This Health and Safety application pack should be used for individual volunteers working under direct or indirect Council supervision.
For example, a member of the public helping out in the Youth Offending Team, in a Library or Countryside, parks, landscaping services.

PACK 1 - PART A - To be completed by the Council Manager organising the activity. For volunteers working directly for the Council Managers (e.g. Countryside or Library assistant)

Details of Bradford Council contact:

Manager	Service

Contact number

Email address	Date of application

Details of voluntary activity

Number of volunteers involved

Summary of voluntary activity or project

…………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

Proposed dates for activity (or period of time)

Maximum numbers of volunteers on site at any time

Insurance Details

Insurance arranged through the Council	Yes / No (please delete as appropriate)

All details provided to Insurance Service	Yes / No (please delete as appropriate)

PACK 1 – PART B – To be completed by the Council Manager.

Risk Assessment of Activity (See Risk Assessment Template)

Voluntary activities managed by the Council will probably require a risk assessment. Examples of volunteer activities listed below that will definitely require a risk assessment

For your project, please circle/highlight where risks are applicable or delete if not relevant

Work at height	Work on or near the highway	Work with pesticides or bio hazards	Work with machinery and power tools
Work/digging that could interfere with buried services	Volunteers involved with special needs and/or children	Work with hazardous chemicals	Any work interfering with a fabric of a building (asbestos risk)
Safeguarding (vulnerable adults or children)	Driving	Work near to or on water	Lone working

Risk assessment required Yes / No (please delete as appropriate)

Risk assessment enclosed Yes / No (please delete as appropriate)

Advice received from H&S and Insurance attached Yes / No (please delete as appropriate)

TO BE SIGNED BY THE COUNCIL MANAGER –

All the information requested above is supplied to the best of my knowledge and I will comply with minimum requirements required by the Council.

I have liaised with the individual and collated all the information required in Part A and B of this pack. I have sort advice from Occupational Safety team and the Insurance Services as required.

I am satisfied after consultation with all parties that this volunteer project will be adequately managed.

Name of Manager	Signature	Date

FINAL APPROVAL - HEAD OF SERVICE

Name of Head of Service	Signature	Date