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ADHOC Excursion Description and Permission

Educator Details

Educator First Name*
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Educator Last Name*
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Educator Email*
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Client Details

Client First Name*
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Client Last Name*
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Client Email*
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THIS FORM IS TO BE SUBMITTED FOR EACH ADHOC EXCURSION

Children can be transported by or on transport, during education and care service hours. Children may be transported in several ways, including the Educator’s car, the family’s car, public transport, or walking. Most transportation will occur, because of a planned excursion. Excursions are regular outings and are an important part of educational programs, providing opportunities for children to build connections with the world around them. It is the responsibility of the Service Provider, Educator, and family to ensure the health, safety, and wellbeing of children when outside of the address nominated.

Excursion Destination

Proposed Activities/Purpose of Excursion*
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Date of Excursion*
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Address*
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Postcode*
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Suburb*
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State*
  • - select a option -
  • VIC
  • NSW
  • QLD
  • NT
  • WA
  • SA
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Child/Children to Attend the Excursion

Childs Name*
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ADD CHILD

Means of Transport

Means of Transport
  • - select a option -
  • Vehicle provided by the Family
  • Educators own vehicle
  • Public Transport
  • Walking
  • Other
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Please list the means of transport*
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I confirm that the Transport Permission and Vehicle Agreement is signed?*
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Proposed Route of Excursion

Proposed Route*
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Please upload any screenshots of maps, etc that may be relevant
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Items to be taken on the Excursion

Please tick below all the items that are to be taken on the excursion and add any other items to be taken in the field below*
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Other Items
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Hazards

Examples of Potential Hazards

• The educator notices an unlocked cabinet full of alcohol in the loungeroom and asks the family to install a child lock to prevent children's access.

• With high winds expected all week, the educator is concerned about a gum tree branch over the sandpit and asks the family to arrange a gardener to remove it as a precaution.

• The family has a new baby walker, allowing the child to reach higher. The educator suggests removing the tablecloth to prevent accidents.

Types of Hazards
Biological Hazards

• Examples include immunisation, infectious diseases, hygiene, and practices involving bodily fluids like nappy changes, toileting, nose wiping, feeding, and cleaning spills.

Hazardous chemicals and items

• Examples include storing chemicals, tools, firearms, medication, farming equipment, alcohol, and other illicit items.

Manual tasks

• Examples include picking up children, moving furniture, cleaning, lifting non-mobile children, assisting with wheelchairs, and using non-ergonomic furniture (e.g. nappy change areas).

Slips, trips and falls

• Examples include slippery floors, toys on the ground, blocked walkways, unsafe item placement, and outdoor equipment or stairs posing fall risks.

Environmental Hazards

• Examples include pool areas, dams, broken fences, damaged furniture, poisonous plants, pets, farm animals, and wildlife.

Other Hazards

• Examples include other hazards like power points, loud noises, allergens, and extended work periods.

Have you identified any Hazards?*
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Hazard Details

Hazard Category*
  • - select a option -
  • Biological Hazard
  • Hazardous chemicals and items
  • Manual tasks
  • Slips, trips and falls
  • Environmental Hazards
  • Other Hazards
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Field is required!
Describe Hazard*
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Describe actions taken to make it safe for active engagement*
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Describe how you plan to turn the management of this hazard into an Educational Learning opportunity for the child/children?* Click here to download a PDF with some examples
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Describe any communications that you have had with the family about the management of the hazard.*
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Please upload any supporting evidence or documentation here
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ADD HAZARD

Confirmation

I confirm all the above information has been discussed and signed off by the client*
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