Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Preparation
Risk assessment
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Done
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Risk assessment title
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Blank permission slip attached & filed
Permission slips
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Child's full name
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Reason for excursion
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Date
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Description
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Mode of Transport
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Proposed activities
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Period / length of excursion
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Anticipated number of children on excursion
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Anticipated number of adults on excursion
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Anticipated ratio of educators to children
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Written authorisation : name & signature
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General medical / first-aid agreement
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Emergency contact name & number
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Medical / doctor contact name & number
Checklist
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Name badges for children
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List of children attending prepared and left with representative (and/or filed) at centre
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List of adults attending prepared and left with representative ( and/or filed ) at centre
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Notice / poster at centre providing notification of excursion
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Staff sign out when leaving centre
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Staff sign in when returning to centre
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Staff handover
Participants
Adults
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Adult 1
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Name
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Add media
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Position
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Signature
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Adult 2
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Name
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Add media
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Position
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Signature
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Adult 3
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Name
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Add media
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Position
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Signature
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Adult 4
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Name
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Add media
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Position
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Signature
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Adult 5
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Name
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Add media
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Position
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Signature
Children
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Name
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Child's image
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Permission slip
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Name
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Child's image
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Permission slip
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Name
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Child's image
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Permission slip
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Name
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Child's image
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Permission slip
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Name
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Child's image
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Permission slip
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Name
-
Child's image
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Permission slip
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Name
-
Child's image
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Permission slip
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Name
-
Child's image
-
Permission slip
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Name
-
Child's image
-
Permission slip
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Name
-
Child's image
-
Permission slip
-
Name
-
Child's image
-
Permission slip
-
Name
-
Child's image
-
Permission slip
-
Name
-
Child's image
-
Permission slip
-
Name
-
Child's image
-
Permission slip
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Name
-
Child's image
-
Permission slip
-
Name
-
Child's image
-
Permission slip
-
Name
-
Child's image
-
Permission slip
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Name
-
Child's image
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Permission slip
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Name
-
Child's image
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Permission slip
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Name
-
Child's image
-
Permission slip
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Name
-
Child's image
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Permission slip
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Name
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Child's image
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Permission slip
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Name
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Child's image
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Permission slip
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Name
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Child's image
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Permission slip
Supplies
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Charged mobile (1 per 'group')
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List of participants: staff / parents / children
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Emergency contact info for participants
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Permission slips
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Medication (inc. epi-pen & asthma medication)
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Medication book / action plans (inc. anaphylaxis & asthma response plans)
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First aid kit
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Charged camera
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Food / snack
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Water & cups
Venue / location
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Name
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Map
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Date / time
Staff evaluation / reflection of excursion
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Comments
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Incidents / injuries
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Details
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Incident/accident report completed
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Photos from excursion
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Signed off by staff member
