About this form
This form will take approximately 15 minutes to complete.
As part of Swindon Borough Council’s recovery plans, we need to ensure that all employees are able to work safely and comfortably in an environment which best suits their needs at this time. This assessment form is made up of several parts.
PART 1:
The first section contains information on the current at-risk groups for contracting COVID-19. All employees need to review this to determine whether they feel they fall into any of the at-risk groups. Full details do not need to be disclosed but it is important that we are aware of any key information we can use to support employees the best we can.
PART 2:
The second section is a review of the current workplace environment. All criteria needs to be worked through and considered to form the basis of your risk assessment conversation with your manager.
PART 3:
You will attach your completed DSE Assessment form within this assessment. If you are unable to do this, please make sure you email this to your manager in advance of your next meeting.
Once this form is submitted, notifications will be received by your line manager and HROD. Your manager will be arranging a meeting with you to discuss the contents of this form and the DSE Assessment as part of your Risk Assessment Conversation.
Please note: All guidance is based on the current National Guidelines (May 2020).
Form instructions
To complete this form you will need:
- a completed copy of your DSE assessment ready to upload. (an option to email this is also available)
Privacy Notice
By completing the following form, you confirm you have read and understood our Privacy Notice, which outlines how we intend to use your personal data.
Please read the Privacy Notice before continuing
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