South Queensland Youth
South Queensland Seventh-day Adventist Church Youth

Risk Assessment Form

* Indicates required field.

Name of Organisation Planning Activity:*

Location of Event:*

Start Date of Event*

dd/mm/yyyy

Finish Date of Event*

dd/mm/yyyy

List Names of Planners*

Trip Objectives*Our Desired Outcomes are

Nature of Group*

Land/Water Manager eg. National Parks:*

Phone Number

Fax Number

Specific Requirements of Land Manager

Action Required:

TRACK DETAILS

Degree of Difficulty (National Parks or other classification if applicable):*

Distance:*

Estimated Time:*

Estimated time from furtherest point to transport & communication:*

Is track well defined?*

Yes

Is track well sign-posted?*

Yes

Details of deficiencies?

Map/s available and procured?*

Yes

Map/s suitable for the activity?*

ENVIRONMENTAL DANGERS

Significant Dangers*List all. eg. steep, potential fall areas, rock falls, river crossings, creeks liable to flooding, slippery, availability and suitability of water, etc.

Risk Management Strategies*Indicate actions and precautions, including emergency plans, necessary to reduce risks.

SENSITIVE ENVIRONMENTAL or CULTURAL AREAS

Significant Dangers*List all significant dangers to environmentally & culturally sensitive areas.

Risk Management Strategies*Indicate actions and precautions that are necessary to reduce risks. Land managers may have specific requirements.

WEATHER

Significant Dangers*List all. Eg. storms, rain, heat, cold etc.

Risk Management StrategiesIndicate actions & precautions, including emergency plans, necessary to reduce risks.

OTHER

Significant Dangers*List all. Eg. fire, animal, vegetation, etc.

Risk Management StrategiesIndicate actions & precautions, including emergency plans, necessary to reduce risks.

PEOPLE DANGERS

Significant Dangers*List all. Eg. attitudes, skills, fitness, health, age, faear, numbers, child protection, harrassment, fatigue - including driver fatigue en route to and from drop off an pick up points, etc.

Risk Management Strategies*Indicate actions & precautions, including emergency plans, necessary to reduce risks.

EQUIPMENT DANGERS

Significant Dangers*List all. Eg. clothing, tents, packs, cooking equipment, etc.

Risk Management Strategies*Indicate actions & precautions, including emergency plans, necessary to reduce risks.

TRANSPORT DANGERS

Significant Dangers*List all. Eg. vehicle, road conditions, such as narrow or rough, route blocked by fire or flooding, driver fatigue, suitability of driver, roadworthiness, etc.

Risk Management Strategies*Indicate actions & precautions, including emergency plans, necessary to reduce risks.

SPECIFIC REQUIREMENTS

Leaders Name*

First

Last

Leader qualifications & Experience*

Assistant Leader/s full Names*

Assistant Leader/s Qualifications & Experience*

Maximum Size of Party*

Completed by Activity Planner/Leader: After Considering the stated objectives of this activity, completing a risk assessment & determining the required risk management strategies, I consider this to be a suitable activity for those who will be involved.*

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Risk Assessment Form