Event Risk Assessment Form
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PPENDIX
E
R
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F
VENT
ISK
SSESSMENT
ORM
(To be completed and submitted by the Friday, two weeks prior, to your event to the VP Activities and Event by 4pm, SUB 408)
All events must abide by and follow the St FX Community Code, Harassment Policy, Alcohol Policy, Hazing Policy, as well
as the St FX Students’ Union By-Laws and Policy Manual
PART I: RISK ASSESMENT
To be completed by Primary Event Organizer:
Please circle all that apply:
Alcohol
No Alcohol
Prior to Event
At Event
Travel
Within Nova Scotia
Within Canada
Outside of Canada
Hockey, Skiing, Rock Climbing,
Physical Activity
Walking, No activity
Dancing, Skating Running, etc.
etc.
Community Relations
Event on-campus
Event in Town of Antigonish
Event out of Town of Antigonish
Food Risk
No Food/Sodexo Catered
Externally Catered
Prepared by Group
PART II: PRIMARY EVENT ORGANIZER (PEO) INFO: MUST HAVE RISK ASSESSMENT TRAINING
AND ATTEND EVENT
Name: ____________________________________ Position:_______________________________________________
PEO Telephone # during the event: ________________________Email:_______________________________________
Name of Event: ________________________________________Hosting Group: _______________________________
Event Date(s): ____________________________________Start/End Time: ____________________________________
Description of Event: (attach separate sheet with itinerary) – Outline: The what, complete schedule, list of awards, etc.
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
General Information:
PART III: GENERAL INFORMATION
Number of Persons Attending: _________________
Will Guests be attending from outside the sponsoring student group? Yes
No
If yes, check all that apply:
Other StFX
Non StFX Students
Faculty/Staff
Non StFX Students (19+)
Local Community
Students
(Under 19)
StFX ID Required
Government ID Required
Is this event Off Campus? YES
NO
Venue and/or Location of Event: __________________________________
Yes
No
Does venue handle security? If Yes, please attach security plan.
If No, please explain: ___________________________________________________________
Alcohol Involved? YES
NO
If yes check all that apply:
Prior to Event
At Event
Dry Event
License Obtained
All guest 19+
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