Ehl Field Trip Deep Creek 2014

Field Trip Name or Booking Ref.
Number(s) (if applicable):

HLPE 3532
EHLT FIELD TRIP FORMS

EHL FIELD TRIP FORMS TO BE COMPLETED IN ACCORDANCE WITH
EHL FIELD TRIP GUIDELINES AND PROCEDURES
SUMMARY
School or local Work Area to record details on the Field Trip database
FIELD TRIP TITLE:
BUSHWALKING DEEP CREEK C.P.
FIELD TRIP PURPOSE:
BUSHWALKING, NAVIGATION & OVERNIGHT CAMPING
(eg. Film Shoot, Diving, Bushwalking):

DATE:
FROM:22ND SEPTEMBER 2014
TO: 24TH NOVEMBER 2014
FIELD TRIP DESTINATION:

(eg. Darwin, Canada, Victor Harbour)
DEEP CREEK CONS. PARK S.A.
DESTINATION TYPE:
(eg. Metro, Regional, Remote, Interstate,
REGIONAL
Interstate remote etc.)

BRIEF DESCRIPTION OF FIELD TRIP:
AN INTRODUCTION TO BUSHWALKING, OVERNIGHT

CAMPING AND CAMP COOKING
LEADERSHIP,GROUP MANAGEMENT,SAFETY & DYNAMICS
NAVIGATION,COMPASSAND MAP READING
SKILLS,WEATHER INTREPRETATION IN A REGIONAL
ENVIRONMENT
PLANNING & ORGANIZING AN EXTENDED FIELD TRIP
RISK IDENTIFICATION, ASSESSMENT AND MANAGEMENT
BRIEFING AND DEBREIFING SKILLS, FIRST AID
SCENARIOS AND PRACTICE
NAME OF FIELD TRIP LEADER:
WALTER OLENICH
MOBILE NUMBER:
(WO) 0417 808 169
EMAIL ADDRESS:
Walter.Olenich@flinders.edu.au or
olenich@aapt.net.au
NAME OF FIELD TRIP
RUSSELL BROWN, TERRY MAGIAS
LEADERS SUPERVISOR:
TOTAL NUMBER OF PARTICIPANTS: 23
FLINDERS STAFF: 2
FLINDERS STUDENTS: 21
VOLUNTEERS: -
Date:
07/08/2014
Signed: (Nominated University Contact person)
John Macfarlane
Walter Olenich
Date:
21/07/2014
Signed: (Field Trip Leaders Supervisor)
Date:
Signed: (School Dean or Nominee)
Date:
Signed: (Field Trip Leader)
EHLT Field Trip forms
Page 1 of 21
25/10/2015
Field Trip Name or Booking Ref. Number(s) (if applicable):

HLPE 3532
EHL Field Trip Vehicles

Booking a University Vehicle
Contact the Transport Office on 8201 2015.
A booking form (available from School Offices) must be completed at the time of booking a vehicle.
Where possible, University or hired vehicles must be used for the transportation of staff and students
on Field Trips.
Use of Private Vehicle
Private vehicles used on University business must be covered by comprehensive insurance, Use of
Vehicles on University Business (Field Trips) Private vehicles must be roadworthy, registered,
driven by a licensed driver and only used when there is no reasonable alternative.
Please Note:
Vehicle Insurance Cover
In most cases personal/private comprehensive vehicle insurance is valid on work related
travel. However, it may be wise to confirm that this is included in your comprehensive cover,
with your insurance provider.
Private vehicles are not covered by University insurance.

Workers Compensation insurance for staff covers personal injury but not vehicle damage.
Security in Car Parks

Vehicles should be locked and made secure when left in the University car parks. Do not
leave any valuables in open view in vehicles. Advise the security office of the field trip and
and length of time the vehicle will be left in carpark.
Alcohol and Drugs

In accordance with the Universitys Use of Vehicles on University Business policy, vehicles
are not to be driven by any person whose blood alcohol level is 0.05% or more, or who has
consumed other drugs which affect their ability to drive safely.
If you are using a private vehicle please provide the following details:
Name:
N/A EZI RENT BUSES
Contact Number:
Registration Number:
Make of vehicle:
Model of vehicle:
Colour of vehicle:
I agree and understand private vehicle use.
Signature :
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HLPE 3532
Page 3 of 21
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HLPE 3532
EHL Participant Safety Acknowledgment

To be completed by all participants and returned to Field Trip Leader.
A copy to be retained by participant.
For repeated field trips to the same or similar locations, this form can be completed on a semester basis
unless the participants personal circumstances change
As a participant on a field trip you are asked to READ, UNDERSTAND, SIGN and RETURN this form (in accordance with
requirements of the OHS&W Act, 1986). Whilst participating in the field trip you must carry your personal ID and
medications, together with food and drink provisions as required.
The following guidelines are for your personal safety. Failure to comply with reasonable instructions may result in you
not being permitted to participate in the remainder of the field trip.
1. Obey all reasonable directions from Field Trip Leader. All boating operations require that you heed instruction and
direction of the boat operator, and all diving instructions from the dive leader.
2. Wear appropriate clothing for prevailing weather conditions (sturdy, enclosed footwear and hat is required).
3. Stay clear of hazardous areas or dangerous locations (eg cliff edges, mine shafts, quarry faces and open slopes).
4. Behave in an orderly manner at all times.
5. Respect the property of others at all times such as that of landowners and places where you are accommodated.
6. Do not leave your group without notifying the Field Trip Leader of your intended movements in time and place.
7. Limit the consumption of alcohol or other drugs to ensure that you do not endanger your own safety or the safety
of any other person on the field trip.
8. Firearms, spring or gas powered spears, unauthorised explosives and other weapons are not permitted on any field
trip.
9. All participants are expected to assist in housekeeping duties as directed by the Field Trip Leader.
10. University insurance , see EHLT Guidelines and Procedures .
I have read, understood and agree to the conditions of this field trip. I agree that I will not intentionally cause any
concern regarding my own health and safety or that of others on the field trip.
I hereby give permission for medical treatment to be administered to me in the event of an emergency.
Name: (BLOCK CAPITALS):
WALTER OLENICH
Sign:
Date: 17/06/14
Mobile 0417 808 169
If you are under 18 years old, your care-giver also needs to sign the form, below.
Sign:
Date:
In the event of any emergency please contact the following person: (Next of kin)
Name: CHRISTINE OLENICH
Contact No: 0400 717 252
Medical condition: Please advise if you suffer from any known medical conditions, including allergies which
may affect your health or safety on any field exercise, and if you will be taking any medications during any trips,
as follows:
Medication: N/A
This is a confidential form.

For the duration of the field trip/s this document will be held by the Field Trip Leader and the University
Valid from: 17/06/14
Nominated Contact Person.
To: 25/11/14
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HLPE 3532
PLEASE ENSURE ALL PARTICIPANTS SIGN FORMS AND RETURN TO FIELD TRIP LEADER BEFORE
FIELD TRIP COMMENCES.
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HLPE 3532
EHLT Field Trip Itinerary and Planning

1
.
2
.
3
.
4
.
5
.
6
.
WALTER OLENICH
Topic No.
Field Trip Leader: (Name)
HLPE 3532
Contact Phone:
Work: 8201 2670 (Thurs & Fri only)
Departure:
Date: 22 SEPTEMBER
Time: 8.00AM
Location: STURT GYM CARPARK
Return:
Date: 24 SEPTEMBER
Time: 4.00PM
Location: STURT GYM CARPARK
Mobile: 0417 808 169
Destination
Contact Details (if applicable)
Contact No.
DEEP CREEK
C.P.
INFORMATION CENTRE PARK HQ
08 8598 0263
Transport arrangements:
EZI RENT MINI BUSES
Emergency contacts:
6.1 Nominated Contact Person at the University
Name: JOHN MACFARLANE
Contact No.
8201 3389, 0421 140 905
6.2 Security after hours (to initiate late return procedures * below)
Contact (08) 8201 2880
6.3 Emergency Services locations and contacts nearest to destination:
Hospital:
Country Fire Service:
Royal Flying Doctor
Service:
RAH, FLINDERS
Contact No. 8222 4000, 8204 5511

Contact No. 000, 1300 362 361
N/A
Police:
Contact No.
Contact No.000, 131 444, 08 8558 2014
Other:
AMBULANCE
Contact No.000
If it is anticipated that the return time will be after hours or on a weekend, a copy of the
completed documentation must be provided to Flinders University Security
7. Late return procedures:

*Procedure to be followed by Nominated Contact Person OR Security at the University if field trip group is not back on time:
Phone Field Trip Leader
Phone other participants if the leader is not contactable
Phone Security on 82012880 (24 hours). Check for returned gear if other participants not contactable
Check for return of University vehicle
Call Emergency Services in field trip area (Police, Coastguard, Park Ranger, landowner etc)
Advise School Dean
School Dean to advise Executive Dean
Date: 07/08/2014
Signed: (Nominated University Contact person)
John Macfarlane
Date: 21/07/2014
Walter Olenich
Date:
Signed: (School Dean, Nominee or Work Area Manager)
Date:
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HLPE 3532
Page 7 of 21
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HLPE 3532
EHL FIELD TRIP HEALTH AND SAFETY CHECKLIST

Refer EHLT
GUIDE TO ASSESSING RISKS AND IDENTIFYING HAZARDS
Item
Checked
Transport/Equipment/Itineraries/Maps
Yes
Transport arrangement identified?
No
N/A
Vehicles & trailers are registered, roadworthy and covered by insurance?
Yes
Vehicles, trailers, tow bars compatible and Road Traffic Act compliant?
Yes
Motor vehicles spare parts (hoses, belts, tools) etc. identified/obtained?
Yes
No
N/A
No
N/A
No
N/A
No
Motor vehicle safety & recovery equipment ie. Bull bar, winch, tow rope, jumper leads,
shackles etc.
Yes
Relevant licenses and permits obtained?
Yes
Written itineraries have been prepared?
Yes
Relevant maps obtained?
Yes
No
Equipment has been inspected to ensure its integrity and is of an approved design and
meets minimal legal requirements?
Briefings/Consultation/Accommodation/Catering
Yes
No
N/A
Participant briefing sessions held in advance of the field trip?
Yes
No
The participants have been consulted regarding arrangements, potential hazards etc?
Yes
No
A personal needs list has been developed, implemented and communicated?
Yes
No
Catering arrangements organised?
Yes
Accommodation arrangements have been organised?
Yes
If working alone, participant is advised that regular contact must be made with
Nominated Contact Person?
Yes
N/A
No
No
N/A
N/A
N/A
N/A
N/A
N/A
No
N/A
No
No
N/A
N/A
Occupational Health and Safety
No
The hazards associated with the field trip have been identified/controls developed?
Yes
Relevant University OHS&W Procedures brought to the attention of participants?
Yes
Student or volunteer responsibilities communicated to participants?
Yes
Policy on drugs and alcohol explained to participants?
Yes
No
Fire fighting equipment required for the trip identified/obtained?
Yes
No
N/A
No
N/A
No
N/A
N/A
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HLPE 3532
N/A
Yes
First aid kits have been checked for contents and refilled?
No
N/A
No
Qualified First Aid Officer(s) identified/communicated to participants? Please note: A

qualified First Aid Officer must be present on all field trips to remote locations or where
the risk assessment identifies the need.
Emergency procedures relevant to the field trip identified and developed.
Eg. Medical, fire, evacuation)
Yes
Yes
No
Effective communication system identified/obtained? eg. Mobile phone coverage,

satellite phone for remote areas.
Yes
No
Clothing relevant to conditions identified?
Yes
No
Personal Protective Equipment required identified?
Yes
No
Weather forecasts and field site conditions obtained?
Yes
No
N/A
N/A
N/A
N/A
N/A
N/A
Page 9 of 21
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HLPE 3532
Advising Authorities (where relevant)

Local Park Ranger advised of proximity of field party?
Yes
No
N/A
Department of Environment and Heritage advised of the dates for planned field trip and
associated trips?
Local Council advised of trip (where relevant)?
Yes
No
N/A
Yes
No
N/A
Have permits and special permissions been obtained.
Yes
No
N/A
Special Safety Precautions are required.

NB. If you tick Yes to any of the following, your field trip is considered High Risk. All possible hazards must be
identified on the Risk Assessment form.
Does your Field Trip include any of the following:
Yes No
N/A
Boating trips?
Scuba diving?
Snorkeling?
If yes, you must contact the Maritime Archeology Diving Officer on ext. 15533
Cliff walking or climbing?
Yes
No
N/A
Bush walking?
Yes
No
N/A
Tractor driving or other plant and equipment?
Yes
No
N/A
The use of high voltage equipment?
Yes
No
N/A
Firearms, spring or gas powered spears, explosives and other weapons will be taken on
Field Trip.
Involving geological and mining trips?
Yes
No
N/A
Yes
No
N/A
Other trips that may expose people to medium to high risk? Eg. Mountain bike riding,
canoeing, kayaking, swimming.
Flying in any form, ie. Planes. Air balloon, Helicopter
Yes
No
N/A
No
Yes
Are you going Overseas?
Relevant vaccinations identified/field party advised?
Visas, Passports, Embassies, Government travel warnings have been considered.
Dangerous/Hazardous substances (eg. Petrol, LP Gas)
Containers and labeling is compliant
Storage and use, hazards identified/controlled
Containers must be bunded whilst in transit
N/A
No
Yes
Yes
N/A
No
N/A
IMPORTANT:
I have READ and UNDERSTOOD the EHLT Field Trip Guidelines & Procedures
Yes
No
The following Field Trip Forms have been completed: (Please tick)
Participant Health & Safety Acknowledgment forms one for each participant
Field Trip Itinerary & Planning form
Field Trip Health & Safety Checklist form
Private Vehicle form (if applicable) one for each vehicle
Field Trip Summary
Risk Assessment
The Field Trip Leader to ensure: (Please tick)
A signed and full copy of the Field Trip documentation is provided to the University Nominated Contact Person or
Security if it is anticipated that the return time will be after hours or on a weekend.
All participants are provided with a copy of the completed Field Trip Itinerary & Planning form
Field Trip Leader retains a full copy of signed documentation
Page 10 of 21
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HLPE 3532
School/Local Work Area Office retains full copy of signed documentation for archiving for 7 years
Date: 21/07/2014
Walter Olenich
Date:
EMERGENCY PLAN
DEEP CREEKJ C.P.BUSHWALK
22 to 24 Sept 2014
Contact Phone on Expedition: Walter Olenich
Dave Rawson
0417 808 169

0412 158 302
Contact at Flinders University: John MacFarlane
8201 3392
0421 140 905
Security (24 Hr)
8201 2880
Emergency FIRE, POLICE, & AMBULANCE
000
Police SA Police Assistance
131444
Victor Harbor
8558 2014
Fire CFS
000, 8558 2000
Hospital Victor Harbor (South Coast District)
8552 0500
Flinders
8204 5511
Royal Adelaide
8222 4000
Deep Creek Forest Ranger

24 hour information and emergency line
8598 0263
Phone Coverage
Telstra reasonable (excellent on high ground)
Page 11 of 21
25/10/2015
ITERINARY Deep Creek 22 24 September

Day 1 Group 1 Aaron Creek Picnic Ground to Eagle Waterhole via Blowhole Beach and Cobbler Hill.
Day 2 Group 1 Eagle Waterhole to Tapanappa via Heysen Trail.
Day 3 Group 1 Tapanappa to Park HQ via Heysen Trail and Boat Harbor Beach Rd.
Day 1 Group 2 Reverse of Group 1 Day 3
Page 12 of 21
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Page 13 of 21
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EHLT FIELD TRIP RISK ASSESSMENT FORM

Cost Centre
EHLT Faculty
Department
Outdoor Education HLPE3532
Assessed by:
Walter Olenich & John Naumann
Refer EHLT
Location
DEEP CREEK CONS. PARK
Date
22/09/14 TO 24/09/2014
Booking Ref.
No
Area Supervisor
Russell Brown, Terry Magias
Review Date
04/12/2014
GUIDE TO ASSESSING RISKS AND IDENTIFYING HAZARDS
The following table includes most hazards that would be associated with a medium-low risk trip.
List identified hazards for your field trip and detail measures taken to address the hazards. The Field Trip Health & Safety Checklist and the Hazard Identification
Guidelines can provide indicators for possible hazards.
If necessary, this generic risk assessment must be modified to meet individual requirements of each field trip. The Action by and Date columns will need to be completed.
Item
Field Trip: General
Hazard
R
A
Control
Motor vehicle accident
Appropriate licences & training, appropriate

vehicle. Driver has rest break every 2 hours
Exposure to elements
Monitor local conditions, sunscreen, appropriate

shelter
Heat Stress/ Dehydration
Sufficient water, at least 1.5 litres per person per

day, appropriate clothing
Medical emergency
Appropriate medication, mobile communication
Bites and Stings
Mobile communication, first aid kit
Slippery surface, footing
Appropriate footwear, team lifting, limit size of

loads
Manual handling
Page 14 of 21

loads
Action by
Field Trip Leader
W Olenich and all
Participants
Field Trip Leader
W Olenich and all
Participants
Field Trip Leader
W Olenich and all
Participants
Field Trip Leader
W Olenich and all
Participants
Field Trip Leader
W Olenich and all
Participants
Field Trip Leader
W Olenich and all
Participants
Field Trip Leader
W Olenich and all
Participants
Date of Trip
22/09/2014
To
24/09/2014
22/09/2014
To
24/09/2014
22/09/2014
To
24/09/2014
22/09/2014
To
24/09/2014
22/09/2014
To
24/09/2014
22/09/2014
To
24/09/2014
22/09/2014
To
24/09/2014
25/10/2015
Item
Can you identify any

further hazards?
Hazard
R
A
Control
Natural disaster (e.g. bushfire)
Emergency planning, communication, street

directory
Alcohol/recreational drug use
No alcohol/recreational drugs on field trips
Emergency Evacuation
Lack of communication
NO
On arrival emergency evacuation points to be

identified and local procedures followed. To be
communicated to participants
Mobile coverage to be checked and phones
charged and can be re-charged. Consider satellite
phone
Action by
Date of Trip
Field Trip Leader

W Olenich and all
Participants
Field Trip Leader
W Olenich and all
Participants
Field Trip Leader
W Olenich and all
Participants
22/09/2014
To
24/09/2014
22/09/2014
To
24/09/2014
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Adequately controlled. No further action required, proceed to Summary of Risk and Signature block.
Further hazards identified. Proceed further with Risk Assessment
YES
ADDITIONAL HAZARDS
To evaluate other identified hazards associated with this trip; type each identified hazard on the form, complete the Probability (P) and Consequence (C), using the Risk
Matrix enter the Risk Assessment rating (RA) refer page 10. Complete a detailed list of controls you will put in place to ultimately eliminate or significantly reduce the
associated risk.
Item
Field Trips: General/
Bushwalking
Hazard
Transport to site
Motor vehicle, Bus
Vehicle accidents due to traffic

Public roadways
P
HU
C
M
R
A
M
Fatigue
Exposure to elements
Page 15 of 21
Control
Licensed drivers, Restricted speed on program
Vehicles serviced and roadworthy, university
vehicles, commercial licensed operators
Safety brief by group leader
State appropriate/acceptable behaviours
Supervision by leader/ staff
All to apply common sense and traffic awareness
Follow road rules, Monitor group numbers
Monitoring of group/ individual progress by
leader, rest of group
Ensure adequate rest breaks
Amend program if considered necessary
Monitor local conditions, sunscreen, appropriate
shelter
Equipment/ clothing checks pre departure
Appropriate site
Action by
Field Trip Leader
W Olenich and all
Participants
Date
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
25/10/2015
Item
Hazard
R
A
Control
Action by
Date
* Emergency response plan

Self monitoring
Briefing pre-departure.
Tenting/ Overnight Camping,

equipment failure
Poor self/ group Hygiene
Heat stress/ Dehydration
Inadequate nutrition and hydration
Field Trips: Bushwalking

(cont.)
Slippery surface, footing
Page 16 of 21
Approved DE&H camping sites, long drop toilets, rain

water tanks on site.
Camping stoves (trangias) all participants trained in
correct use prior to trip.
Self, group and leader monitoring when in use, cooking
circles
All tents/camping equipment inspected and repaired
pre/ post field outings, all participants trained in correct
use.
Carry appropriate clothing (thermals, waterproofs,
hats, fleece tops etc.) for conditions
Safe hygiene practices adopted, use of antibacterial washes.

Eating utensils cleaned after each use
Correct toiletry techniques, trowels, loo paper
carried by all participants, appropriate waste
disposal practices demonstrated prior to
departure, all participants demonstrate
competency in safe food, waste management.
Sufficient water and spare available, appropriate
clothing, hats, sun bloc, sunglasses, amend
program as required
Monitor weather forecasts
Briefing pre-departure
Monitoring by group leader/ self monitoring by
participants
Rain water at camping sites, ensure sufficient
carried to cover for 2 days, monitor self, group
use
Menu plans established pre departure,
appropriate variety, quantity carried.
Enclosed/ solid footwear, team lifting, limit size of
loads
Safety briefing to group
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
Woodcroft staff and
students
22/09/2014
To
24/09/2014
25/10/2015
Item
Hazard
R
A
Manual handling
Remote Area Work
Natural disaster (e.g. bushfire)
Alcohol/recreational drug use
Loss/ lack Of Equipment/

inappropriate use
Electrical storms
Control
loads
Demonstration of correct techniques by leader
Field Trips: Bushwalking

(cont.)
Specific location dangers (ie: Crux

points)
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Prior training
Establish trip intentions
Constant monitoring of group position
GPS carried by all groups while in the field
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Apply control measures. Return to last known

position phone trip leader. DECS ratios.
Student briefing pre departure
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
Emergency planning, communication, first aid

training
GPS carried by all groups
Emergency planning, communication
Monitor weather forecasts
Safety brief to group
Proceed to designated evacuation location (ie:
Forest HQ, Tapanappa C.G., Tent Rock Rd.)
No alcohol/recreational drugs on field trips
Group monitored, amend program and /or
student removal by parents/taxi
Prior training/ demonstration by leader
Constant monitoring throughout activity
Personal responsibility for issued items
Spares available
Monitor weather
Move to safe location
Amend program
M
Identified in advance
Review route plans/ identify safe route
Poor Navigation strategies
Lost
HU
Page 17 of 21
Date
Field Trip Leader

W Olenich and all
Participants
Identified in advance
Review route plans/ identify safe route
Hazardous locations (Generic)
Action by
25/10/2015
Item
Hazard
R
A
Control
Action by
Date
All participants issued with route plan/map

emergency contact numbers
All participants to carry whistles
Front and back markers or other control
measures
Route plans, trip intentions lodged with Parks
(Deep Creek HQ) prior to departure
Participant mis-behaviour
Instructors appropriately qualified or experienced
Field Trip Leader

W Olenich and all
Participants
22/09/2014
To
24/09/2014
SUMMARY OF RISK
Review the risk measured, and the controls, then please select the relevant risk summary statement:
A The assessment reveals that the potential risk to health from the use of the plant/equipment/procedure is not currently significant
B
C
The assessment reveals that the potential risk to health from the use of the plant/equipment/procedure is significant, however controls are in place that reduce risk to
acceptable levels
The assessment reveals that the potential risk to health from the use of the plant/equipment/procedure is significant. Interim controls are in place to reduce risk to
acceptable levels.
Signed: (Field Trip Leader) Walter Olenich
Date: 17/07/2014
Date:
Signed: (School Dean, Nominee or Work Area Manager)
Date:
Emergency Response Plan: ALL SERIOUS INCIDENTS (A critical or life threatening injury)
Accident Management and Planning:
The effective management of any incident in the field will, for the most part rely on sound judgement and decision making from the group leaders on the scene.
First priority tasks: Immediate management of a serious incident, self, group, seek assistance of other leaders and or competent students to help stabilise the casualty.
Medical summary sheets consulted to gain relevant medical information, record treatment and prepare a report for emergency services.
When ringing 000 give: Group name, grid reference, casualties symptoms, treatment given, existing medical condition or allergy.
Debrief group to what is happening. Group members positioned to help identify casualty site for emergency services.
Second priority tasks: Make contact with the university emergency contact. Group leader should accompany casualty to hospital if possible.
Page 18 of 21
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Third priority tasks: University representative to inform next of kin, media.

Course coordinator, executive dean and group leader to consider program suspension or continuation, student and staff support and counselling
Page 19 of 21
25/10/2015
EHLT GUIDE TO ASSESSING RISKS AND IDENTIFYING HAZARDS

Probability - Risk Factors
Consequence - Risk Factors
Very Likely
VL
Probably occur immediately or within a short

period of time
Fatality
F
Likely
L
Probably occur in time
Major
M
Severe injury or illness or major property damage
Possible
Could happen occasionally
Minor
m
Minor (usually reversible) injury or illness resulting in days off work or minor property
damage
P
Unlikely
Could eventually happen
First Aid
FA
Has potential to occur, but probably never will
Negligible
N
U
Highly
Unlikely
hU
May cause death or loss of facility
First aid level treatment
No medical treatment
Forms of Hazard
Physical
Chemical
Ergonomic
Radiation
Psychological
Biological
Sources
Risk
Matri
x
Mechanical action, impact, electrical exposure, heat/cold, noise, vibration, explosion etc.
Corrosive liquid, toxic gases, noxious fumes etc.
Height of workbench, design of chair, set-up of a work station etc.
x-ray machine, infrared beams etc.
Stress from using equipment without proper training or instruction, interpersonal conflict
Sharps, specimen containers carrying infected material, viruses from A/C system
Environment Substances
Equipment/plant
Work systems
Probability
Control Hierarchy
Consequence
Very
likely
Likely
Possible
Unlikely
Highly
unlikely
Elimination
Is it necessary
Fatality F
Extreme
High
High
High
Medium
Substitution
Is there a less hazardous alternative
Major injury M
High
High
High
Medium
Medium
Isolation
Eg Restrict access, use in a closed container, fume

cabinet
Minor injury m
High
Medium
Medium
Medium
Medium
Engineering
Eg Trolleys to move loads, guards on machinery,

Fume cupboard
First aid FA
Medium
Medium
Medium
Low
Low
Administration
Eg: Training, Safe Work Procedure, signage
Negligible N
Medium
Medium
Low
Low
Low
PPE - Personal
Protective Equipment
Eg: Gloves, respirator, safety glasses
Page 20 of 21
25/10/2015
Page 21 of 21
25/10/2015

Ehl Field Trip Deep Creek 2014

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Ehl Field Trip Deep Creek 2014

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Field Trip Name or Booking Ref.

Number(s) (if applicable):

EHLT FIELD TRIP FORMS

BUSHWALKING DEEP CREEK C.P.

FIELD TRIP PURPOSE:

BUSHWALKING, NAVIGATION & OVERNIGHT CAMPING

(eg. Film Shoot, Diving, Bushwalking):

FROM:22ND SEPTEMBER 2014

TO: 24TH NOVEMBER 2014

FIELD TRIP DESTINATION:

DEEP CREEK CONS. PARK S.A.

Interstate remote etc.)

AN INTRODUCTION TO BUSHWALKING, OVERNIGHT

NAME OF FIELD TRIP LEADER:

(WO) 0417 808 169

NAME OF FIELD TRIP

RUSSELL BROWN, TERRY MAGIAS

Signed: (Nominated University Contact person)

Signed: (Field Trip Leaders Supervisor)

Signed: (School Dean or Nominee)

Signed: (Field Trip Leader)

EHLT Field Trip forms

Field Trip Name or Booking Ref. Number(s) (if applicable):

EHL Field Trip Vehicles

Private vehicles are not covered by University insurance.

Security in Car Parks

Alcohol and Drugs

N/A EZI RENT BUSES

Field Trip Name or Booking Ref. Number(s) (if applicable):

EHLT Field Trip forms

Field Trip Name or Booking Ref. Number(s) (if applicable):

EHL Participant Safety Acknowledgment

Name: (BLOCK CAPITALS):

Mobile 0417 808 169

Contact No: 0400 717 252

This is a confidential form.

EHLT Field Trip forms

Field Trip Name or Booking Ref. Number(s) (if applicable):

EHLT Field Trip forms

Field Trip Name or Booking Ref. Number(s) (if applicable):

EHLT Field Trip Itinerary and Planning

Field Trip Leader: (Name)

Work: 8201 2670 (Thurs & Fri only)

Location: STURT GYM CARPARK

Location: STURT GYM CARPARK

Mobile: 0417 808 169

Contact Details (if applicable)

INFORMATION CENTRE PARK HQ

EZI RENT MINI BUSES

Contact No. 8222 4000, 8204 5511

7. Late return procedures:

Signed: (Nominated University Contact person)

Signed: (Field Trip Leader)

Signed: (School Dean, Nominee or Work Area Manager)

EHLT Field Trip forms

Field Trip Name or Booking Ref. Number(s) (if applicable):

EHLT Field Trip forms

Field Trip Name or Booking Ref. Number(s) (if applicable):

EHL FIELD TRIP HEALTH AND SAFETY CHECKLIST

GUIDE TO ASSESSING RISKS AND IDENTIFYING HAZARDS

Transport arrangement identified?

Vehicles & trailers are registered, roadworthy and covered by insurance?