| |
Risk Management Plan
Activity or Event: Sample Community Service Project
Date:
Risk Management Steps
General Operations |
| Date Completed |
Person in Charge |
Description |
| ___________ |
___________ |
Age-appropriate activities and assignments have been identified
for this event. |
| ___________ |
___________ |
Risks analyzed for this event, strategies identified
to address these risks and a risk management plan written and shared
with staff, volunteers, and youth. |
| ___________ |
___________ |
Accident/Medical Insurance taken out on all participants. |
| ___________ |
___________ |
First Aid Kit, Cellular Phone, and List of Emergency Numbers Available
During Event. |
| ___________ |
___________ |
Certificate of insurance secured from the University of Illinois
Office of Risk Management. (if needed) |
| ___________ |
___________ |
Cooperating organizations have liability insurance.
(if needed) |
| ___________ |
___________ |
Emergency action plan is written. |
Risk to Personnel |
| Date Completed |
Person in Charge |
Description |
| ___________ |
___________ |
Role descriptions written and shared with adults and youth in leadership
roles. |
| ___________ |
___________ |
Guidelines for event are written and shared with staff, volunteers,
and youth. |
| ___________ |
___________ |
Volunteer applications and the screening process completed on all
new volunteers. |
| ___________ |
___________ |
Orientation provided for staff, volunteers, and youth. |
| ___________ |
___________ |
Adequate number of volunteers secured to chaperon this event. 1:10
(or lower) ratio of adults to youth. |
Risks to Participants |
| Date Completed |
Person in Charge |
Description |
| ___________ |
___________ |
Role descriptions written and shared with participants. |
| ___________ |
___________ |
Code of Conduct and Behavior Guidelines shared. Parental Permission/Informed
Consent forms are completed for each participant. |
| ___________ |
___________ |
Publicity sent to local media to inform public that youth will
be conducting this event and to be on the alert for them. |
| ___________ |
___________ |
Training provided on the use of equipment and tools. Proficiency
of skills by youth has been considered. |
| ___________ |
___________ |
If individual youth will be featured in publicity, media release
forms are completed by all youth and signed by parents for those
under the age of 18. |
| ___________ |
___________ |
Medical release or health forms completed by youth participants. |
| ___________ |
___________ |
Orientation provided volunteers and youth. |
| ___________ |
___________ |
Transportation will be provided only by parents or by
screened volunteers who have insurance and a valid license. Insurance
and license should be verified. Youth under the age of 18 will not
provide transportation. |
Risks to Public |
| Date Completed |
Person in Charge |
Description |
| ___________ |
___________ |
Publicity sent to local media to alert public that this event will
be occurring. |
Risks to Property/Buildings/Equipment |
| Date Completed |
Person in Charge |
Description |
| ___________ |
___________ |
Site Review has been completed prior to the activity. Concerns
have been addressed and information shared with volunteers. |
| ___________ |
___________ |
Equipment and tools for the event have been secured, checked for
safety measures, and instructions provided. Adequate insurance to
cover damage to major equipment is provided. |
Risks to Perpetuation |
| Date Completed |
Person in Charge |
Description |
| ___________ |
___________ |
A risk management plan is in place to help protect the image and
perpetuation of the 4-H program. |
| ___________ |
___________ |
Extension staff is informed of community service activity. |
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