SCHOOL TRIP RISK ASSESSMENT FORM

SCHOOL NAME	ASSESSED BY	DATE OF ASSESSMENT

TRIP DESTINATION
TRIP PURPOSE
TRIP DETAILS

TRIP LEADER(S)	DATE OF DEPARTURE	DATE OF RETURN

PROBABILITY KEY	RISK LEVEL KEY
Highly Unlikely	Low
Unlikely	Medium
Possible	High
Likely
Highly Likely

SCHOOL TRIP RISK ASSESSMENT Utilize Keys on previous page to rate Probability and Risk Levels.

RISK DESCRIPTION	SIGNIFICANT HAZARD	PERSON(S) AT RISK	PROBABILITY	RISK LEVEL	CONTROL PLAN	ASSIGNED TO

ADDITIONAL INFORMATION

ASSESSOR NAME AND TITLE	SIGNATURE	DATE

APPROVING OFFICIAL NAME AND TITLE	SIGNATURE	DATE

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