Forms

School Young-Person Placement Safety Record

Record the preparation, organisation and safety arrangements for a young person's work-experience, work-based-learning, employment or apprenticeship placement hosted or arranged by a school.

Form
CalmComplianceForm template

School Young-Person Placement Safety Record

Version
v1
Updated
1 October 2026
Audience
Primary and secondary schools in England, including maintained schools and academies, arranging or hosting under-18 workers, work-experience participants or apprentices.
Jurisdiction
england

Blank fields · read-only preview

Use this record to document the placement, preparation, workplace checks, induction, instruction, supervision arrangements and follow-up actions for a person under 18. Complete the sections that apply to the placement; leave conditionally applicable fields blank where they do not apply and explain the reason where useful.

1. Placement details

Young person's name

Required

Record the name used for the school's placement records.

Written response

School name

Required

Record the school arranging or hosting the placement.

Written response

Type of placement

Required

Select all that apply.

Choose all that apply

  • Work experience
  • Work-based learning
  • Apprenticeship
  • Employment by the school
  • Other hosted placement

Placement start date

Required

Enter the planned or actual first day of the placement.

Day
Month
Year

Placement end date

Required

Enter the planned or actual final day. For an ongoing placement, record the current review end date.

Day
Month
Year

Placement location

Required

Give the workplace name and full location, including any separate sites the young person may visit.

Written response

Host organisation or department

Required

Record the organisation or school department responsible for the placement.

Written response

Role or placement title

Required

Use a clear description of the role or learning placement.

Written response

Role, activities and responsibilities

Required

Describe the planned tasks, responsibilities, work areas, equipment or processes the young person may encounter, and any activities excluded from the placement.

Written response

Planned placement hours per week

Required

Enter the planned number of hours, including any planned learning or induction time.

Number

Minimum: 0 · Maximum: 168

Young person's age at placement start

Required

Enter the person's age in completed years on the placement start date.

Number

Minimum: 0 · Maximum: 17

2. Preparation and workplace arrangements

Preparation completed before the placement

Required

Describe how the placement was prepared and organised, including information shared with the young person, school and host organisation.

Written response

Workplace checks undertaken

Required

Record the checks undertaken for the placement, such as work areas, equipment, activities, emergency arrangements, welfare facilities and supervision arrangements. Do not state that a check was completed unless it was completed.

Written response

Date of most recent workplace check

Required

Enter the date of the most recent check relevant to this placement.

Day
Month
Year

Adjustments or additional support

Required

Record any agreed adjustments, access arrangements, support needs or restrictions relevant to safe participation. If none are identified, record 'None identified'.

Written response

3. Induction and instruction

Induction date

Required

Enter the date on which the placement induction was or will be delivered.

Day
Month
Year

Induction and instruction provided

Required

Describe the instruction provided, including role expectations, safe working methods, hazards and controls, use of equipment, emergency arrangements, reporting routes and welfare arrangements.

Written response

How understanding was confirmed

Required

Describe how the young person's understanding of the role, instructions, limits and reporting arrangements was checked.

Written response

4. Supervision and contacts

Supervision arrangement

Required

Describe who will supervise the young person, where supervision will take place, how often it will occur, and how supervision will be adjusted if activities or circumstances change.

Written response

Host supervisor name and contact details

Required

Record the named person responsible for day-to-day supervision at the placement.

Written response

School contact name and contact details

Required

Record the school contact for placement queries, concerns or incidents.

Written response

Was a representative involved in arranging or reviewing the placement?

Required

Select the applicable option. If a representative was used, complete the next field.

Choose one

  • Yes
  • No
  • Not recorded

Representative details and involvement

Complete only where a representative was involved. Record the representative's role, organisation and the matters considered.

Written response

5. Review, concerns and follow-up

Planned review frequency

Required

Select how often the placement arrangements will be reviewed.

Choose one

  • Daily
  • Weekly
  • Fortnightly
  • Monthly
  • At defined placement stages
  • Other documented arrangement

Concerns, incidents or changes identified

Required

Record any safety, welfare or supervision concerns, incidents, near misses, changes in activities or changes in circumstances. If none have been identified, record 'None identified'.

Written response

Follow-up actions

Required

Record actions required or completed, the person responsible, the target date and the current status. If no action is required, record 'None required'.

Written response

Next review date

Enter the next planned review date. Leave blank only if the placement has ended and no further review is planned.

Day
Month
Year

Record review confirmation

Required

Confirm that the information recorded is accurate to the best of the reviewer's knowledge and that any identified follow-up actions have been recorded.

  • Tick when complete

Reviewer name and role

Required

Record the person who reviewed this safety record.

Written response

Record review date

Required

Enter the date on which this record was reviewed.

Day
Month
Year
CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
1 October 2026

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School Young-Person Placement Safety Record template - CalmCompliance