Event Medical Provision Risk Assessment

Event Medical Provision Risk Assessment

Paragon Healthcare Services
Contact Information
Contact name*
Contact email*
Contact number*
Name of organisation planning event*
Event Information
Location/address of event*
Event start date and time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Event end date and time*

DayMonthYear
Date
Hour MinutesAM/PM Option
YesNo
TicketedNot ticketed
YesNoNo radio will be required
YesNoOne will be provided by event organiser
Risk Assessment
AviationCountry showDance eventParadeRunning eventMusic concertPublic exhibitionFilm/TVMarine/WaterMotor sport - carMotor sport - bikeSports eventRace/MarathonMusic festivalNightclub/BarVIP Visit/SummitTriathlonPolitical demonstrationOther
IndoorOutdoorStadiumPublic streetsSports groundParkForest/WoodlandMountainous areaTemporary structuresFarmFestival fieldOvernight campingOther
YesNo
Full mix family groupsFull mix not family groupsPredominantly children and teenagersPredominantly young adultsPredominantly adultsPredominantly elderlyOther
Less Than 500Less than 10001000 - 20002000 - 30003000 - 50005000 - 1000010000 - 1500015000 - 25000More than 25000Other
No queuingLess than 1 hour1 - 2 hours2 - 4 hoursMore than 4 hoursOther
Past Event Data
No data - first eventLow risk - less than 1%Medium risk - 1 - 2%High risk - more than 2%Other
Brief examples of past injuries and illnesses (if known)
Additional Information
Less than 30 minutesMore than 30 minutesOther
Name of nearest hospital With A+E department (if known)
Carnival/Fairground/FunfairAlcoholExpected possible drug useHeightsFireworksStuntsWaterPossible civil unrest/Political disorderOther
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Event Medical Provision Risk Assessment

Contact Information

Event Information

Risk Assessment

Past Event Data

Additional Information