Form - Excursion risk management plan Jillys Early Childhood Development and Educational Centre Excursion details Date(s) of excursion Departure and arrival times As per 'Vacation Care Programme' on Jillys web site, www.jillys.com.au Excursion destination As per 'Vacation Care Programme' on web site, www.jillys.com.au Don Bosco 8-14 Mamre rd, St Marys 2760 Ph 02 9623 0450 Proposed activities Gym experience Water hazards? No Method of transport, including proposed route Name of excursion co-ordinator Contact number of excursion coordinator Bus - Centre direct to Don Bosco's car park, behind the Gym Lisa Coleman (Diploma of Childrens Services) (BH) 02 9606 9201 (M) 0415 778 321 Number of children attending excursion Up to 45 children Number of educators As per next line below Educator to child ratio, including whether this excursion warrants a higher ratio? Min 2 carers (1 x Dip, 1 x Cert III). Ratio is 1:10 and if near water 1:5. Non-excursion ratio is 1:15 Excursion checklist First aid kit List of children attending the excursion Contact information for each child Medical information for each child List of adults participating in the excursion Contact information for each adult Mobile phone / other means of communicating with the service & emergency services Other items, please list 1
Risk assessment Activity Hazard identified Risk assessment (use matrix) Elimination/control measures Who When Bus Travel - Low See - 'Excursion risk management plan - Bus travel' - - Walking thru car park - Low See -'Excursion risk management plan - Walking thru car park' - - General Slip/trip/fall Low Look, walk and don't run supervision Non-slip flooring and stair strips Children At all times Impact with panels, posts & walls Low Safety glass used on all glass panels, posts are padded Children Electrical equipment Low Electrical tagging and testing undertaken Regular testing and maintenance of all equipment General safety concerns Low Regular testing of all public areas by Venue OHS committee Venue staff Venue staff Venue staff Planned maint. Planned maint Regularly planned Inside Don Bosco's Equipment use such as trampoline, spring vault, soccer, basketball mrdium Equipment will be inspected by educators upon arrival to ascertain its safety level Use all equipment as per instructed Venue staff and educators On arrival Slip/trip/fall with various equipment Low Children at all times must be aware of where they are walking Children / Venue staff No food or drink in the playing area Injury to the feet Low All children are to wear closed in shoes Children / Venue staff Student falling if they were to climb (against advice) onto large objects Low Educator supervision and available First Aid equipment nearby to all areas of the Venue Educator supervision & Supervision at all times and First Aid kit and first aiders 2
or above ground surfaces Venue staff always available Plan prepared by Lisa Coleman Prepared in consultation with: Chris Buchtmann Communicated to: Venue and safety information reviewed and attached Yes Comment if needed: Reminder: Monitor the effectiveness of controls and change if necessary. Review the risk assessment if an incident or significant change occurs. 3
Risk Matrix Consequence Insignificant Minor Moderate Major Catastrophic Almost certain Moderate High High Extreme Extreme Likely Moderate Moderate High Extreme Extreme Likelihood Possible Low Moderate High High Extreme Unlikely Low Low Moderate High High Rare Low Low Low Moderate High 4
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