Title Page

  • Conducted on

  • Prepared by

  • Location

  • Document Number:



  • Adequate number of supervisory adults present

  • Head count carried out before departure of journey by trip supervisor

  • Head count carried out before return journey by trip supervisor

  • Supervisor(s) has a fully charged mobile phone

  • Students made aware of action to take if separated from group

  • Emergency phone numbers must be held by trip supervisor for each trip and available to all supervisors and students where the need arises

  • Information on particular medical conditions has been received and recorded, and recorded by person organising the outdoor adventure activity

  • Safety instructions provided to students including information on correct clothiing and equipment required

  • Principal and/or designated person responsible for safety, health and welfare is aware of the location of the group and duration of visit

  • Safety briefing for adults assisting in supervision


  • Safety belts must be worn where students are being transported by road. Safety belts must not be shared

  • All modes of transportation used must be used in compliance with the Road Traffic Act

  • Visual inspection of the school owned bus by the driver/operator is appropriate, to ensure operation of lights, indicators, windscreen wipers, tyres etc. prior to setting out on the journey


  • Weather conditions assessed on the day and considered suitable for trip

Sick/Injured student

  • Fully charged mobile phone

  • Fully stocked and checked First Aid Kit carried on all trips

Signed by

  • Name

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