This Health and Safety application pack should be used for groups of volunteers, constituted voluntary groups working indoor or outdoor; without direct Council supervision.

For example, a “Friends of group,” planting bulbs in the local park.

Notes

If the voluntary work is going to take place outdoors

please complete Pack 3 Part A and Part B

If the voluntary work is going to take place indoors or involves the maintenance of a Bradford Council building

please complete Pack 3 Part C and Part D

PACK 3 - PART A – For outdoor voluntary work

To be completed by the Council Manager arranging for a voluntary activity to be completed by a group without any the Council supervision.

Details of Bradford Council contact:

Manager	Service

Contact number

Email address	Date of application

Details of voluntary group or person

Name of organiser	Email contact

Phone Contact	Registered Charity No	or N/A

Number of volunteers (or estimate)	Work on or close to the highway Yes / No

Summary of voluntary activity

…………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

Proposed dates for activity (or period of time)

Maximum numbers of volunteers on site at any time ……………………….

Insurance Details

Copy or evidence of Insurance cover from voluntary organisation attached

Yes / No (please delete as appropriate)

Insurance arranged through the Council – (information attached)

Yes / No (please delete as appropriate)

PACK 3 PART B – For outdoor voluntary work

To be provided by the voluntary group/representative.

Names of voluntary group supervisors who will be responsible for the safety of the activity and supervising volunteers.

NAME	AGE	EXPERIENCE/SKILLS/KNOWLEDGE

(Add supplementary sheet if required)

MINIMUM REQUIREMENT – The voluntary group must ensure they have all the full names, addresses, DOB’s, genders, disability details, medical needs and emergency contacts and consent forms (e.g. children) for all volunteers taking part in this project.

Risk Assessment of Activity (See Risk Assessment Template)

Voluntary activities may require a risk assessment. Assistance and advice can be provided to the voluntary group by the Council manager co-ordinating the activity to identify if it is required.

Examples of volunteer activities that will definitely require a detailed risk assessment are listed below.

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 disabilities (adults/children)	Work with hazardous chemicals	Any work interfering with a fabric of a building (asbestos risk)
Safeguarding issues	Driving	Work near or on water	Lone working

To be completed by voluntary group:

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

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

TO BE SIGNED BY REPRESENTATIVE OF VOLUNTARY GROUP

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

Name of Representative or voluntary group	Signature	Date

BRADFORD COUNCIL MANAGER OR VOLUNTEER CONTACT

Risk assessment(s) and controls measures have been reviewed

Yes / No (please delete as appropriate)

Any advice received from Occupational Safety Team and Insurance is attached

Yes / No (please delete as appropriate)

I have liaised with this private sector voluntary group and collated all the information

required in Part A and B of this pack.

I have sort additional advice from the Occupational Safety Team and or 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

PACK 3 - PART C – For voluntary work which is going to take place indoors or involving the maintenance of a Bradford Council building

To be completed by the Council Manager co-ordinating a voluntary group working in a Council building providing a service.

Details of Bradford Council contact:

Manager	Service

Contact number

Email address	Date of application

Details of voluntary group or person:

Name of organiser	Email contact

Group legally constituted Yes / No (please delete as appropriate)

Registered Charity No or N/A

Phone Contact Number of volunteers (or estimate)

Work/risk assessment/method statement agreed by CAFM Yes/No/NA

The Council Building and Summary of voluntary activity

………………………………………………………………………………………..

……………………………………………………………………………………………….

…………………………………………………………………………………………………

Name of Site contact Consulted Yes / No (please delete as appropriate)

Name of the Council Manager responsible for induction of all volunteers on fire safety, security, welfare, emergency and first aid arrangements ……………………………

Proposed dates for activity (or period of time)

Maximum numbers of volunteers on premises at any time ………………….

Insurance Details

Copy or evidence of Insurance cover from private sector organisation attached

Yes / No (please delete as appropriate)

Insurance arranged through the Council

Yes / No (please delete as appropriate)

PACK 3 – PART D – For voluntary work is going to take place indoors or involving the maintenance of a CBMDC building

To be provided by the voluntary group/representative.

Names of the voluntary group supervisors, who will be responsible for the safety of the activity and supervising volunteers.

NAME	AGE	EXPERIENCE/SKILLS/KNOWLEDGE

(Add supplementary sheet if required)

MINIMUM REQUIREMENT – The voluntary group must ensure they have all the full names, addresses, DOB’s, genders, disability details, medical needs and emergency contacts and consent forms (e.g. children) for all volunteers taking part in this project.

Risk Assessment of Activity (See Risk Assessment Template)

Voluntary activities may require a risk assessment and/or method statement. Assistance and advice should be provided to the voluntary group by the Council manager co-ordinating the activity to identify if it is required.

Examples of volunteer activities 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; e.g. scaffolding, roof work, ladder work etc.	Work with machinery and power tools	Any work interfering with fabric of a building (asbestos risk)	Lone working
Safeguarding issues	Volunteers involved with special needs and/or disabilities (adults/children)	Work with hazardous chemicals	Hot works; e.g. soldering, welding, bitumen etc.

To be completed in conjunction with the Council Manager

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

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

Method Statement enclosed	Yes / No (please delete as appropriate)

(This may be required if interfering with fabric of building)

TO BE SIGNED BY REPRESENTATIVE OF VOLUNTARY GROUP

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

Name of Representative or voluntary group	Signature	Date

BRADFORD COUNCIL MANAGER OR VOLUNTEER CONTACT

Risk assessment(s) and controls measures have been reviewed

Yes / No (please delete as appropriate)

Any advice received from Occupational Safety Team and Insurance is attached

Yes / No (please delete as appropriate)

I have liaised with this private sector voluntary group and collated all the information

required in Part C and D of this pack.

I have sort additional advice from the Occupational Safety Team and or 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