Risk Assessment Proforma

Attachment 8 A
Risk Assessment Proforma- Overseas Excursions- This pro forma must be included with the initial application package and lodged with the relevant Director
(Schools Directorate) at least Four months prior to the proposed excursion and resubmitted with updated information Four weeks prior to departure.
Please note this form needs to be modified to suit the excursion, examples are provided as a guide only
School: Lake View High School
Risk No.
1. Commercial and
Legal risks
2. Economic/Financial
risks
3. Technology Risks
The Risk
What can happen and How it
can happen
Destination:
The Consequence from an event happening
OS Policy and Mandatory
Procedures not followed.
Teaching staff could be individually liable in
the event of an accident.
Mobile phone reception not
available in some locations
Unable to gain assistance in an emergency.
Failure to do so compounds existing
emergency.
Parental concern, unrest, etc.
4. Operational Risks
5. Political Risks
Political instability of
destination
High levels of crime
Date:
Description and Adequacy of Existing
Controls
Verify mobile phones services for all
areas to be visited.
Notify all participants and parents of any
areas without reception.
Contact DFAT for travel advice and
monitor travel advice regularly before
departure.
Cultural awareness training
Security briefing
Updated August 2006
Likelihood
Rating
(a)
Consequence
Rating
(b)
Overall
Risk Level
(a+b)
Risk
Priority
Attachment 8 A
Risk No.
6. Management activities/control
risks
The Risk
What can happen and How it can happen
Staff member unable to continue and required
to return to Australia. (Sickness, illness of
family member, etc)
The Consequence from an event
happening
Possible cancellation of excursion.
Limited supervision exposes
students to greater safety/security
risk.
Stress to other staff members and
students.
7. Human Resource Risks
8. Occupational Health and
Safety/Environmental risks
Travel to destination not viable
Travel within destination not viable
Description and Adequacy
of Existing Controls
Medical checks prior to
departure.
Full immunisation as
required.
Insurances in place.
Funding identified for
such occurrences.
Travel insurance for all
participating members.
Alternative routes
identified.
9. Natural events
Updated August 2006
Likelihood
Rating
(a)
Consequence
Rating
(b)
Overall
Risk Level
(a+b)
Risk
Priority