LIK
ELI
HO
OD
X S
EVE
RIT
Y
Severity
55
10
15
20
25
44
812
16
20
33
69
12
15
22
46
810
11
23
45
12
34
5
Like
lihoo
d
Acc
epta
ble
Rev
iew
/Mon
itor
Una
ccep
tabl
e
Like
liho
od
1 =
Ver
y un
likel
y
2 =
Unl
ikel
y
3 =
Lik
ely
4 =
Ver
y lik
ely
5 =
Alm
ost
cert
ain
Hea
lth
& S
afet
y S
ever
ity
1 =
No
inju
ryE.
g.N
o fir
st a
id o
r m
edic
al t
reat
men
t, n
o lo
st t
ime
or d
isco
mfo
rt a
nd q
uick
rec
over
y.2
= M
inor
inju
ry o
r ill
ness
E.g.
Firs
t ai
d ca
se o
r m
inor
rev
ersi
ble
heal
th
effe
cts
of n
o lo
ng-t
erm
con
cern
. Sho
rt t
erm
ab
senc
e. N
on-R
IDD
OR r
epor
tabl
e.
3 =
7 d
ay a
bsen
ce o
r ill
ness
E.
g.M
edic
al t
reat
men
t ca
se o
r re
vers
ible
he
alth
eff
ect
of c
once
rn.
RID
DO
R
repo
rtab
le.
4 =
Maj
or in
jury
or
illne
ssE.
g.Lo
ng t
erm
abs
ence
inju
ry/i
llnes
s or
se
vere
reve
rsib
le h
ealth
eff
ect.
5
= F
atal
ity,
or d
isab
ling
inju
ry/i
llnes
s E.
g.Sin
gle
or m
ultip
le f
atal
ities
, pe
rman
ent
disa
bilit
yor
irre
vers
ible
hea
lth e
ffec
ts.
Envi
ron
men
tal S
ever
ity
1 =
Lim
ited
impa
ct
E.g.
Dam
age
to a
min
imal
are
a of
low
si
gnifi
canc
e an
d ea
sily
rev
ersi
ble.
2
= M
inor
impa
ct
E.g.
Loca
lised
rev
ersi
ble
dam
age
to t
he
envi
ronm
ent.
Im
pact
is c
onfin
ed t
o si
te.
Pote
ntia
l for
min
or w
ildlif
e m
orta
lity.
3
= M
oder
ate
impa
ct
E.g.
Sho
rt-t
erm
rev
ersi
ble
dam
age
to t
he
envi
ronm
ent.
Impa
ct e
xten
ds b
eyon
d si
te.
4 =
Ser
ious
impa
ct
E.g.
Med
ium
-ter
m r
ever
sibl
e da
mag
e to
the
en
viro
nmen
t. P
oten
tial f
or s
igni
fican
t w
ildlif
e m
orta
lity.
5 =
Sev
ere
impa
ct
E.g.
Long
-ter
m o
r irre
vers
ible
cat
astr
ophi
c da
mag
e to
the
env
iron
men
t.
Haz
ard
1 2
3 4
5 6
7 8
9
Fact
ors
of h
arm
R
isk
Cont
rol M
easu
res
Fact
ors
of h
arm
R
esid
ual
Ris
k (M
ultip
le o
f co
lum
ns 5
x6)
Cont
rol m
easu
res
impl
emen
ted
by
(nam
e)
Cont
rol
freq
uenc
y ch
eck
rate
Li
kelih
ood
Sev
erity
(M
ultip
le o
f co
lum
ns 1
x2)
Like
lihoo
d Sev
erity
Ente
r loc
atio
n de
tails
Brie
f des
crip
tion
of w
orks
to
be
unde
rtak
en
Acc
essi
ng s
iteD
escr
iptio
n of
new
wor
ks s
ite to
be
acce
ssed
saf
ely
Pers
on
over
seei
ng
volu
ntee
rs
How
of
ten
this
co
ntro
l w
ill b
e ne
eded
Volunteer works assessment • 9
SF-GA-03 Risk assessment page 2 of 6
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 2 of 6
Haz
ard
1 2
3 4
5 6
7 8
9
Fact
ors
of h
arm
R
isk
Cont
rol M
easu
res
Fact
ors
of h
arm
R
esid
ual
Ris
k (M
ultip
le o
f co
lum
ns 5
x6)
Cont
rol m
easu
res
impl
emen
ted
by
(nam
e)
Cont
rol
freq
uenc
y ch
eck
rate
Li
kelih
ood
Sev
erity
(M
ultip
le o
f co
lum
ns 1
x2)
Like
lihoo
d Sev
erity
Traffi
c m
ovem
ents
ar
ound
site
Park
ed c
ars
Man
ual h
andl
ing
Expo
sure
to
cont
amin
atio
ns
Har
mfu
l sub
stan
cies
How
will
you
ens
ure
volu
ntee
rs
are
safe
?
How
will
you
ens
ure
site
is s
afe?
How
will
vol
unte
ers
be k
ept s
afe?
How
will
you
ens
ure
they
are
not
ex
pose
d?
i.e. p
osio
n in
pla
nts/
need
les
etc
pers
on in
ch
arge
How
of
ten
10 • Volunteer works assessment
GA03 Risk assessment page 3 of 6
Legal and management
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 2 of 6
Haz
ard
1 2
3 4
5 6
7 8
9
Fact
ors
of h
arm
R
isk
Cont
rol M
easu
res
Fact
ors
of h
arm
R
esid
ual
Ris
k (M
ultip
le o
f co
lum
ns 5
x6)
Cont
rol m
easu
res
impl
emen
ted
by
(nam
e)
Cont
rol
freq
uenc
y ch
eck
rate
Li
kelih
ood
Sev
erity
(M
ultip
le o
f co
lum
ns 1
x2)
Like
lihoo
d Sev
erity
Expo
sure
to e
xtre
me
tem
pera
ture
s
Ove
rhea
d ca
bles
un
derg
roun
d se
rvic
es
Wel
fare
and
fist
aid
Nee
ds o
f vol
unte
ers
Wha
t mea
sure
s w
ill y
ou p
ut in
pl
ace
in h
ot o
r col
d te
mpe
ratu
res?
How
will
you
ens
ure
volu
ntee
rs
are
not e
xpos
ed ?
Cor
mac
can
ad
vise
Suita
ble
arra
ngem
ents
mus
t be
mad
e
Ensu
re re
leva
nt c
heck
s ar
e pu
t in
plac
e if
wor
king
with
vul
nera
ble
peop
le fo
r exa
mpl
e
Volunteer works assessment • 11
GA03 Risk assessment page 6 of 6
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 6 of 6
Bri
efin
g f
or
(tic
k be
low
)
Ris
k A
sses
smen
t M
eth
od
Sta
tem
ent
Too
lbo
x ta
lk
P
re-t
ask
bri
efin
g
P
erm
it b
rief
ing
Wo
rker
en
gag
emen
t O
ther
(st
ate)
Act
ivit
y /
su
bje
ct
Pro
ject
/ lo
cati
on
Bri
efin
g d
eliv
ered
by
Sig
nat
ure
Co
mp
any
Dat
e an
d t
ime
I co
nfi
rm t
hat
I h
ave
read
or
bee
n b
rief
ed a
nd
fu
lly u
nd
erst
and
th
e co
nte
nts
an
d r
equ
irem
ents
of
this
do
cum
ent.
Nam
e C
om
pan
y S
ign
atu
re
Nam
e C
om
pan
y S
ign
atu
re
Wo
rkfo
rce
feed
bac
k an
d c
om
men
ts
Who
will
indu
ct v
olun
teer
s on
site
?
Incl
ude
deta
ils fo
r eac
h vo
lunt
eer
12 • Volunteer works assessment
Legal and managementSF-GA-03 Risk assessment page 1 of 6
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 1 of 6
Sit
e:
Act
ivit
y:
Ris
k A
sses
smen
t N
o.:
R
evie
w
Dat
e:
Rev
isio
n
No
.:
Per
son
co
nd
uct
ing
as
sess
men
t N
ame:
Em
plo
yer:
S
ign
atu
re:
Dat
e:
Per
son
su
per
visi
ng
w
ork
N
ame:
Em
plo
yer:
S
ign
atu
re:
Dat
e:
No
of
Per
son
s Ex
po
sed
Em
plo
yees
: O
ther
Wo
rker
s:
Pu
bli
c /
Vis
ito
rs:
Vu
lner
able
Per
son
s:
Tota
l at
risk
: 0
RIS
K =
LIK
ELI
HO
OD
X S
EVE
RIT
Y
Severity
55
10
15
20
25
44
812
16
20
33
69
12
15
22
46
810
11
23
45
12
34
5
Like
lihoo
d
Acc
epta
ble
Rev
iew
/Mon
itor
Una
ccep
tabl
e
Like
liho
od
1 =
Ver
y un
likel
y
2 =
Unl
ikel
y
3 =
Lik
ely
4 =
Ver
y lik
ely
5 =
Alm
ost
cert
ain
Hea
lth
& S
afet
y S
ever
ity
1 =
No
inju
ryE.
g.N
o fir
st a
id o
r m
edic
al t
reat
men
t, n
o lo
st t
ime
or d
isco
mfo
rt a
nd q
uick
rec
over
y.2
= M
inor
inju
ry o
r ill
ness
E.g.
Firs
t ai
d ca
se o
r m
inor
rev
ersi
ble
heal
th
effe
cts
of n
o lo
ng-t
erm
con
cern
. Sho
rt t
erm
ab
senc
e. N
on-R
IDD
OR r
epor
tabl
e.
3 =
7 d
ay a
bsen
ce o
r ill
ness
E.
g.M
edic
al t
reat
men
t ca
se o
r re
vers
ible
he
alth
eff
ect
of c
once
rn.
RID
DO
R
repo
rtab
le.
4 =
Maj
or in
jury
or
illne
ssE.
g.Lo
ng t
erm
abs
ence
inju
ry/i
llnes
s or
se
vere
reve
rsib
le h
ealth
eff
ect.
5
= F
atal
ity,
or d
isab
ling
inju
ry/i
llnes
s E.
g.Sin
gle
or m
ultip
le f
atal
ities
, pe
rman
ent
disa
bilit
yor
irre
vers
ible
hea
lth e
ffec
ts.
Envi
ron
men
tal S
ever
ity
1 =
Lim
ited
impa
ct
E.g.
Dam
age
to a
min
imal
are
a of
low
si
gnifi
canc
e an
d ea
sily
rev
ersi
ble.
2
= M
inor
impa
ct
E.g.
Loca
lised
rev
ersi
ble
dam
age
to t
he
envi
ronm
ent.
Im
pact
is c
onfin
ed t
o si
te.
Pote
ntia
l for
min
or w
ildlif
e m
orta
lity.
3
= M
oder
ate
impa
ct
E.g.
Sho
rt-t
erm
rev
ersi
ble
dam
age
to t
he
envi
ronm
ent.
Impa
ct e
xten
ds b
eyon
d si
te.
4 =
Ser
ious
impa
ct
E.g.
Med
ium
-ter
m r
ever
sibl
e da
mag
e to
the
en
viro
nmen
t. P
oten
tial f
or s
igni
fican
t w
ildlif
e m
orta
lity.
5 =
Sev
ere
impa
ct
E.g.
Long
-ter
m o
r irre
vers
ible
cat
astr
ophi
c da
mag
e to
the
env
iron
men
t.
Haz
ard
1 2
3 4
5 6
7 8
9
Fact
ors
of h
arm
R
isk
Cont
rol M
easu
res
Fact
ors
of h
arm
R
esid
ual
Ris
k (M
ultip
le o
f co
lum
ns 5
x6)
Cont
rol m
easu
res
impl
emen
ted
by
(nam
e)
Cont
rol
freq
uenc
y ch
eck
rate
Li
kelih
ood
Sev
erity
(M
ultip
le o
f co
lum
ns 1
x2)
Like
lihoo
d Sev
erity
Volunteer works assessment • 13
SF-GA-03 Risk assessment page 2 of 6
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 2 of 6
Haz
ard
1 2
3 4
5 6
7 8
9
Fact
ors
of h
arm
R
isk
Cont
rol M
easu
res
Fact
ors
of h
arm
R
esid
ual
Ris
k (M
ultip
le o
f co
lum
ns 5
x6)
Cont
rol m
easu
res
impl
emen
ted
by
(nam
e)
Cont
rol
freq
uenc
y ch
eck
rate
Li
kelih
ood
Sev
erity
(M
ultip
le o
f co
lum
ns 1
x2)
Like
lihoo
d Sev
erity
14 • Volunteer works assessment
GA03 Risk assessment page 3 of 6
Legal and management
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 2 of 6
Haz
ard
1 2
3 4
5 6
7 8
9
Fact
ors
of h
arm
R
isk
Cont
rol M
easu
res
Fact
ors
of h
arm
R
esid
ual
Ris
k (M
ultip
le o
f co
lum
ns 5
x6)
Cont
rol m
easu
res
impl
emen
ted
by
(nam
e)
Cont
rol
freq
uenc
y ch
eck
rate
Li
kelih
ood
Sev
erity
(M
ultip
le o
f co
lum
ns 1
x2)
Like
lihoo
d Sev
erity
Volunteer works assessment • 15
SF-GA-03 Risk assessment page 4 of 6
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 2 of 6
Haz
ard
1 2
3 4
5 6
7 8
9
Fact
ors
of h
arm
R
isk
Cont
rol M
easu
res
Fact
ors
of h
arm
R
esid
ual
Ris
k (M
ultip
le o
f co
lum
ns 5
x6)
Cont
rol m
easu
res
impl
emen
ted
by
(nam
e)
Cont
rol
freq
uenc
y ch
eck
rate
Li
kelih
ood
Sev
erity
(M
ultip
le o
f co
lum
ns 1
x2)
Like
lihoo
d Sev
erity
16 • Volunteer works assessment
GA03 Risk assessment page 5 of 6
Legal and management
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 2 of 6
Haz
ard
1 2
3 4
5 6
7 8
9
Fact
ors
of h
arm
R
isk
Cont
rol M
easu
res
Fact
ors
of h
arm
R
esid
ual
Ris
k (M
ultip
le o
f co
lum
ns 5
x6)
Cont
rol m
easu
res
impl
emen
ted
by
(nam
e)
Cont
rol
freq
uenc
y ch
eck
rate
Li
kelih
ood
Sev
erity
(M
ultip
le o
f co
lum
ns 1
x2)
Like
lihoo
d Sev
erity
Volunteer works assessment • 17
GA03 Risk assessment page 6 of 6
SF-GA-03 Risk Assessment
Legal and management
SF-GA-03-R06 File Ref: 02.04 or 02.05 if with Method Statement Page 6 of 6
Bri
efin
g f
or
(tic
k be
low
)
Ris
k A
sses
smen
t M
eth
od
Sta
tem
ent
Too
lbo
x ta
lk
P
re-t
ask
bri
efin
g
P
erm
it b
rief
ing
Wo
rker
en
gag
emen
t O
ther
(st
ate)
Act
ivit
y /
su
bje
ct
Pro
ject
/ lo
cati
on
Bri
efin
g d
eliv
ered
by
Sig
nat
ure
Co
mp
any
Dat
e an
d t
ime
I co
nfi
rm t
hat
I h
ave
read
or
bee
n b
rief
ed a
nd
fu
lly u
nd
erst
and
th
e co
nte
nts
an
d r
equ
irem
ents
of
this
do
cum
ent.
Nam
e C
om
pan
y S
ign
atu
re
Nam
e C
om
pan
y S
ign
atu
re
Wo
rkfo
rce
feed
bac
k an
d c
om
men
ts
18 • Volunteer works assessment
Volunteer works assessment • 19
jn44478 07/18
CORMAC Solutions Ltd and CORMAC Contracting Ltd Higher Trenant Road, Wadebridge PL27 6TW
Tel: 01872 323 313 Email: [email protected] cormacltd.co.uk