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RM 5–PA: Safety and Risk-Management Planner

Name ______________________________________ Date __________________ Class
___________
Taking responsibility for safety is a very important part of the OUT-of-class
component of the Grade 11 Active Healthy Lifestyles course. The following
questions will assist you in managing the risks while participating in any physical
activity:
 Do you understand the safety rules related to the physical activity?
 Is the activity suitable to your age, ability, and physical condition?
 Is the activity suitable to any medical conditions or special health care needs
that you might have?
 Do you understand the correct form or technique of the exercises or skills
needed to practise?
 Do you understand the risks associated with the physical activity and ways to
avoid the dangers?
 Is the equipment you will be using suitable and in good condition?
 Is the facility or playing area you will be using safe?
 Will appropriate instruction and/or supervision be provided to you in light of the
danger or risk associated with the physical activity?
 Have you discussed your choice of physical activities with your parent and
physical education/health education teacher?
I understand the risks associated with (name of physical activity) ____ Jogging___________ , which
has a risk factor rating (RFR) of ____ , and I intend to respect the following strategies to
minimize some of the potential risks I can anticipate during my participation in this activity.
Potential Risks Personal Strategies to Minimize
Risk Areas
Involved Risks
 
Level of Instruction  You could be  Get show how to run right
running improperly 

 
 If not supervised you 
Level of could fall and hurt  If you are unsure of your running get
Supervision yourself and there proper supervision
would be none to
help you

 
 proper running  Get the right shoes
Equipment places, too hard of 
suface may damage
your knees

Facility/Environme  
nt  I could trip on  Run in the right place
obstacles 
Clothing/Footwear  
 Without the right  Get proper shoes
shoes you could end 
up with blisters

Personal and Other  
Considerations*  
 
__________
* Special health care needs, skill level, experience, accessibility, and so on.

I understand the risks associated with (name of physical activity) ____ Tabble
Tennis___________ , which has a risk factor rating (RFR) of _2__ , and I intend to respect the
following strategies to minimize some of the potential risks I can anticipate during my
participation in this activity.
Potential Risks Personal Strategies to Minimize
Risk Areas
Involved Risks
 
Level of Instruction  You could hit the ball  Get proper instrustion
where you don’t 
want it to go and get
injured
Level of  
Supervision  Supervision to watch  Have a supervisor
and make sure 
noone gets hurt
 
Equipment  You cuold  Be careful
accidentaly hit
yourself in the face
with a paddle
 
Facility/Environme  The corners of the  Check the table for flaws
nt ping pong table 
could be sharp 
Clothing/Footwear  
 Trip on your shoe  Make sure your shoes are tied tight
lace 
Personal and Other  
Considerations*  
 
I understand the risks associated with (name of physical activity) Tobogganing, Sledding, Tubing ,
which has a risk factor rating (RFR) of _3__ , and I intend to respect the following strategies to
minimize some of the potential risks I can anticipate during my participation in this activity.
Potential Risks Personal Strategies to Minimize
Risk Areas
Involved Risks
 
Level of Instruction You could fall off your  Get instruction from someone with
sled and hurt yourself experience

Level of  
Supervision  An adult supervisor  Have a supervisor
would help 

Equipment  
 The sled could hurt  Be careful
you
 
Facility/Environme  The slopes could be  Examine the hill before sleding
nt icy and you could 
loose control 
Clothing/Footwear  
 Unproper clothing  Make sure you have warm clothes
could make you cold 
Personal and Other  
Considerations*  
 

I understand the risks associated with (name of physical activity) Skiing—Alpine , which has a
risk factor rating (RFR) of _4__ , and I intend to respect the following strategies to minimize
some of the potential risks I can anticipate during my participation in this activity.
Potential Risks Personal Strategies to Minimize
Risk Areas
Involved Risks
 
Level of Instruction Without proper  Get taught by a qualified instructor
instruction you could 
easily fall and harm
yourself
Level of  
Supervision  No supervision and  Make sure someone is always with
you could fall and you
get hurt 
 
Equipment  The ski edges are  Ber careful when skiing
sharp so they could
cut you
 
Facility/Environme  The slopes could be  Examine the hill before skiing and
nt icy and you could don’t go to fast
loose control 

Clothing/Footwear  
 Unproper clothing  make sure you have warm clothes
could make you cold 

Personal and Other  
Considerations*  
 