JA Health Check 2024

Surf Life Saving Queensland

Junior Activities Health Check Self-assessment
Audit Name
Date

DayMonthYear
Please Select your Branch*
Please Select your Club*
Name of Person Completing Form*
Position of Person Completing Form*
I.e - Club Administrator, JAC, Deputy JAC
Email of Person Completing Form*
I.e. - example@example.com.au
Administration
How often does your Junior Activities committee meet? *
YesNo
YesNo
YesNo
YesNo
What sign-on mechanism for age managers / assistant age managers does your club use? *
e.g. WaterSafety LogBook
Is your club using the Nipper App to Nippers for sport training sessions? *
eg. paper based form
EmailSocial MediaNewsletterMeetingsOther...
YesNo
YesNo
YesNo
YesNo
How are you using this information for continuous improvement? *
If required, what initiatives has the club implemented to assist with the recruitment of new Junior Activities members? *
YesNo
How is club Junior Activities equipment maintained and kept in safe working condition? *
YesNo
Development
What is the format of the Nipper program? *
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Would you like to share any fun activities e.g. games during or separately to nipper activities? Provide details.
Does your club run Nipper Days / Youth Events during the "off season" (winter months)? Provide details.*
YesNo
How are your Captains engaged throughout the season ?
Member Safety
Can you please provide three (3) separate entries from the water safety sign-on logbook from throughout your program? *

Please note clubs may be randomly audited to ensure these systems are occurring.
Cancelof
Can you please provide three (3) separate entries of completed aquatic risk forms from throughout your program? *

Please note clubs may be randomly audited to ensure these systems are occurring.
Cancelof
YesNo
SLSA Policy 1.01 - Water Safety
YesNo
YesNo
MS13 - SLSQ High Visibility Clothing Policy
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Member Protection
YesNoUnsure
YesNo
Does your club run information sessions on Member Protection Strategy, Policies and Procedures, including where to find documents? Please provide details. (e.g. FIP, JA Forum, MEALs)*
How does your club ensure that the required members are inducted into the SLSQ Child Safe Courses? Please provide details. *
YesNo
MS06 - Blue Card Screening Policy
How does your club manage junior members using club facilities during nipper times? please provide policy/procedure and give examples. *
General
What are the key successes that the Junior Activities club has encountered this season?*
Any further comments?
Signatures
Club Representative*

Clear
Date of signature.*

MonthDayYear
Should be Empty:

Surf Life Saving Queensland

Administration

Development

Member Safety

Member Protection

General

Signatures