Risk Analysis Management Forms

Travel Daily Operation of Camp Risk Management Document Finlay Park Waiau Pa Crisis Management Plans Code of conduct for Parents Useful Contact Numbers Parents Medical Skills Log Declaration Accident / Incident Register Risk Management Evaluation Form EOTC Event Report and Evaluation Sign Off Sheet.

Risk Analysis Management System Waiau Pa Primary School Kauri Syndicate

Date Pupils Ratio Site Base Theme Activities : : : : : : :
Tuesday March29th Friday 1st April

98 1:6 Cambridge Finlay Park Outdoor Experience Adventure and confidence based activities

Teacher in charge Staff

: :

Bevan Clark Vicky Eden Bryer Lea Rosemary Davis

027 273 4641 027 313 7982 021 109 0140 027 688 5650

RAM FORMS Travel Daily Operation of Camp

Waiau Pa School Risk identification and management form. Kauri Syndicate Camp 2011 March29st April1st Activity / Situation: TRAVEL TO / FROM CAMP This form covers All vehicle use, including but not restricted to: y Transporting pupils - to / from camp y Adults traveling to get extra supplies at store Possible consequences of identified hazard. Fatality Permanent Disability Medical Treatment Injury First Aid Injury Psychological Damage Identified Hazard. EMERGENCIES. Follow Crisis Management Plan. Contact Emergency services (Phone 111) Ensure where possible you have phone coverage. Ensure Emergency Transport is available

1. 2. 3. 4. 5.

Factors influenced by: People y y

Possible Consequence 1,2,3,4 y y y y y y y y y y y

Mitigating Steps.

Poor driving skills speed poor decisions Students behaviour on Bus/Car

1,2,3,4,5

y y y y y y Equipment y y

Exceeding the 100km speed limit Teacher Injury unable to fill full duties. Rubber necking Exceeding speed limit in built up areas Driver Fatigue Safety belts

1,2,3,4 2,3,4,5 2,3,4,5 1,2,3,4 1,2,3,4 1,2,3,4

Leave early to avoid rush Planned stops on way covered in drivers briefing. Check Drivers Licenses at school prior to departure. How we group kids on the bus. Brief parents about expectations of students re behaviour on trip No Car/Bus to exceed the 100km speed limit or speed restrictions in built up areas Students/Staff fully briefed on expected behaviour and days programme. Brief parents about transport expectations. No Car/Bus to exceed speed restrictions in built up areas Planned Stop ( Gordonton) All drivers in cars to check all passengers are wearing a seatbelt. All students on the bus to be seated. Parents provided with map and a detailed description of directions. Check WOF on car / trailers Check Registration Distribute students per diagonal seat belt or 2 per seat on Bus. Distribute equipment evenly among cars Trailers checked before leaving.

y y WOF not current cars and trailers 1,2,3,4, y y y

Overcrowded Vechicles

1,2,3,4,5

y y

Overweight Vechicles Incorrect loading of trailers

1,2,3,4 2,3,4

y y

Environment

Poor road surface

1,2,3,4,5

y y y y y y

Heavy unexpected rain

1,2,3,4,5

Wet/slippery roads

1,2,3,4

Driver briefing prior to leaving for camp Written notes on driving. Drivers have the final call as to whether they travel in their vehicles. Driver briefing prior to leaving for camp Written notes on driving. Drivers have the final call as to whether they travel in their vehicles. y Weather check on day y Review with parents to allow for conditions prior to trip y Discuss with parents road conditions on route and reinforce driving to the conditions. y y Review with parents to allow for conditions prior to trip Discuss with parents road conditions on route and reinforce driving to the conditions. Caution around be aware of moving hazards in front of and behind your vehicle. Review with parents to allow for conditions prior to trip Discuss with parents road conditions on route and reinforce driving to the conditions. Review with parents to allow for conditions prior to trip Discuss with parents road conditions on route and reinforce driving to the conditions. Review with parents to allow for conditions prior to trip Discuss with parents road conditions on route and reinforce driving to the conditions. Review with parents to allow for conditions prior to trip Discuss with parents road conditions on route and reinforce driving to the conditions. Review with parents to allow for conditions prior to trip Discuss with parents road conditions on route and reinforce driving to the conditions. Review with parents to allow for conditions prior to trip Discuss with parents road conditions on route and reinforce driving to the conditions.

Sun strike

1,2,3,4

y y

Logging Trucks / Buses Fog

1,2,3,4 1,2,3,4

y y y

Wind

1,2,3,4

y y

Floods and fiords

2,3,4

y y

Slips

2,3,4

y y

Metal road

1,2,3,4

y y

Narrow roads

1,2,3,4

y y

Signed Principal

:..

Date:.

Signed CampLeader

:..

Date:.

Waiau Pa Primary School Risk identification and management form. Kauri Syndicate Camp 2011 March29th April1st Activity / Situation: DAILY OPERATION OF CAMP This form covers All vehicle use, including but not restricted to: y All activities in an d around Finlay Park y All movement in an d around Finlay Park y All inter-personal contact in an d around Finlay Park. y Possible consequences of identified hazard. EMERGENCIES. 1. Fatality Follow Crisis Management Plan. 2. Permanent Disability Contact Emergency services (Phone 111) 3. Medical Treatment Injury Ensure where possible you have phone coverage. 4. First Aid Injury Ensure Emergency Transport is available 5. Psychological Damage Factors influenced by: People Identified Hazard. Possible Consequence 2,3,4,5 Mitigating Steps.

Disobedience

y y y

Supervise leisure activities Clear guidelines of expectations and instructions Boundaries defined Clear guidelines of expectations and instructions Boundaries defined Clear guidelines of expectations and instructions Boundaries defined Only adults in kitchen areas. First aid packavailable, awareness of first aid officers and safety procedures in accommodation and recreation areas. Only adults in kitchen, if students are required they must be supervised. When washing dishes an adult must check the temperature of the water. Cold water / fire extinguisher and ice packs readily on hand First aid pack is available, awareness of first aid officers and safety procedures in accommodation and recreation areas. Knowledge of contacts doctor or trained first aider. Washing hands, utensils and hygiene, storage of food Clear guidelines of expectations and instructions Make sure no adult in alone with one child Clear guidelines of expectations and instructions Four teachers to attend camp. Shared Leadership.

Failing to follow instructions

2,3,4,5

y y

Pupil infighting / pranks

2,3,4,5

y y

Poisoning

1,2,3,4,5

y y

Burns in food areas

1,2,3,4,5

y y y y

y Food poisoning
1,2,3,4,5

Personal safety: for adults / pupils / amongst each other, other possible outsiders Inadequate supervision of leisure activities
Teacher Injury Unable to fill full leadership role.

1,2,3,4,5

y y

2,3,4,5

1,2,3,4,5

Equipment

Broken furniture

3,4,5

y Splinters / inadequate furniture

3,4,5

Inspect equipment -Check for ill repair -Repair or remove Awareness of decks, pathways and railings Inspect equipment -Check for ill repair -Repair or remove Inspect equipment -Check for ill repair -Repair or remove Inspect equipment -Check for ill repair -Remove Daily weather checks Awareness of slippery spots Daily weather checks Awareness of slippery spots Taking care around buildings - Walk -Supervision

Faulty equipment camp or school

2,3,4,5

Broken crockery and cutlery.

3,4,5

Environment

Weather wet slippery decks

1,2,3,4

y y y y y

Cold / sun / wind effects

2,3,4,5

Uneven surfaces for walking

3,4,5

Signed Principal

:..

Date:.

Signed CampLeader

:..

Date:.

Risk Management Document Finlay Park Activities Emergency Procedure Policy for Accidents and Emergencies

Near-Miss Register and Accident/ Incident Reporting.

1. PURPOSE

1.1 Waiau Pa Primary School aims to promote reporting and investigating of all incidents in support of a safety culture where learning from errors is used to prevent a recurrence and to comply with legislation. These guidelines are to ensure staff are aware of their responsibility in relation to reporting incidents, that all incidents are properly investigated, to ensure corrective action is taken to prevent recurrence and to reduce the risk potential at school.

2.

DEFINITIONS

2.1 In relation to OHS Management Systems the terms accident and incident have the same meaning, although many believe that an event such as a near -miss without injury, damage or loss is an incident and not an accident. To ensure that all nea r-miss events are reported, Waiau PaSchool has used the term accident/ incident on our report forms. Except for using the full name of report forms, the term incident will be used throughout this document and is synonymous with the term accident. The following definitions apply fo r the purpose of this guideline: (a) Incident - An unplanned event resulting in, or having the potential for injury, ill -health, damage or other loss. (b) Serious Incident - Where a staff member, student or visitor is fatally injured or sustains a serious injury or illness, where no injury or illness occurs but the situation is immediately life threatening.
3. RESPONSIBILITIES

3.1 Employees and students must: (a) Report all incidents to their direct supervisor and/or manager. (b) Ensure the completion of the Accident / Incident Report Form. (c) Forward completed forms direct to the Principal or Health and Safety Co-ordinator. 3.2 First-aid officers and duty teachers must: (a) Report all incidents requiring first -aid or near-miss incidents that they attend, including those t o visitors (including contractors). (b) Ensure the completion of the Accident / Incident Report Form. (c) Forward completed forms direct to Principal or Health and Safety Co-ordinator.

3.4 (a) (b) (c) (d)

4.

The Principal or Health and Safety Co -ordinator, must: Review all Accident/Incident Report Forms. Ensure timely completion of Accident/Incident Report Forms. Provide feedback, advice, guidance and assistance to direct supervisors. Monitor the investigation process and strategies implemented.

REPORTING

4.1 In the first instance staff shall, where it is safe to do so, take appropriate immediate action to minimise the risk of further injury or damage (for example, provide first aid, fight any fire, contain spills, contact emergency services) before reporting incidents. (a) Reporting of incidents is essential for the identification of hazards in the workplace. (b) All near-miss incidents should be reported. (c) The person directly involved in the incident or, if unable, another person (staff member, first aid officer) shall complete the Accident/Incident Report Form . This form should be completed and forwarded to the Principal or Health and Safety Co -ordinator within 48 hours of the incident occurring. (d) For incidents which constitute an emergency, refer also to the Site Eme rgency Plans. (e) Serious incidents and hazards must be immediately reported to the Principal. 4.2 The Waiau Pa Primary School Accidents/Incidents Register in the SM Database is used to record details from the Accident/Incident Report Form. Please note: (a) Incidents that occur, are not considered serious and do not result in injury are still to be recorded in this register. 4.3 All workplace incidents that result in a staff member sustaining injury must be reported to the Principal within 24 hours of occu rrence.
5. ACCIDENT/INCIDENT ACTION SHEET [Health & Safety Coordinator TO COMPLETE]

5.1 After an Accident/Incident Report Form has been registered in the SM Database, an Accident/Incident Action Sheet is completed and attached to the report form. The Action Sheet is to advise of further action to be taken. Further action includes, but is not limited to: (a) An investigation by Principal, B.O.T . (b) Alternative action which could include completing an ergonomic assessment, risk assessment or submitting a main tenance request. 5.2 The Accident/Incident Report Form and Action Sheet will be distributed to other parties as required. Generally, staff Accident/Incident Forms will be distributed to: (a) Principal, Deputy Principal and Senior Staff Members. (b) Health & Safety Committee Meeting for review at the next B.O.T meeting. Student Accident/Incident Forms are sent to: (a) Principal. (b) Health & Safety Committee for review at the next B.O.T meeting. (c) Parent(s) of student involved.

6.

ALTERNATIVE ACTION

6.1 Where an Accident/Incident Action Sheet requests alternative action is required, it is usually the responsibility of the Principal to complete. 6.2 Alternative action includes, but is not limited to: (a) Completion of an ergonomic assessment. (b) Documenting a risk assessment. (c) Providing training to staff. (d) Developing and implementing a standard operating procedure. (e) Consultation with staff about procedures. 6.3 Once the alternative action has been completed, the Principal is required to tick the Action Sheet off as completed, make comment on the action taken and return the sheet to the Health & Safety Co-ordinator.
7. INCIDENT INVESTIGATION

7.1 The objective of the investigation is to establish the direct and contributing cause/s of the incident, so that corrective action can be adopted to prevent a future recurrence. Where requested, incidents should be promptly investigated by Senior Staff, or by the person in charge of the area where the incident occurred. The investigation should identify the causal factors related to the incident and assess any hazards that need to be controlled. The Principal should discuss the incident with relevant staff and decide on suitable risk controls to be implemented. The investigation and corrective actions are to be recorde d on the Accident/Incident Investigation Form. 7.2 The Principal or Health & Safety Co -ordinator will sign off on all completed investigations and monitor trends of incidents and initiate further investigation where: (a) (b) (c) (d)
8.

A number of incidents are noted for similar situations. The Principal or Senior Staff have requested assistance to investigate an incident. A serious or major incident has occurred. Any situation that is deemed to require further investigation.

INVESTIGATIONS COORDINATED BY B.O.T

8.1 The B.O.T will coordinate investigations into incidents that are considered to be of a serious nature (see Definitions: serious incident). This investigation will be lead by a suitably trained representative of the B.O.T and will include assistance from person/s injured or ill, witnesses, duty staff and any other persons that may be required. Following the investigation, a comprehensive report will be completed and distributed to those parties as required. 8.2 Where a critical incident has occurred, it will be the responsibility of the B.O.T to ensure appropriate steps are taken to investigate and identify preventative action. Where such an incident occurs, an Accident/Incident Report Form is usually completed as soo n as possible after the incident has occurred.

9.

RECORD KEEPING

9.1 Records of all incident notifications, reporting, investigation and corrective actions shall be kept by the Principal & Health and Safety Co -ordinator. Where applicable, records shall be kept for the duration required by legislation. 9.2 The Deputy Principal and Senior Managers should also retain copies of these documents for auditing purposes. Training and competency records should also be kept, identifying the description of any training session, the date and location of the session, details of the provider and details of the participants.

Waiau Pa School Crisis Management Plans

Crisis Management Plan

INJUR /ILLNESS STOP! THINK! ACCESS! 1-Safet of Self 2-Safet of Group 3-Safet of Person(s) involved DELEGATE
1. 2. 3. 4. 5.

Remember a leader must remain free to manage t e situation. This role can be delegated if circumstances deem it necessary. A first-aider to attend to any injuries/illnesses. Access injury/illness SRABCS done (safety, response, airway, breathing, circulation, severe bleeding/shock) A supervisor to manage the group warmth/shelter, fluids, food, reassurance Caller for Emergency Services Go-fer appointed , two people to run messages.

GATHER INFORMATRION
1. 2. 3. 4. 5. Follow SRABCS Establish circumstances of injury/illness Gather information about the patients condition First aider treat as appropriate. Gather information on options; ie CONTINUE or EVACUATE

DECISION
1. 2. 3. Continue if injury/illness successfully treated and no residual effect Evacuate if in doubt or if serious Wait for emergency services

COMMUNICATION
1. 2. 3. 4. Call emergency services; TIC calls whanau or if serious, call principal (who contacts whanau as appropriate) Keep group informed and reassured Keep principal informed DO NOT SPEAK TO THE MEDIA

EVACUATION/RESOLUTION
1. 2. Continue with activity Evacuate person & or group shortest route, if patient can walk. Assisted evacuation, call for help, keep patient and group comfortable, warm, dry, and reassured. Keep TIC, Principal, Whanau informed

3.

DEBRIEF
Discuss event and its impact with the group if appropriate.

Crisis Management Plan

EMOTIONAL DISTRESS STOP! THINK! ACCESS! 1-Safety of Self 2-Safety of Group 3-Safety of Person(s) involved

DELEGATE
1. A supervisor to manage the group warmth/shelter, fluids, food, reassurance 2. Teacher with counselling skills or whom affected student trusts to manage the student. Reassure and support 3. T.I.C liaises with teacher and school

GATHER INFORMATRION
1. Establish circumstances of the distress listen, let student talk, check physical evidence, be honest with the student. 2. Let student search for own solutions. Teacher facilitate this process 3. Direct students thought/activity (keep occupied) 4. Consider options for resolution

DECISION
With the student, decide on a course of action.

COMMUNICATION
1. If risk of serious harm, call emergency services, teacher in charge & Principal, (May occur earlier in the process) 2. Someone stay with victim & reassure them. 3. Keep group and Principal informed; Principal talks to Whanau and media.

EVACUATION/RESOLUTION
Will depend on the nature of the distress.

DEBRIEF
Discuss event and its impact with the group if appropriate.

Crisis Management Plan

SERIOUS MISCONDUCT
e. . lt, / l l e, exual acti it , latant efiance, t eft

STOP! THINK! ACCESS! 1-Safety of Self 2-Safety of Group 3-Safety of Person(s) involved DELEGATE
1. 2. 3. Most senior teacher immediately available to manage the student(s). Further teachers to assist if required Other adult supervisors to manage the group or factions, supported by senior leaders warmth/shelter, fluids, food, reassurance, anger/anxiety management If required; provide 1st Aid (go to incident plan)

GATHER INFORMATRION
1. 2. 3. Establish circumstances of incident/problem question person(s), check physical evidence, interview witnesses, record responses Consider options for resolution Are a large number of students at fault

DECISION
1. 2. Decide on a course of action. Loss of privileges / extra duties / Sent Home Contact Principal

COMMUNICATION
1. 2. 3. 4. If appropriate; Call emergency services. Contact TIC/principal early Keep principal informed; principal talks to whanau and media Keep group informed and reassured DO NOT SPEAK TO THE MEDIA

EVACUATION/RESOLUTION
Consequences imposed / sent home (next day if large number of students)

DEBRIEF
Discuss event and its impact with the group if appropriate. Contact appropriate crisis management teams if needed.

Crisis Management Plan

FATALITY PLAN STOP! THINK! ACCESS! 1-Safety of Self 2-Safety of Group 3-Safety of Person(s) involved DELEGATE
1. 2. 3. A supervisor to manage the group warmth/shelter, fluids, food, reassurance Someone to manage the person(s) involved cover body, create a no-go zone Two people minimum to be messengers as needed

GATHER INFORMATRION
1. 2. Establish circumstances of death BUT DO NOT DISTURB THE BODY OR SCENE Question person(s), check physical evidence

DECISION
Body removed by Police, Principal informed early Do not leave body alone if possible, and treat with sensitivity.

COMMUNICATION
1. 2. 3. 4. Call police, teacher in charge and/or principal Keep group informed and reassured Keep TIC and/or principal informed DO NOT SPEAK TO THE MEDIA

EVACUATION/RESOLUTION
1. Police arrange removal of the body 2. Allow for grieving 3. Evacuate the group.

DEBRIEF
Manage needs of the group, Contact and liase with appropriate crisis management teams.

Crisis Management Plan

MISSING / LOST PERSON STOP! THINK! ACCESS! 1-Safety of Self 2-Safety of Group 3-Safety of Person(s) involved DELEGATE
1. 2. 3. 4. A supervisor to manage the group warmth/shelter, fluids, food, reassurance, check all group accounted for Someone to manage the person(s) involved, once found provide 1st Aid, resolve crisis Two people minimum to be messengers as needed

GATHER INFORMATRION
1. 2. 3. Establish point last seen/contacted Circumstances of separation from group - question person(s), check physical evidence; hiding? Lost? Consider options to resolve search area, continue if located, SAR?

DECISION
Determine search area, activate own search plan? Continue or evacuate when found or call in and wait for SAR. Management and evacuation of group.

COMMUNICATION
1. 2. 3. 4. Call police SAR; call principal (who contacts whanau as appropriate) Keep group informed and reassured Keep principal informed DO NOT SPEAK TO THE MEDIA

EVACUATION/RESOLUTION
Person located, administer 1 st aid, reassure, warmth, nourishment Inform search team, Principal, rest of group. Evacuate person and or group.

DEBRIEF
Discuss event and its impact with the group if appropriate.

Crisis Management Plan

INCIDENT / PROBLEM (GENERIC) STOP! THINK! ACCESS! 1-Safety of Self 2-Safety of Group 3-Safety of Person(s) involved DELEGATE
1. 2. 3. A supervisor to manage the group warmth/shelter, fluids, food, reassurance Someone to manage the person(s) involved provide 1st Aid, resolve crisis Others allocated roles Gofers, TLC giver, messenger

GATHER INFORMATRION
1. 2. Establish circumstances of incident/problem question person(s), check physical evidence Consider options for resolution

DECISION
Decide on a course of action.

COMMUNICATION
1. 2. 3. 4. Call emergency services, teacher in charge, principal(May occur earlier in the process) Keep group informed and reassured Keep principal informed; principal talks to whanau and media DO NOT SPEAK TO THE MEDIA

EVACUATION/RESOLUTION
Will depend on the nature of the distress.

DEBRIEF
Discuss event and its impact with the group if appropriate.

Code of conduct for Parents Student Behaviour Contract

Parental Supervisor Code of Conduct.

The following Code of Conduct applies to all parents attending a Waiau Pa Primary School E.O.T.C Event. Parent Supervisor Safety  Support the teaching staff in every aspect of the E.O.T.C experience  Never be alone with any students, for example: camp bunk rooms, around corners out of sight of the group.  Be aware of appropriate touching. For example shaking hands, a high five or a pat on the back is acceptable in a group environment.  Respect the rights, dignity and worth of others.  Be fair, considerate and honest in all dealings with others.  Treat everyone equally regardless of gender, disability, ethnic origin or religion. Supervisors Duty of Care  Immediately report any breaches of the code of conduct to the staff member in charge.  Refrain from any form of physical or verbal abuse towards others  Provide a safe environment for the conduct of the activity in accordance with relevant school policy.  Show concern and caution toward others who may be sick or injured. Parents are Role Models  Be a positive role model. Remember that children learn best by example  Ensure the students time spent with you is a positive experience  Encourage and promote a healthy lifestyle refrain from smoking and drinking alcohol on all school camps and E.O.T.C experiences.  Encourage children to participate, do not force them. Challenge by Choice is one of our principles  If you observe student behaviour that fails to meet the standards of behaviour and camp rules that we have set for our students; please verbally reinforce those expectations to the student and or students concerned. Following that discussion please inform the teaching staff of your conversation at your earliest convenience. If a student's behaviour is compromising the physical or emotional safety of other students/attendants in the absence of teaching staff, decide upon an appropriate course of action (in conjunction with another adult, if present). Your first priority is the physical and emotional safety of our students. Please involve the supervising staff member as soon as possible.  As a parent supervisor attached to a student group, please remember you are there to support all of the students in your group, not just your own child.  Experiences are for the students, not the parents, please refrain from participating unless it is appropriate Waiau Pa Primary School expects all parent helpers to abide by a Code of Conduct that upholds the principles and values of this organisation. Parents have a responsibility to provide a duty of care consistent with school expectations and within their capability toward all students involved in the E.O.T.C experience. Waiau Pa Primary School expects any parent volunteering to assist with supervision of an EOTC event to have no previous record of actions detrimental to the physical and emotional safety of students. The school also reserves the right to select the parent supervision team they believe best meets the needs of the students and the EOTC activity.

FINLAY PARK 2011 STUDENT CONTRACT

On arrival at camp, boundaries and safety rules will be explained. All students will be expected to follow these rules absolutely, without fail.
CHILD

For my own safety and the safety of others at camp I agree to: j Keep within the boundaries outlined on arrival at camp. j Follow ALL camp rules as explained by the CampDirector or Teacher in charge j Demonstrate respect and courtesy towards all Parent Helpers, Teachers an d CampStaff j Co-operate with my Team in all activities j Do my share of allocated duties j Stay with my group making sure that my Parent Helper or Teacher always knows where I am j I will not bring with me any cell phones, electronic games or any items which coul d be dangerous to others.

Signed: . Child Name: .

PARENT j j j j

I have read and discussed this contract with my child. I understand that this contract is in the best interest of safety for all. I understand that if my child breaks the contract I agree to collect him / her from camp. I understand that if my child is asked to leave camp there will be no refund of camp fees. Parent Name: ..

Signed:

Current cellphone no: .. Alternative contact: ..

Home no: . Phone no:

Useful Contact Numbers

Adults Attending Camp Phone List

Cell Phone Number Bevan Vicky Rosemary Bryer Alex MacKinven Dave Walker Jeff Kerwin Chris Parsons Colin Crispe Stephen Winterbottom Toni Dolan Michelle Butcher Jo Grigg Carmen Robertson Jacquie Blake Michelle Crofskey Principal Simon Williams B.O.T Chairman Stephen Winterbottom School 027 273 4641 027 313 7982 027 688 5650 021 109 0140 027 566 3376 027 246 6902 021 664 718 021 956 001 027 478 7175 021 168 8908 027 486 3738 021 0242 3884 021 0232 3026 021 279 7819 021 255 3058

027 431 3910 027 478 7175 09 2321 753

Medical Emergency Contact Numbers

For all EMERGENCIES CALL 111 HOSPITAL

Waikato Hospital
All patients requiring emergency care need to present to the new department, located at Level 1 Acute Services Building - just outside the old department, off Pembroke Street.
The Emergency Department is for emergency cases only.

For free confidential health advice 24-hours a day, seven days a week, phone Healthline: 0800 611 116

The new Emergency Department entrance is hard to miss off Pembroke Street, with Reception located near the front door. Security are permanently located at this entrance, allowing them to have greater oversight of who enters the department whilst monitoring the drop off parking area.

Consultation For treating patients with less serious conditions. Adult Acute Assessment For adults requiring emergency care. This area occupies a third of the department and many rooms/cubicles have ensuite facilities.

The area also has a short stay unit for adult patients requiring a short period of observation or treatment but not admittance to a ward.
Children s Emergency For children and youth aged up to 17 years. This area also has its own waiting area.

This area also has a dedicated short stay unit for children who require a short period of treatment and/or observation before discharge with their parent or caregiver.
Resuscitation For seriously or critically ill patients.

Leamington Medical Centre Cambridge

127 Shakespeare St Leamington Cambridge Phone: 07-827 5959 Fax: 07-823 1925

Maps Waikato Hospital Leamington Medical Centre Cambridge

Skills Log Declaration

I, ___________________ on behalf of the Waiau Pa Primary School Board of Trustees, have asked for and sighted the Risk Management information pertaining to our E.O.T.C activity from the Independent E.O.T.C provider.

Signed : ______________________

Position : _____________________

I, __________________ _ on behalf of the Waiau Pa Primary School Board of Trustees, have asked for and sighted the Skills Register and or Skill Logs of the independent E.O.T.C instructors involved in our E.O.T.C activity.

Signed : ______________________

Position : _____________________

Accident / Incident Register.

Accident Type Key:

A = Serious Harm Injury, B1 = Medical Treatment, B2 = First Aid Return to normal activity, C = Near-miss incident potential injury.
Date
Type (ABC)

Person Involved

Brief Description of Accident/Near Miss

Incident Evaluation and Recommendation Form

E.O.T.C Event : Date: Number of students / adults involved. Location: Teacher In Charge: Number of near miss or incidents recorded.

Types of Injury or Near Miss occurrences. Abrasion Fatigue Cold Injury Burn Puncture Hypothermia Concussion Sprain Hyperthermia Bruising Strain Gastrointestinal Laceration / Cuts Fatigue Respiratory Activities being undertaken at the time. Camping Abseiling Cooking Skiing Initiatives Running Vehicle Sailing Were correct procedures followed? If Not, what went wrong?

Asthma Infection Allergy Cardiac Other

Urinary Fever / Flu Dermatitis Menstrual

Rafting Ropes Course Rock Climbing Tree Planting

Caving Kayaking Tramping

Canoeing Cycling Swimming

What can be done to reduce or eliminate these occurrences?

Future Recommendations:

Action taken to implement future recommendations.

E.O.T.C Event Report and Evaluation.

E.O.T.C Event : Teacher in Charge : E.O.T.C Dates : E.O.T.C Location: Attendance Numbers: Boys: Girls: Adults: Staffing : Transportation Used : Distance Traveled: E.O.T.C Goals and Curriculum Outcomes Set:

Evaluation of E.O.T.C Goals and Listed Curriculum Outcomes:

Cost / Benefit ?

Adult Supervisors Where our needs met?

Item Pre-event organisation Objectives Met Travel Arrangements Instruction Equipment Suitability of Venue Accommodation Food Evening Activities Other Name : Date:

Rating out of 10 1= Low 10 = High

Comment

Signed:

Sign off Sheet

ALL PARENT AND TEACHING PERSONNEL ATTENDING THIS WAIAU PA SCHOOL E.O.T.C EVENT MUST SIGN BELOW

I fully understand the requirements of this HEALTH AND SAFETY PLAN Person conducting the plan Training:______________________________________________________________________________________ Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Name: (print) Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Signature: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /