OHS Risk management plan pro-forma Excursion coordinator: Group/class: Number in group/class: Location: Date(s) of excursion: Accompanying Description and location of excursion: Parents, caregivers, volunteers: Contact Number: Hazard/Risk Identification Priority Risk Management Plan - Elimination or Control Measures (severity & Type/Cause (Elimination Substitution Isolation Engineering Administration PPE) likelihood) Who When Excursion coordinator: Date: Consulted with: …………………………. ……………………… Principal: Date: Risk Management Plan communicated to: ……………………………………..…… ……………………… Monitor and Review Were the controls effective? What further actions are required for future excursions? Who When Were all those involved in the excursion aware of the controls? Were new hazards identified? _______________________ __________ Signature: Review Date:
OHS Risk management plan pro-forma Excursion coordinator: Location: Date(s) of excursion: Description and location of excursion: Group/class: Number in group/class: Accompanying Parents, caregivers, volunteers: Contact Number: Hazard/Risk Identification Type/Cause Priority (severity & likelihood) Risk Management Plan - Elimination or Control Measures (Elimination Substitution Isolation Engineering Administration PPE) Who When Excursion coordinator: …………………………. Date: ……………………… Principal: ……………………………………..…… Date: ……………………… Consulted with: Risk Management Plan communicated to: Monitor and Review Were the controls effective? Were all those involved in the excursion aware of the controls? Were new hazards identified? What further actions are required for future excursions? Signature: _______________________ Review Date: __________ Who When
os_excurs.docx