Staff Questionnaire Re Partial Opening

Dear Colleagues,

Following the Government announcement on Sunday that schools are to provide face to face support for year 10 and 12 students we are currently completing our risk assessments to ensure that OSH is a safe environment for staff and students.

As part of this process we would appreciate if you could complete the following questions. Any responses will be confidential and only shared within the HR department and the Headmaster.
Name: 


A red asterisk (*) indicates required questions.

  1. Your Name *


  1. In order to help assess the health requirements of all staff we need to establish if any staff are classed as "clinically extremely vulnerable" as per the Government guidance dated 5th May 2020. The phrasing is taken from the Gov.Uk guidance on shielding and protecting people who are clinically extremely vulnerable from COVID-19.

    Have you received a solid organ transplant *
    Yes
    No


  1. Are you a person with specific cancer:
    people with cancer who are undergoing active chemotherapy
    people with lung cancer who are undergoing radical radiotherapy
    people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who
    are at any stage of treatment
    people having immunotherapy or other continuing antibody treatments for cancer
    people having other targeted cancer treatments which can affect the immune system, such as
    protein kinase inhibitors or PARP inhibitors
    people who have had bone marrow or stem cell transplants in the last 6 months, or who are still
    taking immunosuppression drugs*
    Yes
    No


  1. Are you a person with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary (COPD).*
    Yes
    No


  1. Do you have a rare diseases that significantly increase the risk of infections (such as SCID, homozygous sickle cell).*
    Yes
    No


  1. Are you receiving immunosuppression therapies sufficient to significantly increase risk of infection.*
    Yes
    No


  1. Are you pregnant with significant heart disease, congenital or acquired.*
    Yes
    No


  1. Do you have any other health condition or concerns that we need to consider as part of the school risk assessment. *
    Yes
    No


  1. If you replied yes to question 8 please complete the details below, or call Louise Green, 01384 817302 to discuss.


  1. Do you need to use public transport to return to work? *
    Yes
    No


  1. To minimise the number of staff on site and maintain social distancing regulations we are asking staff in the first instance to volunteer to take a face to face support session for year 10 and 12 students. Are we able to put your name on the list ?
    Yes
    No


  1. If you are able to volunteer, are there any areas of concern you have or clarification you need, if so what are they?


  1. If you are unable to volunteer and are not classed as "clinically extremely vulnerable" please can you summarise the concerns or difficulties which cause you to be unable to volunteer at this time. If you are classed as "clinically extremely vulnerable" please can you forward a copy of your NHS letter.





OSH