Risk assessmentPublic Area Your detailsYour name (tutor)(Required) First Last Your email(Required) Child/young person's name(Required) First Last Your relationship to the child/young person Built Environment Risk Factors Are you able to safely access the space in which tuition will take place?(Required)Including the ability to open heavy doors, walk up and down stairs etc Yes No Is there a clear evacuation route from the space, in the event of an emergency, that is suitable for your needs, and the needs of the pupil?(Required)Example: a student has a mobility impairment, or requires assistance following a simple route but you also have a mobility impairment that means you would be unable to follow the typical evacuation route which would endanger both you and the pupil. Yes No Does the environment adequately meet the access needs of both you and the pupil?(Required)Either from a site visit or available access information from places such as AccessAble, Sociability, a site visit or the website of the proposed learning environment. Yes No If required is there a hearing loop available if needed. Yes No If a student is visually impaired does the environment have adequate lighting, high contrast route indicators etc. Yes No If a student has an assistance animal is there provision for the animal within the space Yes No Situational Environment Risk Factors Is there anything that could be utilised as a weapon within the proposed learning environment?Please consider the pupils EHCP within the environment. Including but not limited to sharp objects, heavy objects that could be thrown etc. Yes No Is there anything within the environment that could prevent injury to the tutor or members of the public should a meltdown occur?Examples may include features such as heavy doors that may be slammed, rugs that may become trip hazards or furniture such as tables and chairs that may be knocked over creating a risk to yourself and others. Yes No Will there always be a responsible adult accompanying you and the student, a parent, carer or TA etc. Yes No Is there anything within the environment that may trigger or distress the pupil?(Required) Loud or unexpected noises Flashing lights Strong scents Expected behaviour in the surrounding environment that could cause distress to the student. (offensive language or behaviour etc) Are allergens likely to be in the environment? None of the above Effective learning environment Is the environment effective for the pupils learning, according to their needs as described by the case officer and as stated in the pupils EHC plan(Required)A suitable desk for the student, that will facilitate any mobility equipment that is used by either the tutor or the student. Yes No Is the learning environment likely to present any risk to yourself or the student, as a result of its characteristics, that may prevent or interrupt the students learning as a direct result of the tutoring location.(Required)Examples of this could be: A student that is a flight risk being near a busy road, or a student that is overstimulated by loud sounds and busy environments in an area that could become unexpectedly loud or crowded. Yes No Mitigating Factors Where the students’ primary learning environment is outside of the home such as a library, I am confident that I have enough information to carry out a risk assessment for this environment, and that I am able to ensure that this risk assessment is followed to minimise risk to both the student, myself and members of the public.(Required) Yes No If the primary learning environment is outside of the home, I am aware of any existing risk assessments, evacuation plans and points, as well as any other additional information that I may need to ensure the safety of the student and to ensure their safety and learning during all tuition sessions. Are observations about the learning environment in line with the questionnaire about the learning environment sent to you? Yes No If not, will this impede on your ability to provide suitable educational provision to the pupil?(Required) Do you feel confident in completing a risk assessment for this specific environment to ensure the safety of the student within the setting. To allow for the effective provision of education for the pupil within the setting Yes No Tutor Declaration I declare that I have read and understood the needs of the pupil according to information from the caseworker, EHCP and any other information that I have been provided with. I declare that I will ensure that educational provision will follow recommendations provided by the students EHCP for the students learning. I declare that I have read and will adhere to all regulations set out by the safeguarding policy provided by Powertutors. I declare that I will submit any safeguarding concerns to power tutors at the first possible opportunity after concerns arise, using the safeguarding declaration form. I declare that I am responsible for all personal property that I bring to the tutoring session, and that Powertutors is not liable for any loss or damage to these items. I declare that I am aware of my personal responsibility to provide Public Indemnity insurance to all educational activities organised through Powertutors. I declare that to the best of my knowledge the proposed learning environment is suitable, and safe for the provision of education for the student and myself. I have assessed the risk to both myself and the pupil using the Powertutors risk matrix, either through my own completion or through the risk assessment as fulfilled by Powertutors or the case officer Tutor Declaration(Required) I confirm that I have read and confirm I understand and will abide by the tutor declaration(Required) Δ