Beruflich Dokumente
Kultur Dokumente
SCHOOL:
YEAR/S:
Transition and
LOCATION:
Darwin Cinemas
DATE OF EXCURSION:
Week 8 Novem
TEACHER IN CHARGE:
Deneil Sachs
PHONE:
0414373462
Tour company:
Police:
Doctor:
POTENTIAL RISK
Physical injury Minor
LIKELIHOOD
CONSEQUENCES
(include example)
(include example)
LEVEL
OF RISK
RESPONSE
Tripping on
path/stubbing toe
1 (requires minimal
first aid)
Low
Abduction
1 (abducted by a
member of the
public)
5 (requiring
emergency contact)
High
Physical sickness
3 (asthma attack)
Low Extreme
3 (reaction to nuts
in cinema)
Low
-Extreme
Hit by oncoming
traffic
5 (requiring
emergency contact)
High
Allergic Reaction
Medium
POTENTIAL RISK
Identify potential risks that may occur on the excursion. These may include:
For help in filling in this form contact your school safety delegate, or DECS OHS Consultant, on 8999 5843.
LIKELIHOOD
Risk Level
Descriptor
Rare
Exceptional circumstances
Unlikely
Possible
Likely
Almost certain
CONSEQUENCES
Risk Level
Descriptor
Insignificant
Minor
Moderate
Major
Severe
LEVEL OF RISK
Use the below risk analysis matrix to determine the level of risk.
Likelihood
Consequence
1 (insignificant)
2 (minor)
3 (moderate)
4 (major)
5 (severe)
1 (rare)
Low
Low
Medium
High
High
2 (unlikely)
Low
Low
Medium
High
Extreme
3 (possibly)
Low
Medium
High
Extreme
Extreme
4 (likely)
Medium
High
High
Extreme
Extreme
High
Extreme
Extreme
Extreme
For help in filling in this form contact your school safety delegate, or DECS OHS Consultant, on 8999 5843.