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Chipstead Place Lawn Tennis Club

 

HS 3.4.5 - Risk self-assessment form for coaches

 

 

 

 

Date of check/session

 

 

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.

 

1.YES     NO

2. YES     NO

3. YES     NO

4.YES     NO

5.YES     NO

 

1.YES     NO

2.YES     NO

3. YES     NO

4.YES     NO

5.YES     NO

 

1.YES     NO

2.YES     NO

3. YES     NO

4.YES     NO

5.YES     NO

 

1.YES     NO

2.YES     NO

3. YES     NO

4.YES     NO

5.YES     NO

 

1.YES     NO

2. YES     NO

3. YES     NO

4.YES     NO

5.YES     NO

 

1.YES     NO

2. YES     NO

3. YES     NO

4.YES     NO

5.YES     NO

 

1.YES     NO

2.YES     NO

3. YES     NO

4.YES     NO

5.YES     NO

 

1.YES     NO

2.YES     NO

3. YES     NO

4.YES     NO

5.YES     NO

 

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:

 

1. ______________________________________________________________________

 

 

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2. ______________________________________________________________________

 

 

    ______________________________________________________________________

 

 

    ______________________________________________________________________

 

 

3. ______________________________________________________________________

 

 

    ______________________________________________________________________

 

 

    ______________________________________________________________________

 

 

4. ______________________________________________________________________

 

 

    ______________________________________________________________________

 

 

    ______________________________________________________________________

 

 

5. ______________________________________________________________________

 

 

    ______________________________________________________________________

 

 

    ______________________________________________________________________

 

 

 

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