PLANNING SHEET: Deep Creek Conservation Park

Destination Deep Creek Activity Bushwalking

Topic Outdoor Education HLPE 3532 Course Coordinator Joss Rankin

Departure date 19/09/2018 Return date 21/09/2018
Staff supervisors Staff supervisor’s phone

Walter Olenich -04178

Dave Barber - 0412
Dan Coletti -04213

GROUP LIST
(FULL) NAME Email Phone Org. Role Micro-tute Group
Number
Lucy Jane lucy.engel23@hotmail.com 04884 Transport Ferals and 2
invasive
species
Jem Millar jemeiahm@gmail.com 0437 Medicals Native Fauna 2
Ella Quinn Nuttella96@hotmail.co.uk 0452 Route Plan Native Flora 2
Michael Goode Good0322@flinders.edu.au 0426 Emergency Campfire 2
procedures games
Jessica Green Gree0544@flinders.edu.au 0408 Trip Change of 2
Intentions area- Geology-
Settlement
Emily Duck emilynduck@gmail.com 0412 Equipment Aboriginal 2
Culture
Nate Clark Clar0837@flinders.edu.au 0411 Coordinator Astronomy 2
Student Coordinators
 Complete group table above
 Ensure that Medical forms completed by all and attached to Field Trip Proforma
 Field Trip Proforma completed and copied three times
 Route card for each day including evacuation procedure for each walk group
 Photocopy of map with campsites and route highlighted
 Risk assessment completed
 National Parks and Wildlife (DENR) trip Intentions form completed
 Retain 1 copy of the proforma and submit 1 copy each to the topic coordinator and trip supervisor

Name:___________________________________Signed:__________________________________Date:_____
____

Topic coordinator
 Checked field trip Proforma
 Land managers contacted
 Field trip supervisor contacted and briefed

Name:___________________________________Signed:__________________________________Date:_____
____

Field Trip Supervisor

 Re-check Proforma
 Checked contact with land managers
 Check medicals and medication needs
 Checked leader’s kit (first aid, compasses, maps, trowel)
 Check vehicle kit (first aid, toolkit, cargo net if required)
 Checked student safety items (raincoat, suncare, warm clothes, water, etc.)
 Issued individual equipment items as requested
 Checked communication and return arrangements
 Mark sheets obtained (if applicable)

Name:___________________________________Signed:__________________________________Date:_____
____

**** ONE COPY OF PROFORMA GIVEN TO UNIVERSITY CONTACT PRIOR TO DEPARTURE

**** SECOND COPY, WITH THIS PLANNING SHEET AND MEDICAL FORMS GIVEN TO FIELD TRIP SUPERVISOR,
BUSHWALK LEADER
 PARTICIPANT INFORMATION
List all participants, including staff and visitors
Name *Relevant medical Emergency Emergency
information contact contact
person/next of kin phone
number
Nate Clark - Robyn Clark 0423
(Mother)
Lucy Engel Asthma Dane Pfitzner 0427
(Partner)
Jemeiah Millar Sunscreen Paula Millar 0438
(Mother)
Ella Quinn - Karen Quinn 0414
(Mother)
Michael Goode Oranges / mandarins / Bindi Goode 0419
penicillin (Mother)
Jessica Green - Kathy (Mother) 0452
Emily Duck - Sean (Partner) 0408
*confidential medical information: please advise topic
coordinator and camp staff directly.

CONTACT PERSON: to be notified after safe return, or in emergency situations (must not
be on field trip).
Name Joss Rankin Number 0402
 Transport

With Wally 12 will pick up

8 seater with Dan With Dave 5 Rachel
Carpool to uni - Billie
Billie Leave car Nate Dropped off Sarah
Dropped off
Lucy Dropped off Amanda
? Leave car at
Liam Dropped off Jem Dropped off Rachel headquarters
Lives here
Jason Dropped Off Ella Dropped off Abbey
Dropped off
Marley Dropped off?= Michael Dropped off Shae
Catching bus to uni
Sapphire Dropped off Jessica Dropped off Dylan
Emily Dropped off Travis -

EMERGENCY RESPONSE CONTACTS

In the case of an emergency, list possible field contacts:
FACILITY LOCATION CONTACT (phone)
Hospital South Coast District Hospital 8552 0500
Bay Rd, Victor Harbor SA 5211

Flinders 8204 5511

Royal Adelaide (08) 7074 0000
Police Emergency 112
SA Police Assistance 131444
Normanville Police Station 8558 2014
Encounter Bay (Victor Harbor Police Station) 8552 2088
National Parks/Forest HQ Forest Ranger 24 hr info and emergency 8598 0263

University contact Joss Rankin (Education Building 5.20) 0402 714 798

Other
 Other

OVERNIGHT LOCATIONS AND DATES: Map used: -

_______________________________________________
Location description Grid Date
Reference

Start at Aron Creek 459 533 19/09/18

Camp site night 1 Eagle Waterhole 457 514 19/09/18

Camp site night 2 Tapanappa 517 530 20/09/18

Finish at: HQ 500 560 21/09/18

COMMUNICATION DETAILS
Group Role Name Mobile Number
Group 1 Field Trip Supervisor

Other

Group 2 Field Trip Supervisor Dave Barber 0412158302

Other

Group 3 Field Trip Supervisor

Other

1. Field trip supervisor to turn phone on from 8pm-9pm whilst on camp

2. Field trip supervisor to turn phone on from 12.00 pm on the last day
3. Other (student) phones not to be used unless emergency
4. No contact to be made unless emergency
5. Mobile phones not to be relied upon
6. Notification of any incidents to University contact – to be done as soon as practical
following management of event.