ĐĎॹá>ţ˙ <>ţ˙˙˙;˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙ěĽÁ'` đżbjbjëČëČ 8(‰˘‰˘ ˙˙˙˙˙˙¤ZZZZŞŞŞžbbb8š$ž$žÓěîîîîîRTTTTTT$żh'šx޸ý¸¸xZZîşş¸XZ8îŞîRş¸Rşş’Şşîâ @Ú8×xëÉbÄş6Ł0ÓşÁÔŽÁşÁŞş|>?,şk$)xxbXÓ¸¸¸¸žžž¤ bžžžbžžžZZZZZZ˙˙˙˙  RFU SCHOOLS AND YOUTH RISK ASSESSMENT FORM Event: …………………………………………………………………………………………………………. Event organiser: ……………………………………………..……………………………………………… Venue: ………………………………………………………………………………………………………… Name and position of person doing check: …………………………………..………………………. Date of check: ………..……………………… Time of check: ………………….…………….. Date of activity: ………………...…………… ----------------------------------------------------------------------------------------------------------------------------------- ACTIVITY BEING RUN Playing/training area Check that the area and surroundings are safe and free from obstacles Is the area fit and appropriate for activity? Yes No (if no, please outline the hazard, who may be at risk, and action taken, if any) ……………………………………………..…………………………………………………………………… ………………………………………………………………………………………………..………………… EQUIPMENT Check that it is fit and sound for activity and suitable for age group/ability. Is the equipment safe and appropriate for activity? Yes No (if no, please outline unsafe equipment, who may be at risk and action taken, if any) ………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………… PLAYERS Check that player details are to hand with medical information and contact details. Check that players are correctly attired for the activity. Are player details to hand and in order? Yes No (if not, please outline current state and action taken, if any) …………………………………………………………………………..……………………………………… ………………………………………………………………………………………………………………..… Are the players appropriately attired and safe for activity? Yes No (if no, please outline unsafe equipment/attire and action taken, if any) …………..……………………………………………………………………………………………………… …………………………………………………………………………..……………………………………… EMERGENCY POINTS Check that emergency vehicle can access facilities, and that a working telephone is available with access to emergency numbers. Are emergency access points checked and operational? Yes No (if no, please outline the issues and action taken, if any) …………………………………………………………………………………………………..……………… …………………………………………………………………………………………………………..……… Is a working telephone available? Yes No (if no, please outline the issues and action taken, if any) ………………………………………………………………………………………………….……………… ………………………………………………………………………………………………….……………… SAFETY INFORMATION Check that evacuation procedures are posted somewhere for all to see. Ensure that all involved in leading the activity have access to information relating to health and safety. Are emergency procedures published and accessible to those with responsibility for the activity? Yes No (if no, please outline what information is missing and action taken, if any) …………………………………………………………………..……………………………………………… …………………………………………………………………………………………………..……………… Does the organiser need to take any further action? (if yes, please specify) ………………………………………………………………………………..………………………………… ………………………………………………………………………………………..………………………… SIGNED:………………………………………………… DATE: ……………….………….. 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