RISK MANAGEMENT PLAN

ACTIVITY
DATES
RISK (life or limb) and
Dangers / hazards / causes (People,
Equipment & Environment)

LOCATION

page 2 of 3
GROUP

STAFF
CONSEQUENCE

CONTROLS & MINIMISATION STRATEGIES

- IN PLACE OR REQUIRED
(TREATMENT = BEST PRACTICE)

INCIDENT RESPONCE PLAN

RISK MANAGEMENT PLAN cont/

ACTIVITY
DATES
RISK (life or limb) and
Dangers / hazards / causes (People,
Equipment & Environment)

LOCATION

Page 3 of 3
GROUP

STAFF
CONSEQUENCE

References including policies, guidelines & standards:

CONTROLS & MINIMISATION

STRATEGIES - IN PLACE OR REQUIRED
(TREATMENT = BEST PRACTICE)

INCIDENT RESPONCE PLAN

Leader requirements including qualifications / skills:

Participants requirements:

RISK MANAGEMENT PLAN

ACTIVITY

LOCATION

DATE

STAFF

page 1 of 3
GROUP

RISK CALCULATION
Risks

Likelihood
Rare
Unlikely
Possible
Likely
Almost certain
Rare
Unlikely
Possible
Likely
Almost certain
Rare
Unlikely
Possible
Likely
Almost certain
Rare
Unlikely
Possible
Likely
Almost certain
Rare
Unlikely
Possible
Likely
Almost certain
Rare
Unlikely
Possible
Likely
Almost certain
Rare
Unlikely
Possible
Likely
Almost certain
Rare
Unlikely
Possible
Likely
Almost certain
Rare
Unlikely
Possible
Likely
Almost certain
Rare
Unlikely
Possible
Likely
Almost certain

Consequence
Insignificant
Minor
Moderate
Major
Catastrophic
Insignificant
Minor
Moderate
Major
Catastrophic
Insignificant
Minor
Moderate
Major
Catastrophic
Insignificant
Minor
Moderate
Major
Catastrophic
Insignificant
Minor
Moderate
Major
Catastrophic
Insignificant
Minor
Moderate
Major
Catastrophic
Insignificant
Minor
Moderate
Major
Catastrophic
Insignificant
Minor
Moderate
Major
Catastrophic
Insignificant
Minor
Moderate
Major
Catastrophic
Insignificant
Minor
Moderate
Major
Catastrophic

Risk Rating

Residual risk
acceptable
with controls

Low
Moderate
High
Extreme

Y/N

Low
Moderate
High
Extreme

Y/N

Low
Moderate
High
Extreme

Y/N

Low
Moderate
High
Extreme

Y/N

Low
Moderate
High
Extreme

Y/N

Low
Moderate
High
Extreme

Y/N

Low
Moderate
High
Extreme

Y/N

Low
Moderate
High
Extreme

Y/N

Low
Moderate
High
Extreme

Y/N

Low
Moderate
High
Extreme

Y/N

Refer to Risk Management Plan for Controls & Minimisation strategies for above risks.
Signed__________________________________________
Leader/s
Date __________________

____________________________
Principal
Date ________________

EMERGENCY PROCEDURES / CONTINGENCY PLANS

CONTACT TELEPHONE NUMBERS - NEAREST LOCATION & ROUTES TO (ON MAP):

Ambulance

Doctor

Hospital

Dentist

Fire brigade

Chemist

Police

Park Rangers

School Principal

PROCEDURES FOR:

Bushfire / fire

lost person / group

personal accident / illness

group accident / illness

property lost or damaged

travelling

-2

Utility services breakdown

- electricity blackout

- burst water main

- gas

School based contact Person

Action on non Return by

Evacuation Plan

Communication Plan

Others

(time) on

(day).