Educational Visits

Trip Form

Name of Trip: / Date(s) of Trip: (from and to)
Nature of Trip: Day Trip Overnight UK* Overnight Overseas*
* Require trip specific parental consent
Class/Group: / Female: / Male: / Age range:
Teacher in Charge: / Deputy Leader: / Chief First Aider: / Number of Adults:
Resume Completed:
Yes / No / Risk Assessment(s):
Yes / No / Parental Consent:
Date / Trip Info to Parents:
Date
Description of Trip:
Educational Purpose(s):
Main Activities:
Nature of Accommodation (if applicable):
Departure: / Return:
Time: / Day: / Date: / Time: / Day: / Date:
Location: / Location:

Destination(s) and Activity Centre(s)

Activity: / Date from: / Date to: / Operator:
Location/Postcode: / AALA Licence No: / Preliminary visit?
Yes / No / If NO, confirm preparations:
Activity: / Date from: / Date to: / Operator:
Location/Postcode: / AALA Licence No: / Preliminary visit?
Yes / No / If NO, confirm preparations:
Activity: / Date from: / Date to: / Operator:
Location/Postcode: / AALA Licence No: / Preliminary visit?
Yes / No / If NO, confirm preparations:
Back-up Plan:
It is assumed that if the trip cannot take place, you will remain at school. What will happen if the trip is interrupted early? Describe how you would transport pupils away safely, contact parents and the school and pay for unexpected demands.

Travel Arrangements

 Walking /  Cycling /  Train /  Plane /  Public Bus /  Taxi /  Coach & Driver
 Parent/ Volunteer Private Car(s)
If Parent/ Volunteer Private Car(s) are in use, confirm that the Guidance for Use of Private Vehicles has been distributed. / Yes / No
 Staff Private Car(s)
If Staff Private Cars are used, please confirm that business cover insurance is in place for all: / Yes / No
 Self-drive Minibus
Drivers hold a minibus driving qualification approved by the school: / Yes / No
Teacher in Charge and all minibus drivers have read the Minibus Policy: / Yes / No
Collision damage waiver is in place: / Yes / No
Name(s) of Minibus Driver(s) / Copy of Driving License on File
Yes / No
Yes / No
Yes / No
Yes / No

Adults Attending

Role / Name / Qualifications / Mobile / Volunteer? / DBS Date
Teacher in Charge
Deputy Leader
First Aider / Level
Cook / Level
Fire Marshall / Level

Group Leader

Suggested date and time for a trip review with the H&S Officer:
I will keep the trip paperwork in:
I confirm that I will communicate the emergency procedures to all other adults in the group and will ensure that they understand them: / YES / NO
Signed: / Date:

Health & Safety Officer

Signed: / Date:

Rev 17 July 20161/2