Risk Assessment Form – for Low Risk Travel

Risk Assessment No

for office use

Name *

Email address *

crsid *

Telephone number *

College

(if applicable)

Contact details whilst working away *

Pharmacology contact *

Emergency contact details *

(e.g. Next of Kin)

Reason for travel *

Location of Activity *

Start Date *

Day

Month

Year

End Date *

Day

Month

Year

Completed by *

Department Safety Officer

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