Plan prepared by:

  • Name

  • Position

  • In consultation with:

  • Communicated to:

  • Venue & safety info reviewed & attached

  • Comment

Excursion details

  • Date of excursion

  • Excursion destination

  • Excursion map
  • Activities

  • Activity risk assessment done

  • Water hazards

  • 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)

  • Elimination / control measures

  • Who

  • When

Activity 2

  • Name/ description of activity

  • Hazard identified

  • Risk assessment (matrix)

  • Elimination / control measures

  • Who

  • When

Activity 3

  • Name / description of activity

  • Hazard identified

  • Risk assessment (matrix)

  • Elimination / control measure

  • Who

  • When

Risk matrix

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