Comments Form

All new members of staff and postgraduate students must become familiar with the School Safety Code. Once you have read the document and cleared any queries that you may have with your Safety Coordinator, please fill in this form and send it to the Safety Coordinator by clicking the "Submit form" button at the end of the form.

Your title:
If "other" please specify here:

Your forename(s):

Your Surname(s):

Your University Email Address:

Your University telephone number:

School of Engineering building/location in which you will principally be working:

Brodie
Daresbury
George Holt
Harrison Hughes
Lairdside Laser Engineering Centre
Walker
If "other" please specify here:

Your room number:

Please indicate below the group to which you belong:-

Dynamics & Control
Flight Science and Technology
Fluids Engineering
Functional Materials
Manufacturing and Laser
MEWS
Structural Materials and Infrastructure
Modelling
Teaching
Administrative-General
Technical Support
Other Please specify here:

Name of supervisor/line manager:

Please tick the box below that will apply to you:

I will not be carrying out any practical work in a laboratory
I will be, or may be, carrying out practical work in a laboratory, and understand that a written risk assessment must be in place before any such work commences

Return to Safety Code

Please indicate below the category to which you belong:-

Please indicate below the group to which you belong:-

Please tick the box below that will apply to you: