Excursion risk asessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Plan prepared by:

• Name

• Position

• In consultation with:

• Communicated to:

• Venue & safety info reviewed & attached

  Yes

  No

  N/A

• Comment

Excursion details

• Date of excursion

  Date

• Excursion destination

• Excursion map
  Address

• Activities

• Activity risk assessment done

• Water hazards

  Yes

  No

  N/A

• Excursion coordinator

• Coordinator contact number

• Number of children attending

• Number of adults attending

• Number of qualified staff attending

• Number of parent / community volunteers attending

• Adult : child ratio & details

Excursion checklists

• Done

• Title

• Prepared by:

Risk assessment

Activity 1

• Name / description of activity

• Hazard identified

• Risk assessment (matrix)

  Select Low Moderate High Extreme

  • Low
  • Moderate
  • High
  • Extreme

• Elimination / control measures

• Who

• When

Activity 2

• Name/ description of activity

• Hazard identified

• Risk assessment (matrix)

  Low

  Moderate

  High

  Extreme

• Elimination / control measures

• Who

• When

Activity 3

• Name / description of activity

• Hazard identified

• Risk assessment (matrix)

  Yes

  No

  N/A

• Elimination / control measure

• Who

• When

Risk matrix