Visitor Safety Risk Assessment Form

This form is intended to be used as a visitor safety risk assessment tool. The University of Manitoba (UM) host is responsible for identifying and implementing all required control measures identified through this assessment.

The Visitor Safety Risk Assessment must be completed by the UM host for any visitor participating in an educational, volunteer, research, or other University-related activity that may expose them to hazards or place themselves or others at risk.

The UM host may be an individual UM employee who has invited the visitor to a University facility, or a representative of a faculty, department, or unit that has arranged the visitor's participation in the activity.

Please note that this assessment is not required for visitors who are on campus solely to make deliveries or attend lectures, conferences, ceremonies, meetings, or social events.

A copy of the completed Visitor Safety Risk Assessment form will be emailed to the UM host identified on the form. The UM host is responsible for retaining a copy of the completed assessment for a minimum of three years.

If assistance is required in identifying hazards or implementing appropriate control measures, please contact Environmental Health and Safety (EHSO) at ehso@umaniotba.ca or 204-474-6633 for guidance and support.

Host Information

Are all relevant stakeholders including Department Heads and Deans aware of the Visitor(s)?
Is the Visitor a

Visitor Information

Is your visitor part of an Outreach Program sponsored by the University of Manitoba?
Will your visitor be accessing laboratories, working with animals or attending field research activities?

Go to the Office of Legal Counsel's site on the UM Intranet to obtain the waiver review requirements for On Campus and/ or Off-Campus Activities to determine if a waiver or other document is required. Contact Office of Legal Counsel at legaloff@umanitoba.ca if you have any questions or require further information.

Are you providing accommodations 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 activities 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.

Please note that a sponsor account is required for visitors to access UM Learn. Please contact IST for instructions on how to obtain and set up the account.