RISK MANAGEMENT FOR

Document Sample
RISK MANAGEMENT FOR Powered By Docstoc
					     PEMBINA TRAILS SCHOOL DIVISION                                            RISK MANAGEMENT FOR
             A Community of Learners Committed to Excellence           DAY FIELD TRIPS/EXTENDED EXCURSIONS
                                                                                  WITH LIMITED ACTIVITIES
                                                                            PART 2 - Risk Management Plan

This Risk Management Form is to be completed by the activity leader where a limited activity is included in the field trip and signed
by the School Administrator. The signature of Board Office personnel indicates knowledge and approval of the planned activity.




School                                                                   Activity Leader
Grades Involved                                                          Activity
Date(s)                                                                  Location
# of Students



Risk Category:      People

  Participants




  Staff




  Volunteers




  Instructors
Risk Category:      Facilities

   Outdoor Play Space




   Non-school Based




Risk Category:      Equipment

   Personal (Activity Related)




   Personal (Protective)




   Rental




Comments



Principal's Signature            Date

Board Office Personnel           Date
February 11, 2010