Visitor Safety Risk Assessment Form

This form should be completed for any Visitor to the University of Manitoba who is participating in an educational, volunteer or research activity that exposes them to a hazard or may place them or anyone else at risk. 

Please note that this does not include any visitors who are on campus to make deliveries or to attend lectures, conferences, ceremonies or social events.

A copy of the completed Visitor Safety Risk Assessment form will also be submitted to the UM host email that is indicated. 

Host Information

Is the relevant Department Head and/or Dean aware of the visitor(s)?

Visitor Information

Is your visitor part of an Outreach Program sponsored by the University of Manitoba that has been assessed for safety? If you are hosting a visitor for research or learning outside of one of these programs, click no and complete the rest of the assessment form .
Will your visitor be accessing laboratories, working with animals or attending field activities?

A waiver is needed. Go to the Office of Legal Counsel's site on the UM Intranet to obtain the waiver. Contact Office of Legal Counsel at legaloff@umanitoba.ca if you have any questions or require further information.

Are you providing accomodations on campus for your visitor?

An Accommodation Acknowledgement is needed. Go to the Office of Legal Counsel's site on the UM Intranet to obtain this form. 

Is your visitor a minor?

Ensure any forms that are required to be signed are signed by the visitor's parent or guardian. 

Is your visitor participating in activites outside of normal working hours?

Consider if a working alone plan is required. Please see the UM Working Alone Program for more information.

Has the visitor been provided with information on emergency evacuation for their work location?

For information on building evacuation plans, please visit Emergency Response and Fire Safety.

Has the visitor been provided with all required PPE and training?

Where the University of Manitoba is providing PPE, ensure the visitor has adequate supply and training. Where a visitor may be expected to bring their own PPE, ensure requirements are clearly communicated.

 

Risk Assessment

A host is responsible to assess whether the following hazards are present, either in the workspace or as part of the direct activities the visitor will be partaking in. They are also responsible for ensuring that all appropriate control measures are in place including, but not limited to, training and personal protective equipment. If assistance is needed, contact EHSO for support.