Community Outing Risk Assessment Form
Evaluate and manage potential risks for your upcoming community outing or group event.
Event Name
*
Date of Outing
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Location
*
Organizer's Full Name
*
First Name
Last Name
Organizer's Email Address
*
example@example.com
Organizer's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Estimated Number of Participants
*
Identify and Assess Potential Risks for the Outing
*
Rows
Risk Description
Likelihood (1=Low, 5=High)
Impact (1=Low, 5=High)
Risk 1
1
2
3
4
5
1
2
3
4
5
Risk 2
1
2
3
4
5
1
2
3
4
5
Risk 3
1
2
3
4
5
1
2
3
4
5
Describe Mitigation Strategies for Identified Risks
*
Do you have a first aid kit and emergency plan for the outing?
*
Yes
No
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please rate the overall risk level for this outing
*
Low
1
2
3
4
High
5
1 is Low, 5 is High
Submit Assessment
Should be Empty: