Refusal to Work on the grounds of health & safety

Refusal to Work Template - Use our auto complete form to get a template to submit to your manager if you need to refuse to work under the grounds of Health & Safety.
- The template will be sent to your personal email inbox, you can then keep it safe or use it when you need.

You will need to make an informed decision, based on your knowledge of the workplace, the situation and the circumstance to refuse to work. We will support all members.

I am informing you that I believe it is unsafe to continue work and under the:

The Management of Health and Safety at Work Regulations 1999 (Section 8)
Employment Rights Act 1996 (Section 44)
London Underground Health & Safety Procedure

I will therefore stop working immediately and whilst I wait for the investigation to be fully and properly completed under LU procedure I will undertake reasonable alternative work either within the workplace or at a different workplace location or I shall be sent home with no detriment to my pay, terms or conditions.

I believe it in unsafe to continue working because:

(Choose as many options that are appropriate or enter your own reason)

Covid 19 – I am unable to maintain a safe social distance from others while in the workplaceCovid 19 – I do not have the appropriate PPE to protect myself from the risk of Covid-19 in the workplaceCovid 19 – My workplace is not Covid secure and I believe the risk of exposure is above a safe levelUnsafe Instruction – I do not believe what I have been instructed to do is safeTraining – I have not been trained on what I have been asked to doStaffing Levels – I do not believe I can safely and competently carry out my duties with the current staffing levels

I attach the LU procedure for the refusal to work which I am acting under:

1) When a member of staff believes it is not safe to continue work, they must stop work and immediately report it to their manager.
2) The manager must inform the local H&S rep as soon as possible
3) The manager in consultation with a HSE advisor must determine if there is or isn’t serious or imminent danger and provide reasons why the risk is or isn’t considered ‘as low as reasonably practical’.
4) The manager must record and communicate this to the member of staff and their H&S rep
5) If there is a failure to agree, the workplace risk assessments (WRA’s) must be reviewed by the manager and HSE advisor. This must be recorded and communicated to the member of staff and their local H&S rep. If a local rep isn’t available, management must report this to Tier 2
6) If the review confirms the risks are ‘as low as reasonably practical’, the employee will be requested to work normally.
7) If the review confirms it is unsafe to continue working that way, the manager must explain how the matter will be dealt with and what work can be done in the meantime, if any.
8) There are slight difference with what to do if the potential danger is affecting more than one location – for example Safety Council MUST be informed as soon as possible and a senior LU manager will be appointed to co-ordinate the actions required.
9) Whilst the employee waits for the investigation to be fully and properly completed the manager must find reasonable alternative work either within the workplace or at a different workplace location or the employee shall be sent home with no detriment to their pay, terms or conditions.
10) If there is a failure to agree, the employee has the right of appeal.

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