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Risk Assessment Form (EU/Russia Placements/Study Abroad)

Please complete for the whole of your year abroad if you will be staying within the
EU/Russia.
Student Name
Name of host organisation(s)
Year Abroad Dates
Date of students departure from UK
Date of students return to the UK

Samantha Herriot
Voronezh State University, My internship abroad
7/09/13-15/07/14
07/09/13
15/07/14

QUESTIONS FOR THE STUDENT

INSURANCE
1. a.) If you are going on placement/study within the European Union,
please confirm that you have purchased the University Placement
Insurance Policy: http://go.bath.ac.uk/erasmustravel
Please be aware that this is per activity rather than for the whole of the
year abroad.

x Yes No

b.) If you are going on placement outside the European Union, please
confirm that you have purchased a comprehensive insurance policy to
include personal accident, personal liability, medical expenses, legal
expenses, repatriation, and travel insurance suitable for a work
placement in the country to be visited.

x Yes No

It is recognised that any country can experience political unrest which


can result in demonstrations or violence.
2. Please confirm that you will view latest Foreign Office information
on the country to be visited, and that you will monitor the political
situation there and check regularly for updates:
https://www.gov.uk/foreign-travel-advice
Please confirm that you have subscribed to the FCO Countryspecific Travel Advice update service relevant to the country you
will be living in. This will alert you to any urgent news and provide
relevant advice. Subscribe here:
https://public.govdelivery.com/accounts/UKGOVUK/subscriber/.
If you are a national of another country please confirm that you
will register with the equivalent service provided by your
countrys embassy.

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x Yes No

x Yes No

3. Please confirm that you have a written offer of work placement


from host organisation. For study please confirm that you have a
written offer (an email is fine) from the relevant departmental year
abroad officer. For assistants that you have received confirmation
from the British Council.
4. Please confirm you have a source of emergency funds in the UK
or host country that you can readily access from your host
country.

x Yes No

x Yes No

5. Please give contact telephone number(s) and name for source of


emergency funds
6. Have you got a passport that will be valid for the duration of your
placement/study?

x Yes No

7. Have you arranged any necessary visas and/or work permits?

x Yes No

8. Please confirm that you have had any necessary medical and
dental checks.

x Yes No

9. Have your received all recommended immunisations?

x Yes No

10. Have you taken appropriate advice regarding malaria and other
endemic diseases as appropriate and are taking any necessary
medication?

Yes No
x NA

11. Does your work/study placement include accommodation


provided by your host organisation?

Yes x No

12. If yes, please give address. (If you will be spending some time in
temporary accommodation on location, please describe this
accommodation).
13. In an emergency, do you give permission for University staff to
discuss you and your placement situation with the next of kin
detailed on SAMIS and do you confirm that your emergency
contact details are up-to-date?

14. Do you know of any reason why you would not be capable of
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x Yes No

Yes x No

undertaking this placement/study? For example if you have a


disability or medical condition. If yes, please give details.

15. If you have answered yes to question 14, have you discussed all
access needs and adjustments required with the University?

Yes No

During the year abroad preparation day you will be briefed on the below
issues. Should you feel you need more guidance on the below please
contact Vicky Hill: V.L.Hill@bath.ac.uk.
:

Culture shock
Cultural awareness including religious culture & customs
Social Behaviour
Relationships and Sexual Behaviour
Political situation
Personal Safety
Accommodation safety
Prices/attitude to prices/bargaining/humility
Financial awareness/cash points/how to avoid being a target, gift
culture
Personal Information/passport/insurance/credit cards etc.
Safety whilst travelling/use of public transport/taxis etc.
Frequency and method of contact with University staff
Your placement contact details & H&S form

16. Are you aware of the cultural differences in the country to which
you will be travelling and will you dress and behave accordingly?

x Yes No

The University of Bath has endeavored as far as is reasonably practicable to ensure a safe
working/studying environment for you. However, we have not visited the premises or
physically carried out an on-site health and safety inspection, nor have we visited the
student accommodation or the area in which it is located.
As a student on placement/studying, based in an external organisation you are personally
responsible for your own health and safety (the position is similar to that of an employee).
You should therefore consciously take steps to safeguard and protect your own health and
safety whenever you are. Please ensure that you take any special equipment you require
to undertake your placement/study. Please immediately report any concerns to the
relevant year abroad officer/personal tutor.

STUDENT DECLARATION
I confirm that the information I have given is accurate and correct, and that I understand and
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accept any risk involved in undertaking this placement.


Signature of student (you can type your name):
Samantha Herriot
Name of student (printed):
Samantha Herriot
Date: 19/08/13

Department of Politics, Languages and International Studies


University of Bath, Bath, BA2 7AY
Email: V.L.Hill@bath.ac.uk
Tel: 01225 383056

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