Aylesbury FootballClubVenueRiskAssessment/GoalpostSafetyForm
VenueDateofcheck Nameandpositionofpersondoingcheck
PLAYING/TRAININGAREA
Checkthattheareaandsurroundingsarefreefromobstacles.Istheareafitandappropriateforactivity?
Yes
No
Is/aretheregister(s)inorder?Yes
No
(Pleaseoutlinecurrentstateandactiontaken,ifany)
Areplayers appropriately attiredandsafeforactivity?Yes
(Pleaseoutlinethehazard,whomaybeatriskandactiontaken,ifany)
No
(Pleaseoutlineunsafeequipment/attireandactiontaken,ifany)
GOALPOSTS
Checkthattheyarefitandsoundforactivityandsuitableforagegroup/ability.
Arethegoalpostssafeandappropriateforactivity?(PleaserefertoGoalpostsafetyleaflet)
Yes
No
EMERGENCYPOINTS
Checkthatemergencyvehiclescanaccessfacilities,aworkingtelephoneisavailablewithaccesstoemergencynumbersandthatexitpointsareclear.
Areemergency points checked and operational?
Yes
(Pleaseoutlineunsafeequipment,whomaybeatriskandactiontaken,ifany)
PLAYERS
Checkthattheplayers’registerisuptodatewithmedicalinformationandcontactdetails.
Checkthatplayersareappropriatelyattiredfortheactivity.
No
(Pleaseoutlinetheissuesandactiontaken,ifany)
Isaworkingtelephoneavailable?Yes
No
(Pleaseoutlinetheissuesandactiontaken,ifany)
SAFETYINFORMATION
Checkthatevacuation proceduresare publishedandpostedsomewhereforalltosee.Ensurethatvolunteersandstaffhaveaccesstoinformationrelatingtohealthandsafety.
Areemergencyprocedurespublishedandaccessibletothosewithresponsibilityforsessionsintheclub?
Yes
No
(Pleaseoutlinewhatinformationismissingandactiontaken,ifany)
Doestheclubneedtotakeanyfurtheraction?(Ifyes,pleasespecify)
Signed Name(Print) Date