Step 3 – Risk Assessment – Off Campus Experiences

All school rules apply during the learning trip. Although precautions are taken it is important to acknowledge that each activity involves risk. Please see the completed risk assessment below.

Parents should keep this form because it contains important contact information.
Name of Student*
Activity*
Location (full address)*
Date of Activity*
MM slash DD slash YYYY
Time of Day*
Name of ISY faculty activity supervisor
Contact Details
Note: The ISY faculty supervisor will accompany the students on this off-campus activity (or s/he will have authorized an approved non-ISY faculty supervisor)
Transportation Details
The faculty supervisor should take a 1st aid kit.
Adult supervisor/organization (if non-ISY faculty)
Risk Assessement
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Concern Risk Level Nature of The Risk Action taken to Reduce Risk Response Action Notes
Approval Process
The Activities Coordinator or the Service Learning Coordinator has established contact with and approved of the off-campus adult supervisor/organization (if non-ISY faculty)
- Yes
- No
ISY faculty activity/project supervisor
- Yes
- No
Activities Coordinator (Darren Harp)
- Yes
- No
Comments
Upload this file to ManageBac (HS) or eportfolio (MS)

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Concern	Risk Level	Nature of The Risk	Action taken to Reduce Risk	Response Action	Notes

Risk Assessement