Health & Safety - Venue Report
The below form is to provide Auckland Cricket with information about a ground that is unsafe or if there are any issues with a ground.
Name
First Name
Last Name
Phone Number
Email
Your Club
Please Select
Auckland Indian SC
Auckland University CC
Birkenhead City CC
Cavaliers CC
Cornwall CC
East Coast Bays CC
Eden Roskill CC
Ellerslie CC
Flat Bush CC
Grafton United CC
Greenlane CC
Hibiscus CC
Howick Pakuranga CC
Kumeu CC
Mangere Pukapuka CC
Mt Wellington CC
Navy CC
North Shore CC
Oratia United CC
Papatoetoe CC
Parnell CC
Sri Lanka CC
Suburbs New Lynn CC
Takapuna CC
Waitakere CC
Name of Field
Date of Game
-
Month
-
Day
Year
Date
Details of the issue(s)
Detail any actions taken to address safety concerns
My Club Manager is aware of this issue
Yes
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Declaration
I declare that I am authorised to complete this form. I declare that the following statements are correct: (A) The check was completed prior to the game commencing. (B) All hazards, risks and safety concerns have been addressed to an acceptable level and recorded on this form. (C) Both teams and umpire(s) are satisfied that the playing conditions, surfaces and facilities are acceptable for play to start.
Signature
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