This form combines the requirements of the Faculty, International Recruitment Action Plan, Financial Administration Handbook, and the University Safety Policy for Staff Travelling and Working Overseas as part of their University business.

When completing this form you will need to read and understand your responsibilities as detailed in OBU Health and Safety Notice 38, which includes issues such as personal documentation, immunisations and health.

Please click link for Travel Wellbeing at Brookes.

Please click the below links for Brookes Travel Insurance:

Travel Insurance Guides

Insurance Certificates

Travel Insurance partner UMAL

Please click and downlaod the Brookes Travel Insurance UMAL Certificate and keep this with you while travelling.

In the event of an emergency outside normal office hours the following contact numbers should be used:

Campus Services +44 (0)1865 483059
Campus Services Control Room (24 hrs) +44 (0)1865 483060
Student Services +44 (0)1865 48465

Section 1 - Traveller Details

Section 2 - Travel Costs

A full list of OBBS Cost Codes can be found here: OBBS Cost Codes

Section 3 - Risk Assessment

.

 

Destination Risk Assessment

Check the destination is not a "Don’t go to" country as defined by the Foreign and Commonwealth Office (FCO).

Please check: www.fco.gov.uk. Click on Travel Advice and then Travel Advice by Country

This section is only needed to be completed if you are travelling to a destination that is considered by the Foreign and Commonwealth Office is be either medium or high risk.

If you are not going to a medium or high risk destination, please click the back button and change your previous answer to 'No'.

Please use the table below to detail the hazards, risks and proposed control measures for this visit.

To complete the table please refer to the Risk Assessment Check List, Foreignand Commonwealth Office Advice, CR24 and UCEA www.ucea.ac.uk

Health Advise:

Please consult your GP if you have any underlying health problems that could affect your fitness for overseas travel on behalf of the University. Please consult Fitness for Travel TRAVAX for in country health advice NHS Fit for Travel. For further advice on fitness for travel and advice on vaccinations contact Occupational Health on extension 5772.

 

Health clearance is required by Occupational Health (OH) for:

• Travel to tropical countries and trips outside North West Europe and North America. 
• Fieldwork which involves working in remote areas (more than 24 hours away from medical support)

or

• Activities posing high risk in the event of sudden illness or incapacity e.g. technical climbing, abseiling, diving, caving or
• A trip of more than 3 months duration.

The purpose is to identify any health needs you have and ensure that support is in place or can be provided for, in order to protect you and if applicable, other members of your team

Please answer the questions honestly and fully.  The information you provide will be held in medical confidence. 

If you have a health problem which could cause sudden illness or incapacity whilst away and for which you might require assistance from colleagues, your Fieldwork Leader or Supervisor will be advised on precautions which need to be in place to provide for this.  Medical information will only be disclosed with your consent, and on a ‘need-to-know’ basis.

Your Line Manager and/or Fieldwork Leader or Supervisor will be informed of your fitness for travel.

You can check www.fitfortravel.nhs.uk for standard travel health information about vaccinations and malaria prophylaxis.

Please send your completed questionnaire to occhealth@brookes.ac.uk The OH Administrator will contact you directly to set up an OH appointment if required.

Disclaimer

I confirm I have read all of the information given and that I fully understand the risks of travelling overseas.

I have submitted up-to-date information of my next of kin in the event of an emergancy, and have saved the cotact numbers at the top of this form. 

I understand that when I am travelling on behalf of the University, I am a representitive of the University and will conduct myself in a respectable maner at all times during my trip. 

I understand that I have a set budget for this trip and that any cost incurred over and above the budgeted amount may not be reimbursed to me, and that any expenditure that may be considered a 'luxury' will not be reimbused to me. I have also read and understand the University's Expenses policy. 

By completing this form you agree that all of the information given to be true and correct at the time of completion, and understand that any misinformation will result in your request being withdrawn.

Please tick the box below to say that you have read and understand the terms of this disclaimer and that you agree to all of the points made.

If this is form is to be attached to Conference or Staff Development, please click submit and retun to your Conference and Staff Development form on the previous tab. 

If not, please click submit and close the tab after you see the 'Thank You' screen.