2 Minute Form22

Trip Name / Lake Pupuke / Date
Check-in Name / Check in Phone / Mobile
Work
Home
Instructors/Leaders
Cell Phone Number
VHF Call Sign &/or Vessel Name
Vehicle make, model, registration, colour / Make & Model
Registration
Colour
/ Make & Model
Registration
Colour
General Plan
Used for Advertisement
Note: If plan changes, you must notify your Check-in person.
Place to meet / Time to Meet
Time to be on the water / Latest Time Off the Water
Tide/ Forecast Lake Level / Low N/A
High N/A / TMP used20 / Lake Pupuke
Communications Carried21
Communications / We will be communicating as a group on VHF Channel _____
Equipment Carried / Usual day kit as per Activity Equipment list
No of Participants (taken from Club Trip Participant List)

For notes go to canoeandkayak.co.nz/notes

Trip Plan / Lake Pupuke / Location / Lake Pupuke / Difficulty1 / Beginner
Trip Description / Kayak at Lake Pupuke / Instructor/ guide qualification req.2 / NZKI 1* / Ratios Req. / 1 to 8
Get in Location / Four launch points depending on wind direction –
Rowing Club – Nor west, Northerly, West, So’west
Pump House – Southerly
Henderson Park – Easterly
Sylvan Park – East / Nor East
/ Chart/ Map no.4 / BA32 / Distance / 4-5km circumference
Get out Location / As above / Coastguard Channel / 16 / Nowcasting / 19
Trip Destination
(if different from get in/ get out) / No destination / Emergency / Coastguard Station / Auckland / Phone / *500 / 09 303 1303
Emergency get out 5 / As above plus numerous private properties / Instructor positioning16 / Visual & audible contact with group at all times. Instructor must be in a position to assist in an appropriate time.
Drinking Water6 / No / Toilets7 / Sylvan Park
Emergency Response / Refer Emergency Response Booklet / Parking8 / All locations
Specific Equipment Required9 / Standard day Kayaking kit – see Activity Checklist / Working Communications equipment in this area10 / Cell phone / VHF / PLB
Other resources
and notes11 / The lake offers good shelter from winds up to 35knots in the forecast but choose your location according to the direction. Be conservative as to the ability of the group. / Weather Parameters12
(at Location) / Beginner: no significant surf or swell, wind under 15 knots.
Intermediate: surf/ ocean swells less than 1.5 m or wind under 25 knots.
Advanced: any condition that’s suitable for the trip’s aims.
Previous incidents13
Safety Management14
Hazard / Significant? / Management Strategy15 / Hazard / Significant? / Management Strategy15
Cold Water / Yes – M / - Carry spare dry clothes and shelter
- Ensure participants are adequately clothed / Deep Water / Yes - M / - Correctly fit PFDs
Capsizing
-Panic and or fail to remove spray skirt
-Deep water rescue / Yes – M / -- Correct fitting PFDs
-- Train participants at performing rescues
-- Pre-trip briefing and practice
-- For inexperienced tour participants consider no spray skirt / Small yacht activity - lots of the beaches have yacht clubs with training sessions for children, especially on Sundays / No / - Keep a good lookout and stay out of the way – kids don’t necessarily have good sailing skills.
Medical Conditions and injuries / Yes – M / -- Leader has first aid qualification
-- Ask customers about medical conditions.
-- Coach paddlers in proper technique to avoid repetitive strain injuries / Heat / Sun / Yes - M / -- Protective Clothing (worn), Sunglasses, Hat
-- Sun Screen
-- Plenty of drinks
Panic / Yes - M / - Ensure conditions match level of skills / Obstacles / Yes - M / - Awareness of reefs, navigational hazards, nets
Bad Weather
Examples:-
-Cold Front Approaching
-Off Shore Wind
-Thunder and lightning
-Onshore wind / Yes - M / - Understand weather forecasts.
- Have back up plans or pull out if necessary
-Understand the signs, Make for nearest get out and wait for the front to pass, Do not try to out run.
-Designate downwind paddler, Keep paddlers in close contact, Keep group close to shore
-Seek shelter if close in shore, Paddle separated if off shore, If flash to thunder is less than 30sec seek shelter, wait 30min after last 30sec count to resume
-Brief group before, Instructor to position between group and danger, maintain group control / Group Separation / Yes – M / - Set ground rules dependent on the conditions and the skill level of the participants
- Maintain Ratios in accordance with conditions
- Ensure good communications maintained
Fishermen – often found off any of the points. / No / - Stay clear and be polite.
Intermediate Weather Conditions with offshore wind / Yes - M / - Ratio set at 4:1
- Strict buddy system
- Designate windward paddler or pair
- Keep all paddlers in close contact.
- All stop if rescue is needed.
Swimmers / No / - Keep a good lookout and avoid. / Other Vessels / Yes - M / -- Understand the “rules of the sea”
-- “Be seen” – Have at least two of the following; flag, brightly coloured kayak, brightly coloured PFD or hat. At night: an all-round white light & a powerful torch.
Written up by: / Todd Dorset / Approved By: / Pete Townend / Signed: / PT / Date: / 16/1/17 / Review in: / 12 months from date of approval
SATAP REVIEW
Name / James Fitness / Date / 16/1/17 / Name / Pete Townend / Date / 16/1/17 / Name / Date

For notes go to canoeandkayak.co.nz/notes

Activity Equipment Check list

In case of emergency / Dial 111, Mayday :VHF Channel 16
Equipment Check
Yes / No / Equipment List / Group Gear Check
Yes / No / Group Gear
Helmet (rivers & surf) / Split paddles
Beanie / hat / Repair kit
Paddle Jacket / Fire lighting
PFD / Cooker/thermos
Spray deck / Tow system
Kayak & paddle / 1st Aid Kit
Booties / Flares
Thermals / Compass
Water & food / Charts / Maps
Pump & paddle float / GPS (optional)
Knife (cut rope)
Emergency Shelter
Spare thermals
Yes / No / Kayaking Check list / Yes / No
Trip Plan/ 2-minute form lodged with Ops. Manager / Emergency Procedures include emergency get out.
Latest weather forecast / Working communication devices e.g. VHF radio, mobile phones, PLB
Conditions match skills? / Specific safety issues for this trip
On & off water safety / Participant list
Environmental concerns / Any medical conditions
Hyperthermia (hot) & Hypothermia (cold) / All participants keen to proceed?
Appropriate wind conditions to run trips / Appropriate river conditions to run trips
Novice - no significant surf or swell, wind under 15knots / Novice – Grade 1 - 2
Intermediate- surf or ocean swells less than 1.5 metre or wind under 25 knots / Intermediate – Grade 1 - 3
Advanced- any condition that is suitable to the trips aims / Advanced – Grade Three and above
Yes / No / At conclusion of trip
Contact check in person
Group Debrief

Post Trip Check List

Have you submittedthe following before, during or after the trip?

Yes / No / Activity reports. Is all relevant information present
Approved Trip Management Plan (TMP)
2 MINUTE FORM
Weather forecast
Club Trip Participant Sheet
Activity Check List
Trip report (May be on the 2 minute form)
Accident / incident reports
Trip Report (anything you want to report back to Club)
Leaders Signature
Date