APPENDIX 4
FIELD TRIP SAFETY REPORT

Field Trip Safety Report in PDF format
Field Trip Safety Report in MS Word format

(to be filled out by trip leader and filed with LOC Safety Officer or
Appropriate Section/Division Head or designate within 2 weeks of the end of the trip)

Example of a completed Field Trip Safety Report Form


 

Field Trip Name          _________________________________________________

Dates                         _________________________________________________

Field Trip Leader       _________________________________________________

Describe any safety-related incidents that occurred on the trip:
 

Nature of the incident  Nature of the response  Injury response if any

 

 
 

     
 
 
 

 

     

 
 
 

 

     

Describe any safety-related issues that arose during or as a result of the trip:
 
 
 
  Are there any measures you can recommend to avoid similar issues on other GAC/MAC field trips?
 
 
 
  How can GAC/MAC improve its safety program?

 

 

Last modified: May 2, 2010
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