Title Page

  • Client / Site

  • Conducted on

Details and Location of School

  • Name

  • Location
  • Number of school staff (approx)

  • Number of students currently enrolled (approx)

Proximity to Hospital for major injuries

  • Nearest Hospital

  • Address

  • Distance

  • Approx time for ambulance response

Proximity to Medical Centre or Doctors for moderate injuries

  • Name of medical facility/doctors

  • Address

  • Distance

  • Approx time to drive

On campus Medical Facilities for minor injuries

  • Describe the Medical Facilities available on campus

  • Name of First Aid Officer

  • Qualifications of First Aid Officer

  • Hours worked by First Aid Officer

  • Name of Deputy First Aid Officer

  • Number of First Aid boxes available

  • Number of Portable First Aid kits available

  • Number of EPI PENS available on campus

  • Number of DEFIBRILLATORS available

  • Number of staff holding a current First Aid qualification

  • Number of staff holding a current CPR qualification

  • What is the ratio of staff with first aid qualifications to students enrolled?

Accident Risks

  • List major accident risk activities

  • Number of accidents involving STUDENTS reported in previous year:

  • Number of accidents involving STAFF reported in previous year

  • Number of NOTIFIABLE INCIDENTS reported in previous year

Safety Measures

  • Are eye wash baths and deluge showers available in areas where hazardous chemicals are present?

  • Is adequate Personal Protective Equipment available to staff/students conducting high risk activities?

  • Are regular safety checks conducted in high risk areas?

  • Are Risk Assessments submitted and approved PRIOR to high risk activities and/or events?

  • Does the school have an effect Concussion Policy and procedures?

  • Does the school have an effective Infectious Diseases Control policy and procedures?

  • Does the school have an effective Anaphylaxis Policy and processes in place?

  • Is an Accident Analysis performed to monitor any accident risk trends?

  • Is the ratio of students enrolled to each staff member with first aid qualifications less than 50:1?

Risk Grade

  • Evaluate the risk of serious injury to staff and students WITHOUT any safety controls in place:

  • Evaluate the risk of serious injury to staff and students AFTER all safety controls are taken into account:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.