CARE GROUP PROJECT PLAN
Care group name:......
Location:......
Care group leader:......
BOPRC staff member:......
Project name:......
Contact person for this project (if not care group leader):......
Address:......
......
Telephone:...... Mobile:......
Facsimile:...... Email:......
How many members of your care group will be involved in this project?
List names:
NameAny relevant qualification (e.g. Growsafe)
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......
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List any other groups or organisations involved in your project.
Organisation name / Contact person / Phone number(s)List any other groups or organisations involved in your project.
Organisation name / Contact person / Phone number(s)Purpose of project:
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......
......
......
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Project timeframes:
Expected project start date:......
Expected project completion date:......
Project description:
(What you want to do and why you want to do it)
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......
......
......
......
......
......
Project location
Provide a clear map showing where your project will take place, ensure reference points, i.e. names and roads are included. Attach any additional detailed site plans.Location:......
Address:......
Attach map here
Form CG3 Care Group Project Plan1
Project plan
Primary Activity:...... /1.1Jan
/ Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / Dec /1.2Jan
/ Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / DecTasks / 20___ / 20___
Monitoring:
Primary Activity:...... /
1.3Jan
/ Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / Dec /1.4Jan
/ Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / DecTasks / 20___ / 20___
Monitoring:
Primary Activity:...... /
1.5Jan
/ Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / Dec /1.6Jan
/ Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / DecTasks / 20___ / 20___
Monitoring:
Primary Activity:...... /
1.7Jan
/ Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / Dec /1.8Jan
/ Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / DecTasks / 20___ / 20___
Monitoring:
If additional planning pages are required, photocopy and add to your project plan.
Budget (GST exclusive costs required)
Month/Year / Activity: / Materials/contract labour etc. / UnitKg, m, etc. / Rate
$/unit / Total
cost / BOPRC / Org1 / Org2
Tasks
Activity sub-total:
Activity:
Tasks
Activity sub-total
Project total cost:
Form CG3 Care Group Project Plan1
Land ownership
Specify details of the land ownership where your project will occur:
Name:......
Address:......
......
If your group is not the landowner you will need to provide written permission from the landowner.
Resource consents(tick)
Does your project require any resource consents? YesNo
Have you applied for the resource consents?YesNo
Have you been granted the consents?YesNo
Attach a copy of any consents related to this project granted by Bay of Plenty Regional Council or a district or city council. If you are unsure whether your project requires a consent please contact one of Bay of Plenty Regional Council’s Environmental Consents Officers on
0800 884 880 or district or city council.
Archaeological sites/cultural(tick)
Does the location show any archaeological sites on the BOPRC database? YesNo
Has a site inspection identified any possible archaeological sites?YesNo
If you answered yes to the above, has an archaeologist been consulted?YesNo
Does the plan need to incorporate protection of these sites?YesNo
Has the plan undertaken appropriate archaeological site protection measures? YesNo
Has the plan incorporated local cultural customs and protocols where relevant?YesNo
Health and safety planning (tick)
Have you undertaken a hazard assessment of the project location? Yes No
Have you identified any particular health and safety issues or hazards,
on-site and off-site, at this location?YesNo
These are noted below (attach another sheet if required):
Hazard/health and safety issuesAction to ameliorate
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Do you require a traffic management plan? (Attach if needed)YesNo
Have you organised a first aid kit to be available at each activity? YesNo
A trained first aider will be present at each activity?YesNo
Consulted neighbours?YesNot appropriate
Made arrangements for your volunteers to have a health and safetyYesNo
inductionbefore any activities commence?
Project plan prepared by:
Name:......
Role:......
Signature:...... Date:......
Project plan agreed by Bay of Plenty Regional Council
Name:......
Position:......
Signature:...... Date:......
Form CG3 Care Group Project Plan1