RISK ASSESSMENT FORM FOR VISITS HOLIDAYS & ACTIVITIES
risk assessment form for visits, holidays & activities - The Boys' Brigade
risk assessment form for visits, holidays & activities - The Boys' Brigade
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<strong><strong>FOR</strong>M</strong> <strong>RISK</strong>-ACT<br />
PART A (To be completed before event)<br />
<strong>RISK</strong> <strong>ASSESSMENT</strong> <strong><strong>FOR</strong>M</strong><br />
<strong>FOR</strong> <strong>VISITS</strong>, <strong>HOLIDAYS</strong> & <strong>ACTIVITIES</strong><br />
Visit/Holiday/Activity: ________________________________________________________________________<br />
Venue (address): ____________________________________________________________________________<br />
Date(s): ________________________________________________________<br />
Age Group(s): Anchor Section Junior Section Company Section Seniors Amicus<br />
Number of children/young people: _______________ Number of leaders: __________<br />
Possible Hazards: __________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
(Continue on additional sheet if necessary)<br />
Precautions Taken: _________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
__________________________________________________________________________________________<br />
(Continue on additional sheet if necessary)<br />
Yes No Initial/Date<br />
Are Current Brigade Regulations being met (see Safety Handbook)?<br />
___________<br />
Has the Regional Headquarters been notified of holiday/expedition (if applicable)?<br />
___________<br />
Has the local Fire Brigade been made aware of the holiday venue (if applicable)?<br />
___________<br />
Does Brigade Insurance Policy provide sufficient cover for the activity?<br />
___________<br />
Have Parental Consent Forms been completed for any overnight OR hazardous activity?<br />
___________<br />
Is First Aid provision in place (if applicable)?<br />
___________<br />
(Please initial and date when each condition is satisfied)<br />
Signed: _____________________________<br />
Date: _____________<br />
Name: _____________________________<br />
Position ____________________________<br />
October 2009
PART B (To be completed after event)<br />
Review Notes:<br />
Signed: _____________________________<br />
Date: _____________<br />
Name: _____________________________<br />
Position ____________________________