Wellington College

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Title of Trip
Depart Date, Time and Place (and flight / train details if relevant)*
Return Date, Time and Place (and flight / train details if relevant)*
Leader Name with qualification and experience *
Other adults *
Current year group of participants*
Accommodation details (address / landline number)*
Emergency Procedures*
Plan B details*
Closest A & E hospital address and phone number*
Contact numbers for staff on trip*
School mobile number - to be given to pupils*

This must be booked unless any of the accompanying staff already have a school mobile. For booking see here.

 

Contact at Wellington during trip - Initials and phone number*
Please give a list of names (alphabetic by surname) including house and year group of all pupils on the trip.
For any specific individuals at risk - check with HMs for social issues, please include those issues by the name unless sensitive. If sensitive put "Special info" against the pupil and pass me that info under seperate cover. (Cutting and pasting should work!)*
Medical issues - check iSAMS(A red flag against a pupils name indicates a medical concern and details appear if you hover over that flag) and with medical centre*
Have you filled in the following Generic Risk Assessments*
List the other Generic Risk Assessments you have filled in. If none please state that.*

It is important that this risk assessment should be shared with all the leaders of the visit and should only be approved once all the significant hazards have been identified, the control measures are agreed and will be implemented and the overall residual risk rating are considered low.

If there are specfic activities/places/dates that pose specific risk please fill in the boxes below with details of  the risk and the residual rating. 

 

Potential Hazard 1

Specific date/location/activity, the hazards associated with it, control measures to put in place and comments on extra action required before departure.
Overall residual risk rating (take into account seriousness and likelihood)
Potential Hazard 2

Specific date/location/activity, the hazards associated with it, control measures to put in place and comments on extra action required before departure.
Overall residual risk rating (take into account seriousness and likelihood)
Potential hazard 3

Specific date/location/activity, the hazards associated with it, control measures to put in place and comments on extra action required before departure.
Overall residual risk rating (take into account seriousness and likelihood)
Other things that should be sent electronically to the Deputy Organisation are*

 

It is expected that all the following boxes can be ticked.

 

I confirm that for overseas trips I will carry a copy of all the passports
I confirm that all adults will carry a copy of the emergency action checklist at all times.
If the trip is overseas, I will give each pupil a pupil contact/language card.
I will take contacts details for all pupils
I will take a signed copy of the Generic Risk Assessments and a copy of this form.
I will take a copy of the travel documents and a copy of the school insurance.
The leaders have read and will follow the Residential Trip Policy and pages on the intranet
I confirm that, if the trip leaves from Wellington before 7.0am, or arrives back after 10.0pm that I have informed the porters.
If the trip is abroad I confirm that the trip leader and the Deputy Organsiation have been informed by staff of any medical issues that might need to be known and also have a name and contact number for the next of kin for all staff on the trip.*
Yes
No
If the trip is in term time, I confirm that ALL adults on the trip have the permission of the Second Master to be away from Wellington College.
If you want a copy for yourself please tick the relevant box. If you then need to update your form you can use the copy that is automatically e-mailed to you. Simply do any changes that are required and forward the e-mail to EAW who can then post a new copy on the intranet page.

Please leave the next box blank or your submission will not be accepted: