Faculty of Arts School of Languages & Linguistics

Fieldtrip Overview

Participants

List of all staff and students attending fieldtrip / field-class. For field-classes this may be substituted by an up-to-date class list. Staff may need to complete HR-18 forms.

Transport

Briefly outline transport arrangements to, from and during the fieldtrip.

Participants will:

use University-arranged transport (describe below)

make their own way to and from the destination

Transport types (please choose):

University vehicle(s) Private vehicle(s) Hire vehicle(s)
Train Aeroplane Boat Other (please describe below)

Additional transport description:

Vehicles and boats:

Communication

Are the following available at all times during the field trip?

Mobile phone: details please include dates / times of availability

Satellite phone: details please include dates / times of availability

UHF radio : details please include dates / times of availability

If none of these are available, provide details (below) of how and how often contact will be made with the Emergency Contact (see 'Emergency preparedness' section):

Personal fitness

All field trip participants have completed a Medical Questionnaire: Please choose Yes No

Medical conditions have been assessed as safe for participation: Please choose Yes No

If there are any special medical requirements, describe how they will be looked after:

Emergency Preparedness

Travel Insurance (optional)

Complete this section is travel insurance is required (ie for interstate and overseas travel). Refer to the University's insurance information for advice on appropriate insurance.

Insurance company:

Policy number:

Emergency assistance number:

Activity Risk Rating

The following fieldwork activities have been given a risk rating of Medium to Extreme. Please indicate which of these apply to this fieldtrip.

Generic risk assessments are available for all of these activities. By ticking any of the boxes above you acknowledge that the generic risk assessment applies to the proposed activity and any additional controls are listed in the Fieldwork Plan suggestions . If the fieldwork activity does not appear above, then a new risk assessment must be completed. Contact Diana Bell in this instance.

Additional Controls:

Checklist

This section must be completed. Tasks not yet completed can be marked ‘pending’. Hand-written annotations can be added later as these tasks are completed.

STUDENTS HAVE:

Been given field manuals with maps and contact details . Yes No

Returned Medical Questionnaires and next-of-kin details . Yes No

STAFF HAVE:

Been given field manuals with maps and contact details . Yes No

Signed Transport Policy (& completed 4WD course if req’d) . Yes No

Obtained travel approval (completed HR-18 forms) . Yes No

PERSON IN CHARGE HAS:

Obtained all necessary permits for the fieldwork activity . Yes No

A list of participants’ next-of-kin details . Yes No

Arranged a fieldtrip induction for students . Yes No

Ensured all participants are trained or licensed for the activity . Yes No

Made provision for any illness or disability identified . Yes No

Assessed the risk of any activity not mentioned in the table above . Yes No

Attached additional risk controls for the activity if necessary . Yes No

EQUIPMENT:

Research equipment organised . Yes No

Vehicles booked and checked prior to departure . Yes No

Safety gear (First Aid kits, compass, GPS, PPE, PFDs etc) . Yes No

Emergency communication as outlined on this form . Yes No

NOW: PRINT OUT this form and sign the hard-copy in the relevant sections below

Declaration by person in charge

I confirm the above fieldtrip details and the risks outlined in the assessment and agree to implement the fieldwork plan described.

Name:

Signature:

Approval by Supervisor

Name:

Signature:

Return this form to DIANA BELL before travelling