Excursion planner template
This template contains the minimum requirements. Schools may use the OneSchool Excursion planner or an
alternative form that meets or exceeds these minimum requirements.
For overseas travel see the International school study tour guidelines (DoE employees only).
Activity details
Activity name: Fitzroy River Excursion Venue: Rockhampton Fitzroy River
Teachers / leaders / supervisors: Miss Carly Stock
Relevant experience or expertise of volunteer supervisors : River/weather expert
Overall activity description including educational aims: Students will investigate changes in local features such as
how flooding, droughts and climate change can impact ecological systems and cause changes to the
landscape.
Class groups: 1C Number of students: 24 Male: 10 Female: 14 Supervision ratio:
Activity consent form drafted and attached Yes No
Risk assessment for this excursion completed and attached Yes No
Itinerary
Start date: 5/11/19 Depart school: 8:50 am Arrival venue: 9:00 am
Finish date: 5/11/19 Depart venue: 11:15 am Arrival school: 11:30 am
Overnight accommodation
Details: N/A
Venue suitability assessed and risk management processes applied Yes No
Participation
Are there any students not participating in this activity? Yes No
If so please explain why (noting that excursions are curriculum related and should be designed for all students to
participate): N/A
What arrangements are being made for them? If for any reason students can not participate in the excursion (e.g.
late or no payment, no permission form completed and returned, student appointment prior to school) students
will remain at school and join 1A in usual school activities. Suitable activities will be provided to 1A teacher for
1C students to complete during this time.
Please confirm that an out of hours contact for the principal (or principal's nominee) has been identified.
Out of hours contact name: Mr Principal
Contact's telephone number: 04XX XXX XXX
Transport
Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
http://ppr.det.qld.gov.au to ensure you have the most current version of this document.
Page 1 of 3
Mode Provider/details Certification requirements Yes No
Bus Blue Buses Operator accreditation current. Bus with seatbelts.
Private car School excursions and international school study tours
requirements met.
Train (If Qld Rail, no checks required)
Boat Certificate of operation and certificate of survey current.
Aeroplane If commercial airline, no checks required
Other
Costs (Information on taxation and student costs is available to departmental employees.) Attach a separate table of
calculation if appropriate.
Items Cost ex GST GST of item Details
Transport $6.38 $0.63 $7.00
Venue $ $
Catering $ $
Other costs $ $
$ $
Cost for each student: $6.38 $0.63 $7.00 Total
TOTAL:
GST assessment
Based on the activities and % estimates outlined in activity details, and for the purpose of GST, I, Mr Principal, being Principal of Rockhampton State
Primary School, have determined that the purpose of this excursion (tick one box): is curriculum or predominantly curriculum OR is
recreational or predominantly recreational
GST is to be processed per the ‘Excursions’ tax topic available on OnePortal. Charges to the students to include GST where
applicable.
Approval
Approved as submitted:
Approved with the following condition(s):
Not approved for the following reason(s):
By: Designation:
Information has been entered in the register of approved school excursions. Reference no :
Signed: Date:
Attachment 1
Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
http://ppr.det.qld.gov.au to ensure you have the most current version of this document.
Page 2 of 3
The following checklist is to assist you to identify the appropriate equipment, hazards/risks and control measures to
be considered prior and during an excursion. They are not exhaustive lists and you may choose to add additional
considerations.
Minimum equipment/facilities For any items not ticked, provide further information.
First aid kit suitable for activity
Emergency and first aid requirements and personnel in place for duration of excursion.
Communication system: e.g. mobile phone, phone-line at location, walkie talkies/UHF radio
Clothing suited to weather conditions (e.g. sun protection)
Drinking water (students should not share drinking containers)
Fire restrictions have been checked with local fire authority as appropriate
Permission has been obtained from property owners where property will be traversed
Risk assessment
When planning the excursion adhere to the Managing risks in school curriculum activities procedure and consider
the following questions:
Which students will be involved? What will the students be doing?
Where will the students be? Who will be leading the activity?
What will the students be using?
Hazards/risks Example control measures
Consent Obtain parental consent, including relevant medical information.
Student safety Blue Card requirements met.
Consider whether students will come into contact with people other than school staff
(e.g. shared use of venues, use of public toilets) and how this will be managed.
Student Ensure that venues and facilities are accessible to all students including those with
considerations disability.
Refer to relevant student management/behaviour plans or other student records.
Seek advice from relevant staff (e.g. advisory visiting teachers or specialist teachers).
When students with medical conditions are involved, ensure that relevant
medical/emergency plans and medications are readily available.
Briefings Ensure that all supervisors are aware of the emergency contingency plans.
Brief supervisors prior to departure regarding any potential hazards and safety
controls.
Brief students prior to departure on any potential hazards and safety controls.
Further information
Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
http://ppr.det.qld.gov.au to ensure you have the most current version of this document.
Page 3 of 3