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RISK ASSESSMENT FORM FOR VISITS HOLIDAYS & ACTIVITIES

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 ____________________________

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