| HideElements | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
In order to successfully complete your EOTC please complete these simples steps
- Before starting refresh your browser page, this reconnects you to the server
- Only complete the questions in RED. Then press save.
- Then head to the EOTC calendar page located on your school's landing page
| Info |
|---|
For instructions on completing this form visit How to Complete EOTC Forms |
| ConfiForms (FormView) Registrations Control | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Adult Helpers | Date Of Birth | WWCC Number |
|---|---|---|
| Other Teachers: | ||
Upload Adult Helper List: | ||
list Upload Student List
The Student list MUST include First Name, Last Name, Academic Year, Sex and Significant Medical needs.
PLEASE READ BEFORE ATTACHING STUDENT LIST
in order for the file to be saved, it must be a unique name. To help with this please include the class, excursion title, file type, school and year. For example, 5R Bike Day class list Port Macquarie 2019. If you don't do this there is a chance the file won't save correctly to confluence.
3.3
3.3 EOTC Budget Summary
Please complete the Budget Summary below or upload the budget below. Totals will not be seen here but can be seen in FORM RESULTS once the form is submitted.
Please note that this is ONLY for budget income and expenses. NOT for general student or school count.
Budget Upload
Income | Number of students | Income per student ($) Please enter number value only | Total ($) |
|---|---|---|---|
Student | |||
School | |||
Fundraising | |||
Other | |||
Total Income | |||
Expenses | Number of Students | Cost per student ($) Please enter number value only | Total ($) |
Accommodation | |||
Food | |||
Transport | |||
Activities | |||
Other | |||
Total Expense | |||
Surplus / (Deficit) |
3.4
3.4 EOTC Activity Plan / Itinerary
Either upload Activity Plan / Itinerary OR Fill in the form below.
PLEASE READ BEFORE ATTACHING ACTIVITY PLAN/ITINERARY
in order for the FILE to be saved, it must be a unique name. To help with this please include the class, excursion title, file type, school and year. For example, 5R Bike Day Intinerary Port Macquarie 2019. If you don't do this there is a chance the file won't save correctly to confluence.
Date/Time | Activity | Location |
|---|---|---|
Contingency Plan if for some reason the above activities cannot continue as planned. | ||
3.5
3.5 EOTC Internal Risk Analysis and Management (RAM) Plan
Risk Assessment Matrix | ||||
Severity*: How serious could the injury be? | Likelihood**: How likely is it to be that serious? | |||
Very unlikely | Unlikely | Likely | Very likely | |
Death or permanent disability | 3 | 2 | 1 | 1 |
Long term illness or serious injury | 4 | 3 | 2 | 1 |
Medical attention and several days off | 5 | 4 | 3 | 2 |
First aid needed | 6 | 5 | 4 | 3 |
Where applicable, upload additional insurance cover
PLEASE READ BEFORE ATTACHING INSURANCE
in order for the file to be saved, it must be a unique name. To help with this please include the Orginal filename, class, excursion title, school and year. For example Insurance Document 5R Bike Day Port Macquarie 2019. If you don't do this there is a chance the file won't save correctly to confluence.
Either upload RAM plan OR fill in the form below
PLEASE READ BEFORE ATTACHING RAM PLAN
in order for the file to be saved, it must be a unique name. To help with this please include the class, excursion title, RAM, school and year. For example 5R Bike Day RAM Port Macquarie 2019. If you don't do this there is a chance the file won't save correctly to confluence.
Activity and Hazard (identify the risky activities) | Initial Risk Rating | Control Measures (how will you control the risk) | Final Risk Rating | Who is responsible to implement the control measures |
|---|---|---|---|---|
3.6
3.6 EOTC Third Party Provider Register
Provide a list of all external providers who will provide services to students on this trip. Attach the company's risk assessment and management plan for each activity. For each third party person who will be directly working with children, please list Name, Date of Birth, and WWCC number.
Company Name: | ABN: | |||
|---|---|---|---|---|
Service/s provided | Initial Risk Rating | Final Risk Rating | RAM Uploaded | |
Company Name: | ABN: | |||
Service/s provided | Initial Risk Rating | Final Risk Rating | RAM Uploaded | |
Company Name: | ABN: | |||
Service/s provided | Initial Risk Rating | Final Risk Rating | RAM Uploaded | |
Company Name: | ABN: | |||
Service/s provided | Initial Risk Rating | Final Risk Rating | RAM Uploaded | |
Company Name: | ABN: | |||
Service/s provided | Initial Risk Rating | Final Risk Rating | RAM Uploaded | |
Please upload a list of ALL helpers that will be involved containing their Name, Date of Birth and WWCC Number.
PLEASE READ BEFORE ATTACHING THIRD PARTY WWCC LIST
in order for the file to be saved, it must be a unique name. To help with this please include the class, excursion title, file type, school and year. For example, 5R Bike Day 3rd party wwcc Port Macquarie 2019. If you don't do this there is a chance the file won't save correctly to confluence.
3.7
3.7 EOTC Emergency Plan
Name of staff member who will take charge | ||
Name of staff member(s) with first aid skills | ||
Outline your plan of how you will respond to an emergency. ie. What will your immediate actions be, and whom will you contact to seek assistance from? | ||
| List Local Emergency Service Contacts and Locations: | |||
| Police Station Location | Contact No. | ||
| Hospital Location | Contact No. | ||
| Other Useful Location/s | Contact No. | ||
Who have you arranged with from school to act as a contact person? | ||
Emergency Equipment Checklist (Tick the box when taken care of) | ||
Are you taking a First Aid Kit? | ||
Are you taking a Mobile Phone? | ||
Have you checked the student medical forms and noted any conditions you need to consider in your planning. For significant considerations, include these in the RAM form. | ||
| Is the activity in bushland or on the ocean? If so, are you taking: | ||
| a EPIRB? | ||
| a Satellite Phone? | ||
Upload any Additional Emergency Plan Documents
PLEASE READ BEFORE ATTACHING ADDITIONAL EMERGENCY PLAN
in order for the file to be saved, it must be a unique name. To help with this please include the class, excursion title, file type, school and year. For example, 5R Bike Day 3rd party Additional Emergency Plan Port Macquarie 2019. If you don't do this there is a chance the file won't save correctly to confluence.
3.8
3.8 EOTC Consent Letter
Upload Consent letter scanned in as ONE PDF document.
PLEASE READ BEFORE ATTACHING CONSENT LETTER
in order for the file to be saved, it must be a unique name. To help with this please include the class, excursion title, file type, school and year. For example, 5R Bike Day 3rd party Consent Port Macquarie 2019. If you don't do this there is a chance the file won't save correctly to confluence.
Sample
3.9
3.9 EOTC Medical Information
All excursion leaders MUST take a printed summary of student medical information. This can be accessed in MAZE or SEQTA.
For overnight and Overseas excursions an additional Medical Information Form is required from each student and adult participant. This form may be completed as a HARD or SOFT COPY as directed by the School.
Information provided will be treated with confidentiality. It will be used for the purpose of planning safe activities, or in the event of a medical situation arising at school or away on a trip.
submit Submit for Review
Bursar / Business manager:
Principal / Head of School / Authorised Delegate:
Director of Education:
GSE & SNSW: David Hobson
NNSW: Angela Brown
When you have completed the form and no longer need to edit it: Please check the box below and click SAVE. This will notify the relevant persons for review.
When the form is incomplete and you wish to continue to edit the form, simply click on save without checking the box below. You will then be able to access the form under FORM RESULTS where you will find an EDIT FORM button near the top to edit your submission.
When ready to submit, check the box below then click SAVE.