Aquatic Activity Risk Assessment And Management Form Page 2
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2RISK RATING
A risk management plan must be implemented if low, moderate or high risk is identified:
Key risk factors:
Level of risk:
0‐2 ticks apply to the activity
Low risk
3‐5 ticks apply to the activity
Moderate risk
6‐7 ticks apply to the activity
High risk
MINIMUM RATIOS
RISK ASSESSMENT
(water safety personnel : participants)
(Please circle
Low risk is
Moderate risk is
High risk is
corresponding ratio)
assessed
assessed
assessed
N/A
UNQUALIFIED
1:5
1:4
Activity to be
Participant number is under
PARTICIPANTS
cancelled
5.
Only water safety supervisor
required.
QUALIFIED
1:12
1:12
Activity to be
Participant number is under
PARTICIPANTS
cancelled
12
(SRC/BM Holders)
Only water safety supervisor
required.
RISK MANAGEMENT
If any of the above points are assessed as risks, the water safety supervisor must employ actions to minimise or
eliminate the risk.
Please tick the action undertaken to minimise risk
Comments:
/
Increasing the minimum
standard ratios
/
Moving the event to
another location that
presents less risk
/
Delaying, postponing or
cancelling the event
/
Ensuring a full patrol is
available
/
Increasing the number of
rescue power craft (as
appropriate)
/
Other
(Please state)
/
Other
(Please state)
WATER SAFETY SUPERVISOR INFORMATION
Water Safety Supervisor
Name:
Water Safety Supervisor
Signature:
Page 7 of 7
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