ࡱ> HKG bjbj 4.;   QQQQQeee8<4e% #(KKK$$$$$$$')$Q$QQKKx$   ^QKQK$ $  V"@#KИle!R?# $$0%K#x,s,##&,Q# $$ %, : University-Sponsored EventsRisk Assessment Form Name of Sponsoring Group: Location/Department: Event Coordinator Name: Phone Number and E-Mail: Event Name: Event Description: Event Location: Events Date(s) and Times: Event documentation, applications and approvals complete? ( Yes (attach) ( No ( N/A Please describe the following as they pertain to your event: Describe transportation arrangements and applicable liability insurance: Describe overnight arrangements: Describe background checks that have been performed for all group leaders. Describe how event travel, purchases, transportation, and coordination adhere to University policies. Describe how University conduct policies and procedures, including drug and alcohol policies, have been provided and explained to participants and participating staff. Please provide a copy of the proposed waiver for the event including a description of potential risks which the participants may encounter that may pose additional risks such as mountainous terrain, exposure to animals, snow activities, high-altitudes, sports, etc. For overnight trips and out-of-country trips, describe how the participants have been provided travel safety and preparation, detailed itineraries, and cultural orientations. Describe the emergency response plan (or attach written plan) and the training and preparation the Event Coordinator(s) and group leader(s) have received to implement the plan. Describe the First Aid training/certification for staff and the first Aid equipment which will be taken on the event. If possible, has a safety walk-through of the facility(ies) been performed? If so, please describe what adjustments have been made to help minimize risks/injuries (Consider: fire-safety; excessive noise levels; slip/trip/fall hazards such as uneven, wet, unstable surfaces; protruding or sharp objects; temperature/weather extremes; secure overhead objects; escape routes/exits/hallways clear, etc.): Have all permits (open space, etc.), permissions, licenses, proof of insurance, etc. been considered and obtained/provided? List: Are there other potential risks that you would like to or discuss with Risk Management? 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