Excursion Planner (domestic travel) template This template contains the minimum requirements. Schools may use the OneSchool Excursion Planner or an alternative form that meets or exceeds these minimum requirements. For overseas travel see the DET International Travel Guidelines Activity details Activity Name: Venue: Teachers / leaders / supervisors: Relevant experience or expertise of volunteer supervisors : Overall activity description including educational aims: Class groups: Number of students: Male: Female: Supervision ratio: Parental Permission – Permission Form Yes No A risk assessment has been completed for this excursion (refer Attachment 1) Yes No Itinerary Start date: Depart school: Arrival venue: Finish date: Depart venue: Arrival school: Overnight accommodation Details: Venue suitability assessed and risk management processes applied Yes No Participation Are there any students not participating in this activity? Yes If so please explain why: What arrangements are being made for them? Please confirm that an out of hours contact for the Principal (or Principal's nominee) has been identified. Out of hours contact name: Contact's telephone number: Uncontrolled copy. Refer to the Department of Education and Training Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Page 1 of 3 No Transport Mode Provider/details Certification requirements Bus Appropriate charter permit held. Bus with seatbelts. Private car Have the School Excursions requirements been met? Train (If Qld Rail, no checks required) Boat Are appropriate charter permits and survey certificates held? Aeroplane If commercial airline, no checks required Yes No Other Costs Refer to information on costing and tax for excursion to determine tax and GST (DET employees only)regarding an excursion. Attach a separate table of calculation if appropriate Items Cost ex GST GST of item Transport $ $ Venue $ $ Catering $ $ Other costs $ $ $ $ $ $ Cost for each student: TOTAL: Details GST Assessment Based on the activities and % estimates outlined in activity details, and for the purpose of GST, I, [NAME OF PRINCIPAL or DELEGATED/AUTHORISED OFFICERS], being [TITLE] of [NAME OF SCHOOL], have determined that the purpose of this excursion (tick one box): is curriculum or predominantly curriculum OR is recreational or predominantly recreational GST is to be processed per the ‘Excursions’ tax topic available on OnePortal. Charges to the students to include GST where applicable. Approval Approved as submitted: Approved with the following condition(s): Not approved for the following reason(s): By: Designation: Information has been entered in the register of approved school excursions. Reference no : Signed: Date: Uncontrolled copy. Refer to the Department of Education and Training Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Page 2 of 3 Attachment 1 The following checklist is to assist you identify the appropriate equipment, hazards/risks and control measures to be considered prior and during an excursion. They are not exhaustive lists and you may choose to add additional considerations. Minimum equipment/facilities For any items not ticked, provide further information. First aid kit suitable for activity One adult present should have current first aid qualifications including Cardio Pulmonary Resuscitation (CPR). Communication system: e.g. phone-line at location walkie talkies/UHF radio Sun safety equipment if outdoors (hat, sunscreen, shirt etc.) Drinking water (students should not share drinking containers) Fire restrictions have been checked with local fire fighting authority as appropriate Permission has been obtained from property owners where property will be traversed Risk assessment When planning the excursion consider the following questions: Which students will be involved? Where will the students be? What will the students be doing? Who will be leading the activity? Hazards/risks Recommended control measures Refer to: Managing Risks in School Curriculum Activities Blue Card requirements met Brief supervisors prior to departure regarding any potential hazards and safety controls. Brief students prior to departure on any potential hazards and safety controls. Emergency plans Ensure that all supervisors are aware of the emergency contingency plans. Permission Medical conditions Obtain parental permission, including relevant medical information. When students with medical conditions are involved, ensure that relevant medical/emergency plans and medications are readily available. Planning Refer to relevant student management/behaviour plans or other student records. Ensure that appropriate disabled access and facilities are available. Seek advice from relevant advisory visiting teachers or specialist teachers. Briefings Further information Uncontrolled copy. Refer to the Department of Education and Training Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Page 3 of 3
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