Title Page
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Conducted on
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Prepared by
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Location
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Document Number:
Hazards
Preparation
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Adequate number of supervisory adults present
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Head count carried out before departure of journey by trip supervisor
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Head count carried out before return journey by trip supervisor
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Supervisor(s) has a fully charged mobile phone
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Students made aware of action to take if separated from group
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Emergency phone numbers must be held by trip supervisor for each trip and available to all supervisors and students where the need arises
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Information on particular medical conditions has been received and recorded, and recorded by person organising the outdoor adventure activity
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Safety instructions provided to students including information on correct clothiing and equipment required
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Principal and/or designated person responsible for safety, health and welfare is aware of the location of the group and duration of visit
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Safety briefing for adults assisting in supervision
Driving
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Safety belts must be worn where students are being transported by road. Safety belts must not be shared
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All modes of transportation used must be used in compliance with the Road Traffic Act
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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
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Weather conditions assessed on the day and considered suitable for trip
Sick/Injured student
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Fully charged mobile phone
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Fully stocked and checked First Aid Kit carried on all trips
Signed by
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Name