Surf life Saving

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Daily Threat Analysis:

• Select date

  Date
Who is the Event Manager?
Who is the Event Safety Officer?
Who is the Event Referee?

• Number of Surf Officials?

• Number of Event Lifeguards?

• Number of Competitors?

• Safety / Competitor Ratio: Should be based on assessment of risk (surf,wind, tides, hazards, numbers, etc) with an appropriate number of safety in place to mitigate risks to acceptable level. SLSNZ Code of Practice: Land Based = 1 : 20 Water Based = 1 : 5

• Land Based Ratio:

• Water Based Ratio:

• Radio Comms available and working?

  Yes

  No

  N/A

• Event Commenced at?

• Select date

  Date

• Event Concluded at?

• Select date

  Date

• What are the weather conditions?

  Select Fine Cloudy Rain Storm

  • Fine
  • Cloudy
  • Rain
  • Storm

• What is the burn time? (Scale in minutes)

• What is the wind direction?

  Select North North East East South East South South West West North West

  • North
  • North East
  • East
  • South East
  • South
  • South West
  • West
  • North West

• What is the wind strength?

  Select Heavy Medium Light

  • Heavy
  • Medium
  • Light

• Is the wind blowing:

  Select Onshore Offshore

  • Onshore
  • Offshore

• Describe the wind frequency.

  Select Continuous Intermittent

  • Continuous
  • Intermittent

• What is the weather Forecast?

  Select Fine Cloudy Rain Storm

  • Fine
  • Cloudy
  • Rain
  • Storm

• Take a photo to show weather conditions

  Media

• BEACH Information

• Hazards (tick if applicable)

  Select Streams Rivers Stormwater Outlet Debris Rubbish Pollution N/A

  • Streams
  • Rivers
  • Stormwater Outlet
  • Debris
  • Rubbish
  • Pollution
  • N/A

• Beach Risk Level?

• Low

• Medium

• High

• Beach Inspected.<br><br>Assessment arrears clear and safe?

  Safe

  At Risk

  N/A

• Take a photo of the beach assessment areas.

  Media

• SEA Information

• Is the Tide:

  Select High Medium Low

  • High
  • Medium
  • Low

• Is the tide:

  Select Incoming Outgoing

  • Incoming
  • Outgoing

• Surf size in metres

• Safety: Shore Break?

  Yes

  No

  N/A

• Safety: Rips, Holes, Current?

  Yes

  No

  N/A

• Safety: Sea Debris, Pollution?

  Yes

  No

  N/A

• Aquatic Area of Assessment Inspected?

  Yes

  No

  N/A

• Assessment area(s) safe to conduct assessment?

  Safe

  At Risk

  N/A

• Flooring

  Safe

  At Risk

  N/A

• Whiteboard / Blackboard

  Safe

  At Risk

  N/A

• Kitchen Equipment

  Safe

  At Risk

  N/A

• Lighting / Power

  Safe

  At Risk

  N/A

• Cleaning Equipment

  Safe

  At Risk

  N/A

• First Aid Room

  Safe

  At Risk

  N/A

• Tables and Chairs

  Safe

  At Risk

  N/A

• Quad / Trailer

  Safe

  At Risk

  N/A

• Flags / Flag<br>Stands / Scaffolding / Barriers

  Safe

  At Risk

  N/A

• IRB / IRB Trailer / Quad Bike

  Safe

  At Risk

  N/A

• Whistles

  Safe

  At Risk

  N/A

• Resuscitation Kit / AED

  Safe

  At Risk

  N/A

• Rescue Tubes / Fins

  Safe

  At Risk

  N/A

• Paddle boards

  Safe

  At Risk

  N/A

• Buoys and Anchors

  Safe

  At Risk

  N/A

• External - Public Related<br>Do other groups / individuals or animals enter into the assessment areas at times?<br>If yes out line Managment of the situation:

  Yes

  No

  N/A

• Show total event area in relation to clubhouse or assessment facility:

  Media

• Draw event area:

  Drawing

• Event Management Committee met prior to event commencing?

  Yes

  No

  N/A

• Surf Officials Briefing Completed?

  Yes

  No

  N/A

• Team Managers Briefing Completed?

  Yes

  No

  N/A

• Event Lifeguards / First Aid Briefing Completed?

  Yes

  No

  N/A

• Works Party Briefed?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Did any Accidents occur during the competition?<br>If yes attach SLSNZ Incident Report Form

  Yes

  No

  N/A

• Has an Accident investigation taken place?<br>Attach an Accident Investigation Form.<br>

  Yes

  No

  N/A

• Signed by Event Manager:

  Sign

• Signed by Event Safety Officer:

  Sign