Title Page
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Event Name
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Venue
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Prepared by
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Date and Time of Assessment
EVENT HAZARDS
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Identified Site Hazards
Site Hazard
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Area of Concern
- Public Entrance/ Exit
- Emergency Evacuation Procedure
- First Aid
- Care of Children
- Strong Winds
- Wet Weather
- PA System
- Moving Vehicles
- Risk of Fire
- Other
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Enter area of concern
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Description of hazard identified
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Photo of hazard
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Persons at Risk
- Members of public
- Children
- Staff
- Various
- Other
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Enter persons at risk
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Severity of the Risk
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Likelihood of the Risk
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List preventive measures taken.
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List measures that can be taken to further minimize the risk.
COMPLETION
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Name and Signature of Inspector