Chipstead Place Lawn Tennis Club
HS 3.4.5 - Risk self-assessment form for coaches
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Date of check/session
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Playing/Training Area
Check that the area and surroundings are safe and free from obstacles.
1. Is the area fit and appropriate for activity? If no, please outline the hazard, who may be at risk and action taken, if any. |
Equipment
Check that it is fit and sound for activity and suitable for age group/ability
2. Is the equipment safe and appropriate for activity? If no, please outline unsafe equipment, who may be at risk and action taken, if any. |
Performers
3. Are the registers up to date with medical information and contact details? If no, please outline current state and action taken, if any.
4.Are players /coaches appropriately attired and safe for activity? If no, please outline unsafe attire and action taken, if any. |
Emergency Points
5. Check that emergency vehicles can access facilities, and that emergency numbers and the address and postcode of the club are clearly displayed in the clubhouse. |
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1.YES NO |
2. YES NO |
3. YES NO 4.YES NO |
5.YES NO |
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1.YES NO |
2.YES NO |
3. YES NO 4.YES NO |
5.YES NO |
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1.YES NO |
2.YES NO |
3. YES NO 4.YES NO |
5.YES NO |
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1.YES NO |
2.YES NO |
3. YES NO 4.YES NO |
5.YES NO |
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1.YES NO |
2. YES NO |
3. YES NO 4.YES NO |
5.YES NO |
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1.YES NO |
2. YES NO |
3. YES NO 4.YES NO |
5.YES NO |
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1.YES NO |
2.YES NO |
3. YES NO 4.YES NO |
5.YES NO |
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1.YES NO |
2.YES NO |
3. YES NO 4.YES NO |
5.YES NO |
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1.YES NO |
2.YES NO |
3. YES NO 4.YES NO |
5.YES NO |
If you ticked “NO” to any of the above questions please provide details for your answer below against the appropriately numbered questions:
Date:
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3. ______________________________________________________________________
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4. ______________________________________________________________________
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5. ______________________________________________________________________
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