Risk Assessment Form

Risk Assessment Title: Checklist Yes/No

Local Areas – walking distance
Cross country walk-through, 16-mile camp walks and Johnston Park Visits
Pick up location and destination and address of event/s: Final itinerary attached for approval, proposed route Yes
MacKillop Catholic College: 285 Farrar Blvd, Johnston, NT, 0832
Johnston Park: 258 Farrar, Blvd, Johnston, NT, 0832
Date/s, time and finish, including duration of activity/event: Safe Operating Procedure (SOP) or Safe Work Instruction (SWI) attached N/A
2022 School Year (where applicable)
Final approved itinerary distributed to line managers/ administration/WHS Yes
Coordinator
Means of transport: Not required Consent forms have been completed and given to administration including List of students
list of participants to be provided to
admin on the day
Name of School/College: Requirements for seatbelts or safety restraints have been met NA
MacKillop Catholic College
Names of person in charge: Copy of risk assessment distributed to line managers /administration/WHS Yes
HPE teachers timetabled Coordinator
Name of WHS Coordinator: List of participants given to administration On the day
Raymond Liebenberg
Names of each adult, staff and/or volunteers involved and communicated to: HPE teachers Staff and volunteers have current Ochre cards Yes
Names of First Aid Officer/s: All staff involved in the activity/event have been advised of any special Yes
HPE teacher / Communication with front office/staff to take mini first aid kit and mobile medical/dietary/physical requirements
phone
Emergency Contact Phone Numbers: Medical Forms have been completed N/A
Demcey Anderson – 0467323649 Water Hazard/Activity (Pool, ponds, natural waterways, causeways), If N/A
yes, detail in Risk Assessment below
Vehicle Safety Information reviewed and attached N/A
Drivers: NA License No: NA N/A
Vehicles: NA Insurance Policy No: NA
For Camps & Excursions complete and attach WHS 24C Planning Excursions Checklist to this risk assessment. Please ensure the person in charge signs off all risk assessments

Completed by (name): Demcey Anderson Signature: Date: __/__/______

In consultation with (Name): Signature:_______________________ Date: / /

WHS2B Risk Assessment Form Version 2

 Number Adults on Activity: Minimum of 1 Number of Children / Students: Maximum of 30 Ratio adequate given risks posed: Yes

Risk Assessment authorised by:___________________________________________ Signature:_______________________ Date: / /

NOTE: If the risk is identified as very high and risk treatment options cannot bring down the risk to an acceptable level then the risk assessment must be authorised off by the Officer (Principal or Deputy) of the organisation.

Authorised by Principal or Delegate:___________________________________________ Signature:_______________________ Date: / /

Description of Activity/Task. Proposed activities and who might be involved?

Students will walk the cross-country course, so they know the route for the carnival day.
OR students will walk the 16-mile camp track for class activities (recreational activities/bushwalking).
OR students will walk to Johnston Park to participate in recreational / sporting activities

Risk Assessment Risk Treatment Plan

Risk description Conseq. Likelihood Level of risk Revised Risk Milestones & Who is
What What can go wrong? Rating Rating Table 3 Additional Rating Expected responsible?
Activity/Action is How can it happen? Existing Controls Table 1 Table 2 Control completion dates
being done Measures

Walking the  Adverse weather conditions,  Teacher checks Bureau of Meteorology days (and if 3 C Med Teacher Low HPE teacher
hot, humid, storms) necessary hours) before class on course to ensure monitoring
Cross-Country
- Students overheat storms or humidity isn’t too dangerous.
course while walking  Appropriate clothing (College PE uniform including
/ - Possible wet weather hat)
Walk 16-mile including lightning  Encourage students to take water bottles or get
camp track drink before and after
 Regular stopping in shade and outline to students
/Walk to and staff where on the course this is offered, before
Johnston Park starting.
 Musculoskeletal Injury  Appropriate warm up and cool down is conducted 4 D Low Teacher Low HPE teacher
- Strain  Briefing and visual map is offered to the class and monitoring
- Muscular tenderness supporting staff
- Muscular discomfort  Modified walk times and rest breaks incorporated.
 First Aid available at campus (close to course), bum
bag of basic first aid gear taken by teacher leading
at the back of the group, and mobile phone taken
by all teachers attending (with phone numbers of
each other, college and emergency services readily
stored).
 Inadequate experience of the  Teacher to make students aware of the rules and 3 D Med Teacher Low HPE teacher
course expectations whilst walking on the course, monitoring
- Students injure including sticking to the path, letting others pass on

WHS2B Risk Assessment Form Version 2

 themselves or others by
inexperience.
- Instructions and
expectations not clear for
students
 Inadequate supervision
- Students don’t meet
behavioural expectations
and a dangerous
environment is created.
 Hazards
- Loose surfaces
- Trees on course
 Disobeying safety instructions
 Horseplay /recklessness
- Injury cause to individual
or others
- Unsafe actions or rough
play
 Bitten by insects, or get sunburnt
- Environment contains
high numbers of insects
WHS2B Risk Assessment Form Version 2
the right side, appropriate behaviour of
walking/running and not activities such as tripping
others etc.
 Regular teacher monitoring
 Ensure capable teachers in supervising roles and 4 D Low Teacher Low HPE
ratios are adequate to assist any SWD or known monitoring
teacher
behavioural concerns
 Walk back with the whole group if need be
 Closely monitor / position near SWD and students
with known behavioural concerns
 At least one staff member has recently walked the 5 C Low Teacher Low HPE teacher
course and removes hazards or makes alternative monitoring
plans where possible
 Identify and discuss hazards with group and inform
HPE Curriculum Coordinator and Sports
Coordinator, to suggest modifications of the track
to avoid areas of concern in future
 Most experienced runners (and where extra staff
available) are at the front of the group and
reminded of need to communicate any hazards
that arise whilst completing the course.
 At least one staff member is at the back of group,
performing a dynamic risk assessment for as far
forward as they can see, encouraging the group to
stay as close together as possible (ie all at a
constant pace, rather than runners/walkers group
split), ensuring all students follow the course and
be available to address any emergency situations –
students and staff support are all aware of the role
and location of the lead teacher in the group.
 Teacher supervision 5 C Low Teacher Low HPE teacher
 Behaviour management plans monitoring
 Mobile phone taken by all teachers attending (with
phone numbers of each other, college and
emergency services readily stored).
 Follow up with incident report completed, parents
informed and HPE Curriculum Coordinator
consulted
 Wear adequate clothing including enclosed shoes 4 E Low Teacher Low HPE teacher
and hat
monitoring
 Educate individuals about risks
 Take sunscreen
 First Aid available at campus (close to course), bum
bag of basic first aid gear taken by teacher leading
at the back of the group, and mobile phone taken
by all teachers attending (with phone numbers of
each other, college and emergency services readily
 stored).
 At least one staff member attending is First Aid
trained (with records on file at College)
 Lost or missing students  Check rolls before and after course is completed 4 C Med Teacher Low HPE teacher
(with a known number for quick headcounts used
throughout the course)
monitoring
 At least one staff member is at the back of group,
performing a dynamic risk assessment for as far
forward as they can see, encouraging the group to
stay as close together as possible (ie all at a
constant pace, rather than runners/walkers group
split), ensuring all students follow the course and
be available to address any emergency situations –
students and staff support are all aware of the role
and location of the lead teacher in the group.
 Teachers wear Hi Vis vests for ease of
identification and students told to go to the nearest
available for emergencies or support
 Mobile phone taken by all teachers attending (with
phone numbers of each other, college and
emergency services readily stored).
 EAPs read and case managers consulted, for all
relevant SWD. Extra teacher support and
monitoring is offered where necessary for these
students.
 Students shown map and informed that should
they become lost, they are to remain where they
are and call out for help. They are reassured that
these situations can happen and staff will do their
best to find them asap (to ease anxiety). As per
appendix items.

Signed copies must be kept by the originator and a copy sent to the WHS Coordinator and kept for 5 years

WHS2B Risk Assessment Form Version 2

 Consequence Rating
CONSEQUENCE
RATING FINANCIAL PEOPLE REPUTATION SERVICE OUTPUTS LEGAL & COMPLIANCE
1 >$3 million Fatality and/or National media Total cessation of Major litigation or investigation
CATASTROPHIC Severe disability to one coverage multiple services by regulatory body
or more people
2 $1-$3 million Extensive injury or State media Disruption of multiple Major breach of regulation with
MAJOR loss impairment to one or coverage services punitive fine or significant
more persons litigation
3 $300k-$999k Short term disability to Local media Total cessation of one Breach of regulation with
MODERATE loss one or more persons coverage over service for a few investigation by authority and
several days months/multiple possible moderate fine
services for several
weeks
4 $10k-$299k Significant medical Local media Some service Breach of regulations, minor fine
MINOR Loss treatment and/or coverage disruption in one area or legal costs or minor litigation
hospitalisation
5 <$10k loss First aid or minor No media Minimal disruption Minor legal issues or breach of
NEGLIGIBLE medical treatment coverage regulations

Table 2: Likelihood Rating

LIKELIHOOD RATING RISK CRITERIA
A  Is expected to occur in most circumstances
ALMOST CERTAIN  Could occur within days or weeks
 More than 90% chance of occurring within the next year
B  Will probably occur in most circumstances
LIKELY  Could occur within weeks or months
 More than 50% chance of occurring within the next year
C  May occur but distinct possibility it won’t
POSSIBLE  Could occur within months to years
 More than 20% chance of the consequence occurring within the next year
D  May occur but no anticipated in most circumstances
UNLIKELY  Could occur within years or decades
 More than 5% chance of occurring within the next year
E - RARE  Would occur only in exceptional circumstances

Table 3: Level of Risk

A Medium High Very High Very High Very High
LIKELIHO

B Medium High High Very High Very High

RATING

C Low Medium Medium High Very High

D Low Low Medium High High
OD

E Low Low Low Medium Medium

5 4 3 2 1
CONSEQUENCE RATING

Table 4: Determine Effectiveness of each of the Risk Controls

CONTROL
EFFECTIVENESS RATING CRITERIA
FULLY EFFECTIVE  Risk being managed effectively, controls are well designed and address root cause
 Only requires monitoring and review of existing controls
 Management believes the controls are effective and reliable at all times
SUBSTANTIALLY  Most controls are designed correctly and are effective. Some existing controls require more work to improve
EFFECTIVE operating effectiveness
 Management has some concerns about the effectiveness and reliability of some controls
PARTIALLY EFFECTIVE  Controls are designed correctly by addressing root cause, but are not very effective
 Some controls are not well designed, do not treat root cause or there is too great a reliance on reactive controls
 Management believe not enough of the controls are effective or reliable
LARGELY INEFFECTIVE  Insufficient controls. Controls if they exist are reactive
 Controls do not treat root cause or do not operate effectively
 Management believe the controls require significant improvement or replacement
NONE OR TOTALLY  No reliable controls are in place or available
INEFFECTIVE  Management has no confidence in the controls
Table 5: Hierarchy of Control
MOST ELIMINATE Discontinue use of product, equipment, cease work/activity
EFFECTIV SUBSTITUTE Replace with a similar item that does the same job but with a lower hazard
E ISOLATION Put a barrier between the person and the hazard
ENGINEERING Change the process/equipment so that the risk is reduced
WHS2B Risk Assessment Form Version 2
 ADMINISTRATIVE CONTROLS
PERSONAL PROTECTIVE EQUIPMENT
LEAST
EFFECTIV
E
Unsafe Situation
 Adverse weather conditions, hot,
humid
 Bacteria, fungi, mould, parasites
 Blind corners
 Congested work area
 Defective buildings, storage or
structures
 Defective furniture, office
equipment
 Defective insulation, wiring
 Defective or missing guards
 Defective tools or equipment
 Defective vehicles
 Emergency response inadequate
 Excessive workloads
 Fatigue, tired
 Faulty tools or equipment
 High exposure to sunlight
 High noise levels
 Inadequate communication
 Inadequate experience for the job
 Inadequate resourcing
 Inadequate hazard identification
and control
 Inadequate isolation
 Inadequate lighting
 Inadequate planning
 Inadequate PPE
 Inadequate supervision
 Inadequate ventilation
 Inadequate work platform
 Intruders
 Lack of maintenance, inspections
 Lack of signage to indicate
hazards present
 Lack of training, competence
 Loose clothing, long hair,
jewellery
 Loose or slippery surfaces
 Mental fatigue
 No MSDS available
 Poor visibility
 Procedures inadequate, not
available
 Static build up
 Unprotected height (handrails,
guards)
Cross County Walkthrough (dependant on time of lesson; timeline based on 90-minute lesson)
0-15 mins Students go to basketball court. Sit in class groups.
Teachers instruct students about the course, expectations, ensures they have a
WHS2B Risk Assessment Form Version 2
Guidelines, procedures, training etc to minimise the risk
Equipment worn to provide a temporary barrier
Hazard and Risk Management Guide
Consequences Consequences
Unsafe Act Incident Personal Operational
 Abuse, harassment towards others  Abduction  Abrasions  First aid treatment
 Disobeying safety instructions  Bitten by insects, reptiles, or  Amputation  Medical treatment
 Failure to check before commencing animals  Asphyxiation  Lost time injury
 Failure to follow procedures  Bomb or explosion  Bruising  Permanent injury
 Failure to isolate  Caught between moving  Burns  Fatality
 Failure to plan objects  Crush injury
 Failure to read MSDS  Caught in moving machinery  Cuts, contusions
 Failure to regularly rehydrate  Caught on protruding items  Dehydration
 Cave in
 Failure to report hazard /injury/  Dislocation
incident  Civil unrest/riots  Drown
 Failure to tag out faulty tools  Contact with biological  Electrical shock
 Failure to wear PPE / correctly agents
 Eye injury
 Handling substances or tools  Contact with chemicals
 Fracture/s
incorrectly  Contact with electricity
 Hearing damage
 Horseplay /recklessness  Contact with high noise
levels  Heat stress
 Hot works around flammable
 Contact with high pressure  Infection
sources
fluid or gas  Inhalation
 Inadequate experience for the job
 Contact with hot or cold  Internal injury
 Inappropriate speed
 Contact with mechanical  Mental illness
 Inattention/not focused on the job
vibration  Multiple injuries
 Incorrect judgement
 Contact with radiation  Poisoning
 Incorrect lifting technique including UV  Puncture/stabbing
 Incorrect position for the task  Dehydration or heat stress
 Skin disorders
 Incorrect use of tools or equipment  Drowning
 Soft tissue injury
 Negative attitude towards safety  Equipment failure
 Sprain or strain
 Operating equipment beyond SWL  Fall at same level
 Operating equipment without  Fall below
permission
 Fall from height
 Overloading vehicles
 Falling objects
 Rushing, hurrying
 Fire
 Taking short cuts, by-passing safety
devices
 Hostage situation
 Unstable work posture  Lost or missing children
 Use of unsecured ladder  Mental stress
 Using faulty tools or equipment  Muscular stress
 Using incorrect substances,  Release of static electricity,
spark
materials
 Using wrong tools for the job  Spills
 Working in unsafe location  Struck against moving object
 Working on running ‘live’  Struck against stationary
object
equipment
 Working under the influence of  Struck by falling objects
drugs or alcohol  Struck by flying particles
 Struck by mobile plant or
vehicle
 Struck by moving objects
 Vehicle accident
 hat and have them apply sunscreen. Teacher checks for understanding of
students (and offers scenarios of ‘lost student’, ‘public annoyance’, ‘first aid
situation’.
Warm up conducted.
15-70 mins Course commences with staff member at back (and where possible at front)
of group
70- 85 mins Return to School, roll marked. Cool down commenced. Students drink water.
85- 90mins End of double lesson - allow 5 mins for students to get changed into formal
uniform

Proposed route:

16-Mile Camp Walk (dependant on time of lesson; timeline based on 90-minute lesson)
0-15 mins Students go to basketball court. Sit in class groups.
Teachers instruct students about the course, expectations, ensures they have a
hat and have them apply sunscreen. Teacher checks for understanding of
WHS2B Risk Assessment Form Version 2
 students (and offers scenarios of ‘lost student’, ‘public annoyance’, ‘first aid
situation’.
Warm up conducted.
15-70 mins Course commences with staff member at back (and where possible at front)
of group
70- 85 mins Return to School, roll marked. Cool down commenced. Students drink water.
85- 90mins End of double lesson - allow 5 mins for students to get changed into formal
uniform

Proposed route:

Johnston Park (dependant on time of lesson and length of time spent at the park;
timeline based on 90-minute lesson)
0-15 mins Students go to basketball court. Sit in class groups.

WHS2B Risk Assessment Form Version 2

 Teachers instruct students about the course, expectations, ensures they have a
hat and have them apply sunscreen. Teacher checks for understanding of
students (and offers scenarios of ‘lost student’, ‘public annoyance’, ‘first aid
situation’.
Warm up conducted.
15-25 mins Course commences with staff member at back (and where possible at front)
of group. Approximately 10 minute walk to the park
25-75 min Complete organised activities at the park
75- 85 mins Return to School, roll marked. Cool down commenced. Students drink water.
85- 90mins End of double lesson - allow 5 mins for students to get changed into formal
uniform

Proposed route:

WHS2B Risk Assessment Form Version 2