Take the Completed Form with You on the Field Trip

Fieldwork Risk Assessment Form RARN: 16/117

The Field trip Leader must complete this Fieldwork Assessment Form. This provides a mechanism for: capturing emergency contact details; aiding the organisation of supplies and equipment; ensuring relevant risk assessment and control strategies have been considered and are in place; and documenting approval. An electronic copy of the form and all approvals will be retained in a fieldwork register by each participating element’s administration area.

Take the completed form with you on the field trip

FIELD TRIP PROJECT TITLE: Water/sediment sample collection at Mon Repos

FIELD TRIP LEADER: Hannah Allan

STATUS: ☐ Staff ☒ PG / Hons Student (Fred Leusch and Jason Van de Merwe)

FIELDTRIP DETAILS

1.  At Attachment 1, add a map detailing all work areas and camp sites.

2.  Fieldtrip Leaders involved in diving activities shall refer to the Diving Safety Policy and Procedures Manual (located in the Boating and Diving Team Place intranet site) and submit additional activity-specific documents.

3. Describe the principal work methods and any hazardous equipment that will be used in the space below. If additional space is required, then place this information after the map.

DATES: At Attachment 2, add an itinerary/accommodation details (including flight itinerary if applicable). Include contact numbers for land owners/local National Parks & Wildlife centre where applicable.

Date & time of departure / 26/2/16 9am
Date & time of return / 28/2/16 6pm

CALL-IN CONTACT

Name / Contact Number/s / Schedule (as discussed with Call-In Contact)
Fred Leusch / number redacted> / Call/text at 17:00 each day (+/- 1 hour), and upon return to Gold Coast campus

GRIFFITH UNIVERSITY EMERGENCY CONTACTS

Call in the following order until contact is established:

1.  Element Contact (select your element): ☒ARI Nadine Painter 0434 171 636 ☐ EFRI ☐ ENV

2.  GU Security: (07) 3735 7777 (N) / (07) 5552 7777 (GC)

Note: Phone numbers for Element Contacts can be found in the Emergency Response Procedures (Appendix 1)

PARTICIPANT EMERGENCY CONTACTS: Include every participant’s next of kin (add more rows to table if necessary)

Participant / Participant Contact No / Status / Date of first aid training / Emergency Contact Name/s / Emergency Contact Phone Number/s
Hannah Allan / no. redacted> / FL/D/F/Proj / 11/2/16 / name redacted> / no. redacted>
Sophie Doell / no. redacted> / PG (hons)/F / 9/11/15 / name redacted> / no. redacted>

Status*: FL = Field trip leader; NL = New FL§; S = University Staff; PG = Postgraduate; Proj = Project Student; D = Driver; VM = Vessel Master;

F = Qualified first aider, i.e. holds ‘Provide First Aid’ certificate; V† = Volunteer; O = Other (participant from another organisation with own insurance)

*All participants must submit a Medical Information form (Appendix 1);§ This person will be a future FL on this project; †If V, submit a Volunteer form also (Appendix 2)

TRANSPORTATION DETAILS

Vehicle (make, model, type) / Subaru Forester 1998
Registration Number / 307-TKU
Do all nominated drivers hold a valid licence? (Y/N) / Y
If vehicle is a 4WD, have all nominated drivers completed basic 4WD training? (Y/N) / N/A

COMMUNICATION DEVICES / NUMBERS

Device / Number
Mobile number of Field trip leader (if different to above) / no. redacted>
Satellite phone / N/A
Emergency position indicating radio beacon (EPIRB) / N/A
Personal locating beacon (PLB) / N/A
Other (e.g. radio) / N/A

IN-FIELD EMERGENCY PROCEDURE

Describe the in-field emergency response / procedures

List of ALL GU Equipment Taken on Fieldtrip:

APPENDICES AND CHECKLISTS

Appendix 1, Medical Information Form

Appendix 2, Volunteer Staff Member Registration Form

Appendix 3, Checklist: Typical Safety Equipment / Provisions

Appendix 4, Checklist: Potential Hazards (includes first aid instructions for bites / stings)

Appendix 5, Checklist: Fieldtrip Leader

Inappropriate behaviour by staff and students is covered in the following policy documents available from http://policies.griffith.edu.au/by-title/a-z-of-all-policies

·  Staff: Code of Conduct

·  Students: Student Misconduct Policy and Student Misconduct Procedures

Fieldwork Emergency Response Procedures

Risk Assessment Matrix

Table of Risk Rating

Likelihood / Consequences
Insignificant
No injuries / Minor
First Aid treatment / Moderate
Medical treatment / Major
Serious or extensive injuries / Catastrophic
Death or large number of serious injuries
Almost Certain / Low / Medium / High / High / Extreme
Likely / Low / Medium / Medium / High / High
Possible / Low / Low / Medium / Medium / High
Unlikely / Low / Low / Low / Medium / Medium
Rare / Low / Low / Low / Low / Medium

Likelihood

Likelihood rating
The number of times within a specified period in which a risk may occur either as a consequence of business operations or through failure of operating systems, policies or procedures.
Rating / Description / Occurrence / Probability
Almost Certain / Expected to occur in most circumstances / Multiple / 12 months / > 80%
Likely / Strong possibility of occurrence / Within 12 months / 61% – 80%
Possible / May occur occasionally / Within 5 years / 31% – 60%
Unlikely / Not expected to occur but may happen / Within 10 years / 5% – 30%
Rare / May only occur in exceptional circumstances / >10 years / < 5%

Table of Management Action

Risk Score / What should I do?
Extreme / Immediate action required
High / Action plan required, senior management attention needed
Medium / Specific monitoring or procedures required, management responsibility must be specified
Low / Manage through routine procedures. Unlikely to need specific application of resources

Field Assessment Form, v7.0, 25 November 2015.

Prior permission of Griffith University required before use of document outside the Griffith University context.

Fieldwork Risk Assessment Form RARN: 16/117

Detailed Risk Assessment of Field Operations

Refer to ARI/ENV Risk Registers for guidance in completing risk assessment.

Refer to Risk Assessment Matrix for descriptors.

Hazard / Initial Likelihood / Initial Consequence / Initial Risk / Control Measures / Controlled Likelihood / Controlled Consequence / Controlled Risk
Vehicle accident / Possible / Major / Med / Drivers must operate vehicles lawfully, be vigilant of other drivers and drive in a defensive and responsible manner. Ensure all personnel are wearing seat belts correctly. Ensure good visibility for oncoming traffic with lights on. Drive to road conditions and take regular rest stops (15 minutes for every 2 hours). Have comprehensive insurance. / rare / major / Low
Motor vehicle breakdown due to improper maintenance / Possible / Mod / Med / Vehicle should be regularly serviced and maintenance records kept
Vehicle checklist to be completed by driver before trip
Particularly check oil & water and condition of tyres & spares / Rare / Mod / Low
Slips, trips and falls / Possible / Mod / Med / Wear appropriate clothing and footwear for the conditions.
Be vigilant when working in slippery/muddy/wet/unstable conditions
Wear head torches to aid in avoidance of obstacles while working at night. / unlikely / minor / Low
Muscular strain or other injury from lifting / carrying luggage / Possible / Minor / Low / Safe lifting practices using aids where possible. Carrying as minimum load as possible. Carrying in pairs where possible. / Unlikely / Minor / Low
Sunburn/dehydration/ heatstroke / Likely / Major / High / PPE: Wear protective clothing/ sunscreen/ hat
Carry sufficient water
Check weather conditions before departing & monitor during trip / rare / minor / Low
Theft from accommodation / Possible / minor / Low / Only carry necessary valuables on public transport and secure valuables so cannot be easily taken
Avoid high risk areas / rare / minor / Low
Cuts/abrasions/bruising / Likely / Mod / Med / Wear protective clothing & footwear
First aid kit and training / unlikely / minor / Low
Bites/ stings/ allergic reactions due to insects/ ticks/other biting organisms and stinging plants / Likely / Major / High / PPE: Wear protective clothing and insect repellent.
Record any allergies before trip, those members with allergies to inform others & take precautions as per medical advice.
First aid kit & training
● TICK ALERT - all fieldworkers in riparian areas to check each other for ticks at the end of the day.
Tick bites can have long term health consequences. If anyone is bitten, remove tick with sharp tipped forceps and keep tick, placing in plastic bag from first aid kit. Record date and time on bag and freeze on return to GU. . Treat bite with antiseptic such as Betadine and make sure it is reported as an incident in GSafe. / unlikely / minor / Low
Illness or allergic reaction to water containing toxic substances / possible / Maj / Medium / Notification of relevant immunisations (eg. Tetanus/ Hepatitis).
PPE: protective clothing/ gloves / eye protection; if needed full face shield
Disinfectant hand-wash / rare / mod / Low
Dangerous organisms: venomous snakes/spiders; venomous marine creatures/ spines; non-venomous bites / possible / Maj / Medium / Review known local hazardous organisms (e.g. snakes)
Wear appropriate protective clothing. Walk with diligence. Make all personnel aware of the closest emergency medical location (hospital, doctor’s surgery etc.).
First aid kit and training: include compression bandages / rare / major / Low

Add as many additional rows as necessary

Field Assessment Form, v7.0, 25 November 2015.

Prior permission of Griffith University required before use of document outside the Griffith University context.

Fieldwork Risk Assessment Form RARN: 16/117

APPROVALS

Field trip leader

Emailing this document to the Risk Assessment Reviewer indicates that you understand your responsibilities as outlined in the Guide to Field Trips for Elements in the Environmental Sciences, Part 1: Research Activities, and this document. It is also understood that any amendments to the Detailed Risk Assessment of Field Operations will be completed to the satisfaction of the Risk Assessment Reviewer.

Risk Assessment Reviewer

Is the fieldwork risk assessment and control complete? ☒ Yes ☐ No

If no, indicate why:

Are the control measures appropriate for the hazards identified? ☒ Yes ☐ No

If no, what additional control measures are required?

Assessed by Risk Assessment Reviewer: David Camp on 24 Feb 2016

Following review, email this document to the HDR Supervisor; cc Field trip leader, HoS/DHoS, and admin staff in the research element and School

PhD / Honours Supervisor

Your agreement acknowledges you have understood the risks and control measures, and consent to your HDR student’s participation in the fieldtrip.

Email your approval to the HoS/DHoS-ENV; cc Field trip leader, Risk Assessment Reviewer, and admin staff in the research element and School

HoS or nominee

Email your approval and the attached Fieldwork Assessment Form to the Field trip leader, Risk Assessment Reviewer, HDR Supervisor, and administrative staff responsible for maintaining electronic/hard copies in the research element and School

Attachment 1. Map detailing all work areas & campsites

Samples taken from surrounding wetland area and beach area

Accommodation is at Mon Repos Conservation area Research Centre

Attachment 2. Itinerary/accommodation details

Include flight itinerary if applicable.

Include contact numbers for land owners/local National Parks & Wildlife centre where applicable.

Dates Friday 26/02/16- Sunday 28/02/16

·  Leave GC at 9am, ETA 3pm at Mon Repos

·  Two nights camping at Mon Repos Conservation area Research Centre

·  Site exploration Friday afternoon and Saturday morning

·  Water sampling Saturday morning

·  Sand sampling Saturday afternoon/evening

·  Sunday morning pack up and complete any unfinished sampling

·  Depart Mon Repos at 12pm, ETA at GC 6pm.

Accommodation and Research Station contact details.

Accommodation will be within the Mon Repos research centre. Camping style accommodation is available where participants will bring their own tents and sleeping equipment. Full kitchen, bathroom, laboratory, and office facilities are available in two permanent structures at the location. This is also available for shelter in case of large storm events.

Address: Mon Repos Conservation Park, Mon Repos Road, Bundaberg, QLD.

Telephone: 07 4159 2628

Appendix 1. Medical Information for Fieldwork Activities Form

All participants undertaking official Griffith University fieldwork activities have an obligation to work safely in the field, taking reasonable care to protect their own health and safety, and that of any other Field Trip participants.

This Medical Information Form should be completed and submitted to the Field Trip Leader whenever a field trip participant has a medical condition that may;

·  require specific considerations in order to facilitate their participation in the Field Trip, or

·  require specific medical treatment under certain circumstances, or

·  impact their capacity to safely perform their allocated tasks.

All Medical Information for Fieldwork Activities forms are treated with an appropriate degree of security and confidentiality.

Note: regular participants in fieldwork need not complete a new form for each trip. However, they must complete a new form whenever their medical circumstances change.

NAME: / Hannah Allan
ADDRESS: / <redacted>
STATUS: / Volunteer ☐ / Griffith University Staff ☐ / Griffith University Student ☒ / staff / student ID number / S2885376
EMERGENCY CONTACT NAME: / Joanne Allan / PHONE: / <redacted>
Describe any medical condition that could incapacitate you in a field situation and/or require expert medical attention? Specify appropriate first aid treatment procedures.
N/A
Do you have any allergies or reactions to drugs (this includes natural therapies)? Yes ☐ No ☒
Specify:
Do you have any specific dietary considerations? Yes ☐ No ☒
Specify:
Do you have any specific requirements in order to facilitate your participation in this activity?
Eg: access to assistive technology, physical access to the environment, mobility assistance Yes ☐ No ☒
Specify
Date of last tetanus toxoid booster (immunisation is voluntary): October 2010
Detail any other matters or circumstances that may affect your participation in a field trip;
N/A
I, Hannah Allan , declare that the answers to the above questions are true, that I have not withheld any relevant information, and that I consider myself appropriately fit to participate in the specified fieldwork activities.
I understand that the University reserves the right to decline or limit participation in fieldwork activities by any person on medical grounds.
Signed: / / Date: / 19/02/2016

Appendix 2. Volunteer Staff Member Registration Form