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File: 1876ecd9-346a-4189-9b8c-86338da609d3.xls
The Rotary Club of Wollongong Inc Risk Management Worksheet 4/23/2011 1:05 AM
ACTIVITY NAME:
# Rotarians involved:
ACTIVITY DESCRIPTION: # Rotary Helpers involved:
Approx # Public in
attendance:
Location of Activity Date of activity: First Aid Equipment Member Responsible:
Required?
Adequacy of
Con- Risk
existing Likelihood:
Comment on the existing sequence: Rating
Comment on the risk or controls: 5 Almost Certain
Risk- List your key risks for controls that are presently 5 Catastrophic Member
give an example to clarify 5 None 4 Likely
4 Major A HIGH Treatments proposed Responsible
Due Date Review Process
the your Activity or Project in place to mitigate against 4 Indequate 3 Moderate B MEDIUM
the risk 3 Generally Adequate 3 Moderate
the risk 2 Unlikely
2 Minor C LOW
2 Adequate 1 Rare
1 Excellent 1 Insignificant
Name of Club
Who is responsible for providing? Record "Club" or Name
List Equipment to be used Member NOTES
Party responsible.
Responsible
Approved (on behalf of Board) by: Date: Date DISTRICT notified: _______________
This worksheet is available on our club website (www.rotarnet.com.au/wollongong) and must be completed and approved by the Board prior to the start of
any activity which might present a potential insurance risk to the Club, its members, helpers or its insurers.
Worksheets based on worksheets of The
COMPLETED FORMS MUST BE SUBMITTED TO THE CLUB RISK MANAGER WELL BEFORE THE ACTIVITY'S START DATE. Association of Risk and Insurance Managers of
Australia
This is a ranking tool, that ranks not prioritises risks dependent on the information provided. Page 1 of 2
File: 1876ecd9-346a-4189-9b8c-86338da609d3.xls
The Rotary Club of Wollongong Inc Risk Management Worksheet 4/23/2011 1:05 AM
PROJECT / ACTIVITY NAME: Breakfast on the Beach
# Rotarians involved: 38
Rotary Club of Wollongong provides cooking services to WAVE FM organised breakfast in public parkland adjacent to Wollongong's North
DESCRIPTION of ACTIVITY: Beach. Members man a series of BBQ's, cook supplied food and serve it to members of the public over an approximate three hour period. # Rotary Helpers involved: 6
Members provide their own cooking utensils but are supplied aprons andrubber gloves.
Approx # Public in attendance: 3000
Sunday 8th First Aid Equipment Club First Aid Kit, Mobile Phone
Location of Activity North Beach, Wollongong Date of activity: Member Responsible: Barry Weston
February, 2003
Required?
Adequacy of Risk
Likelihood: Consequence:
existing controls: Rating
Comment on the existing
Risk- List your key risks for Comment on the risk or give an 5 None 5 Almost Certain 5 Catastrophic A HIGH Member
controls that are presently in 4 Indequate 4 Likely 4 Major B MEDIUM Treatments proposed Due Date Review Process
the your Activity or Project example to clarify the risk Responsible
place to mitigate against the risk 3 Generally Adequate 3 Moderate 3 Moderate C LOW
2 Adequate 2 Unlikely 2 Minor
1 Excellent 1 Rare 1 Insignificant
Burn risk to members Burns may arise from accidental Commercially supplied BBQs only 2 Adequate 3 Moderate 3 Moderate B-Medium Provide members with protective gloves Barry Weston On the day President Phil will double check that proposed
contact with hotplate or BBQ tools are used. Supplier is responsible and aprons and brief them on the need treatments are enacted prior to start of serving.
or Gas flame to ensure they are in good for caution.
Burn risk to Public (particularly small Burns may arise from accidental condition.
Public is queued passed the front 2 Adequate 3 Moderate 3 Moderate B-Medium Members are to be cautioned to be aware Barry Weston On the day ditto
children) contact with hotplate of the BBQ only. of the presence of small children
Food poisoning to member of public Customers may become ill from All food is provided by commercial 3 Generally 3 Moderate 4 Major A- High Members to be supplied with and obliged Barry Weston On the day ditto
contaminated food suppliers. Adequate to wear gloves and minimise handling of
food during preparation. All food is to be
Smoke Inhalation Gas BBQs are susceptible to BBQ is conducted out of doors with 1 Excellent 2 Unlikely 3 Moderate C- Low either served for consumption as it is
None. ditto
giving off smoke (hot oil, grease, uninhibited ventilation.
burned toast, etc).
Knife Cuts Some sharp knives are required Sharp knives only used where 2 Adequate 3 Moderate 2 Minor C- Low All cooking/cutting implements to be Barry Weston On the day ditto
for slicing bacon, separating necessary (not for buttering bread, checked for appropriatenss to the job at
sausages, opening boxes. for example). Members are hand.
reminded to take care when using
Name of Club
Who is responsible for providing? Record "Club" or Name Party
List Equipment to be used responsible.
Member NOTES
Responsible
BBQs, Gas Cylinders WAVE FM Barry Weston
Cooking Utensils Club Individual Members
Rubber Gloves Club Barry Weston
Approved (on behalf of Board) by: ___________________________________ Date: _______________ Date DISTRICT notified: _______________
This worksheet must be completed and approved by the Board prior to the start of any activity which might present a potential insurance risk to the Club, its members, helpers or its insurers.
Worksheets based on worksheets
of The Association of Risk and
Insurance Managers of Australia
This is a ranking tool, that ranks not prioritises risks dependent on the information provided. Page 2 of 2
