RA/AT Risk Assessment Form

Please always consider the appropriateness of your activity, and the risks involved.

Event Name*

I am from the

Academic Tutor TeamResidential Advisor Team

Description of the Event:

Goal of the Event:

What are you hoping to achieve by running this event? Why do we run events? To what purpose? It's important to keep this in mind so that you curate it to best suit residents.

Event Type*

OnsiteOffsiteSport

Date of Event*

Date

Setup starts at:

:HourMinutesAM/PM Option

The event will start at:*

:HourMinutesAM/PM Option

The event will finish at:*

:HourMinutesAM/PM Option

Pack-down will be completed by:

:HourMinutesAM/PM Option

Main Organiser Name*

First NameLast Name

Phone Number*

Format: 0400 000 000.

Location of Event

Total number of people attending (estimated):

Offsite Event Risk Assessment*

Rows	Applicable to Event?	Rating (1=low risk)	Prevention Strategy
HAZARD: Weather RISK: Sunburn or sunstroke
HAZARD: No readily accessible food or water RISK: Dehydration, nausea
HAZARD: Transport to/from activity RISK: Motor-vehicle accident
HAZARD: Lack of skill/ability for the activity RISK: Falls, tripping, impact injury, or sprains
HAZARD: Environmental (i.e. traffic, landmarks) RISK: Falls, tripping, impact injury, or sprains
HAZARD: Group separation RISK: Getting lost
HAZARD: Other civilians RISK: Theft, assault, social discomfort
HAZARD: Alcohol Please remember that alcohol increases the likelihood of an incident occurring

Sporting Event Risk Assessment*

Rows	Applicable to Event?	Rating (1=low risk)	Prevention Strategy
HAZARD: Weather RISK: Sunburn or sunstroke
HAZARD: Access to food and water RISK: Dehydration, nausea, food poisoning
HAZARD: Transport to/from activity RISK: Motor-vehicle accident
HAZARD: Lack of skill/ability for the activity RISK: Falls, tripping, impact injury, or sprains
HAZARD: Environmental (i.e. quality of playing field) RISK: Falls, tripping, impact injury, or sprains
HAZARD: Sporting equipment RISK: Impact injury, or sprains
HAZARD: Hot surfaces (i.e. BBQs) RISK: Burns
HAZARD: Intensity of activity Please remember that high intensity sports increase the likelihood of an incident occurring

Onsite Event Risk Assessment*

Rows	Applicable to Event?	Rating (1=low risk)	Prevention Strategy
HAZARD: Weather RISK: Sunburn or sunstroke
HAZARD: Staging or platforms RISK: Falls, tripping, or sprains
HAZARD: Electrical items (i.e speakers, additional lighting stands) RISK: Electrocution or power shortages
HAZARD: Inadequate lighting RISK: Falls, tripping, impact injury, or sprains
HAZARD: Environmental (i.e. obstructive furniture, unstable flooring) RISK: Falls, tripping, impact injury, or sprains
HAZARD: Hot surfaces (i.e. BBQs, ovens) RISK: Burns
HAZARD: Guests/intruders RISK: Theft, social discomfort
HAZARD: Food/food preparation RISK: Food poisoning

Please ensure residents act safely and only lift within their limits when moving furniture during setup/pack-down.

Note that enclosed shoes MUST be worn when moving all furniture, including staging equipment.

Any Other Associated Risks:

Do You Require Assistance From:

Maintenance

Sodexo Food Ordering Form

Rows	Choose this Item	Number of People
MAKE YOUR OWN PIZZA: (pizza dough, chicken, ham, cheese, tomato paste, onions, pineapple, mushrooms and capsicum) $5pp
COOK YOUR OWN BBQ (1x sausage, burger pattie, veggie burger, sliced onions bacon, eggs, bread, garden salad, whole fruit) $5.50pp
MOVIE NIGHT (popcorn and cordial) $1pp
ICE-CREAM SUNDAES (variety of ice cream and confectionary toppings) $5pp
CHOCOLATE FOUNTAIN (dairy milk chocolate buttons, strawberries, melon, apples, oranges, bananas and marshmallows) $5pp

Is This a Meal Replacement?

Other Food Specifications:

Give as much detail as possible

Please note:

Order – and any variation of it – must be approved by the Dean
All food items ordered need to be collected from the Kitchen
Equipment must be booked and collected through the Kitchen
Equipment must be cleaned and dried and returned to the Kitchen
The BBQ must be thoroughly cleaned after use

Maintenance Assistance Required:

Describe in detail the assistance you will need. Do you require equipment? (i.e. ladders, scaffolding, safety tape, barriers)

Please remember that enclosed shoes MUST be worn when moving all furniture, including staging equipment.

Please ensure a First Aid Kit is always available.

The organiser must remain sober and have access to a mobile phone.

All residents should be advised they take part at their own risk. Please ensure they are provided with appropriate safety equipment while undertaking the activity.

COVID19 Event Risk Mitigation Strategy*

Rows	Applicable to Event?	Rating (1=low risk)	Prevention Strategy
HAZARD: Proximity of residents to one another RISK: Spreading of COVID19
HAZARD: Cheering/singing/shouting RISK: Spreading of COVID19
HAZARD: Cross-contamination through shared implements (pens, paper, shared surfaces) RISK: Spreading of COVID19
HAZARD: Presence of consumables (water and food) and their proximity to groups RISK: Spreading of COVID19
HAZARD: Guests/intruders RISK: Exposure to COVID19
HAZARD: Alcohol Please remember that alcohol increases the likelihood of residents ignoring social distancing rules

COVID19 Room Capacity Calculations

You can find the calculator on this website: https://www.covid-19.sa.gov.au/recovery/create-a-covid-safe-plan

Email

example@example.com

Email

example@example.com

Event Risk Assessment Form