Risk Assessment and Management Template - Excursions

Service Name:

Excursion details

Date (s) of excursion.

If it is a regular outing include a description of when children are to be taken on regular outings.

Proposed activities.

List all activities that will take place during the excursion.

-

Pick up location and destination (s).

List each location travelled to and from as part of the excursion.

E.g. the museum, park for lunch and Service.

Estimated departure and arrival times and duration of the excursion.

E.g. from the service to each destination and returning to the service.

Proposed route.

You can include an image of the route sourced online.

Means of transport.

E.g. public bus, private bus, coach, private car, taxi, tram.

Requirements for seatbelts or safety restraints in your state or territory have been met.

Yes / No

Comment:

Phone number and full names of each adult involved in the excursion.

E.g. service staff, family members, volunteers.

The number of educators / responsible adults, appropriate to provide supervision, and whether any adults with specialised skills are required.

E.g. for childrens individual needs.

The number of children involved in the excursion.

Any water hazards during the excursion, including any risks associated with water-based activities?

If yes, detail in the risk assessment table below.

Yes / No

Comment:

Educator to child ratio, including whether this excursion warrants a higher ratio.

Provide details in the risk assessment table below.

Describe the process for entering and exiting the service premises and the pick-up location or destinations (as required), and include how each child is accounted for:

Describe the procedures for embarking and disembarking the vehicle (include how each child is accounted for in embarking and disembarking):

Excursion checklist items to be readily available during the excursion

(Please tick)

qFirst aid kit

qList of adults involved in the excursion

qList of children involved in the excursion

qContact information for each adult

qContact information for each child

qMobile phone / other means of communicating with the service & emergency services

qMedication, health plans and risk assessments for individual children

qOther items, please list

Risk Assessment

Activity

Hazard identified

Risk assessment
(use matrix)

Elimination/control measures

Who

When

Risk Matrix

Consequences

Likelihood

Rare

Unlikely

Possible

Likely

Almost Certain

Major

Moderate

High

High

Critical

Critical

Significant

Moderate

Moderate

High

High

Critical

Moderate

Low

Moderate

Moderate

High

High

Minor

Very low

Low

Moderate

Moderate

Moderate

Insignificant

Very low

Very low

Low

Moderate

Moderate

Plan and Review

Plan prepared by:

Full name:

Signature:

Role/Position:

Date:

Prepared in consultation with:

Full name:

Signature:

Role/Position:

Communicated to all relevant staff:

Yes / No

Comment if needed:

Vehicle safety information reviewed and attached:

Yes / No

Comment if needed:

Risk assessment to be evaluated and reviewed on:

A risk assessment must be undertaken prior to an excursion being undertaken (and before seeking authorisation for that excursion to be undertaken - see regulation 102). Ifthe excursion is a 'regular outing'*, a risk assessment must be undertakenat leastannually.

Date: