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Trip Risk Assessment Form

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Trip Leader *

First

Last

Email *

Where are you going? *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Who is going? *

Nursery Class
Reception Class
Year 1
Year 2

How many pupils? *

How many adults? *

How are you travelling there? *

On foot
Public transport
Private transport (e.g. coach)

Does the coach company (or similar private transport) have their own risk assessment? *

Yes
No

Please provide it

Click or drag a file to this area to upload.

Does the place you are visiting have their own risk assessment(s)? *

Yes
No

Please provide it/them

Click or drag a file to this area to upload.

Date / Time of Trip *

Date

Time

Significant Hazards

List the main aspects that could cause harm specific to this trip.

Who Might be Harmed? *

Staff
Pupils
Certain groups

List who is most at harm and why *

Likelihood of Harm

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

Control Measures

How will the risk be minimised?

Residual Risk (after control measures put in place)

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

Is there a risk of trips and slips on uneven ground? *

Yes
No

Possible Outcome *

Control Measures *

How will the risk of trips and falls be minimised?

Residual Risk (after control measures put in place)

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

Is there a risk of pets or wild animals? *

Yes
No

Possible Outcome *

Control Measures *

How will the risk of the presence of animals be minimised?

Residual Risk (after control measures put in place)

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

Is there a risk of Road Traffic while travelling on foot? *

Yes
No

Possible Outcome *

Control Measures *

How will the risk of the Road Traffic while travelling on foot be minimised?

Residual Risk (after control measures put in place)

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

Are there pupils with significant allergies/medical conditions/behavioural issues attending? *

Yes
No

Name the individuals, their needs and who will take responsibility for them *

Possible Outcome *

Control Measures *

How will the risk of these pupils attending be minimised?

Residual Risk (after control measures put in place)

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

Is there a risk of other people that may pose a threat to participants? *

Yes
No

Possible Outcome *

Control Measures *

How will the risk of other people that may pose a threat to participants be minimised?

Residual Risk (after control measures put in place)

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

Is there a risk of stings, cuts from plants and/or insects? *

Yes
No

Possible Outcome *

Control Measures *

How will the risk of stings, cuts from plants and/or insects be minimised?

Residual Risk (after control measures put in place)

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

Is there a risk of adverse weather conditions? *

Yes
No

Possible Outcome *

Control Measures *

How will the risk of adverse weather conditions be minimised?

Residual Risk (after control measures put in place)

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

Are there any other risks not yet highlighted? *

Yes
No

Please state the risk *

Possible Outcome *

Control Measures *

How will the risk of adverse weather conditions be minimised?

Residual Risk (after control measures put in place)

Selected Value: 1

1 Remote, 2 Very Unlikely, 3 Unlikely, 4 Possible, 5 Very Likely

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Our address

Northfields Infants & Nursery School
Burley
Letchworth
SG6 4PT

Contact us

Need to get in touch?

01462 623388
admin@northfields.herts.sch.uk

Support for your child

senco@northfields.herts.sch.uk

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