Event Safety Form

Nativity Event Safety Form

OUTLINE OF EVENT

This form is for: *

a one-off event regular/multiple events

* Indicates required field

Name of event/s: *

Date/s from: *

Date to: *

Team leader/s: *

Contact phone: *

SITE INFORMATION
This section relates to the location where the event is to be held.

Site name: *

Site contact number: *

Site address: *

If additional venues or locations will be used for the event described above, please list these below: *

List the likely activities that will be conducted at these venues: *

CONTACT INFORMATION

Main contact person *

Phone number *

Alternate contact person *

Phone number *

FIRST AID ARRANGEMENTS

First aid coordinator *

Level of training *

Please list the names of additional helpers running the event. If they have first aid training, please indicate level. *

Please use this chart, together with your team to work out the risk level of your risk management plan. You are planning how to manage any foreseeable risks or possible emergencies that may occur during your event.

Identified safety risk *

Likelihood *

Consequence *

Risk level *

Action plan *

Emergency strategy *

Identified safety risk *

Likelihood *

Consequence *

Risk level *

Action plan *

Emergency strategy *

EVENT PLANNING INFORMATION

How many people are likely to be involved in the event(s)? *

Have you organised a safety briefing as part of your event *

Yes No

Is this activity appropriate for the age range of the intended participants? *

Yes No

Do you have enough help to run the event safely? *

Yes No

What is the ratio of helpers to participants? *

Do you have an up-to-date first aid kit and know where it is? *

Yes No

Will driving vehicles occur as part of your event? *

Yes No

If yes, please confirm with safety team that drivers and vehicles are suitable for your event.

Please list any other relevant information about your event here: *

SIGN OFF

Having considered the risks within this activity and determined an action plan to minimise those risks, I consider this to be an appropriately safe event to conduct.

Team Leader name *

First

Last

Email *

Date *

Creating Healthy Community

Nativity Event Safety Form

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