Event Safety Clearance

EVENT SAFETY CLEARANCE FORM

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1
Name of Event
Type of Event
Start Date of Event
End Date of Event

Total Number of Days: [ field53 - field2 + 1] 

Event Start Time
Event End Time
Name and Address of Event Venue
Social Center Number of Event Venue
Local Governement Area
Event Organiser
Estimated GuestsNumbers of Guest you're expecting
Venue CapacityThe Venue Occupant Capacity
Event Organiser's Address
0 /
Phone Number
Type of Event
Available Parking
Completed Byyour full name
Has due consideration been given to?
Risk Assessment For Your Event?pick one
Health & Safety Plan For This Event?pick one
Document Detailing The Event- Including Schedule Of Activities, Details Of Acts/Entertainers, Times Etc.?pick one
First Aid Plan- First aid base, Ambulance, details of staff, liaison with local Dr's/ health center/hospital?pick one
Traffic And Pedestrian Routes, Emergency Access And Exit?pick one
Emergency Plan-Evacuation Procedures, Crowd Control, Assembly Points?pick one
Police And Stewarding Positionspick one
Safety Of Flammable Liquids Or Materials To Be Used?pick one
People With A Disability-Access Issues/Seatingpick one
Children Attending Your Event?pick one
Adequate Lightingpick one
Checks On Gas/Electrical Equipment On Sitepick one
Sanitary Facilities/Waste Managementpick one
Special Effects - Fireworks, Fog, Smoke and Pyrotechnicspick one
Crowd Safety/ Performers Safety?pick one
Event Certifications
Security Arrangement with a licensed security outfit.upload jpg, png, gif or pdf file
Upload
Evidence of General Liability insurance Coverage for bodily injury and property damage.upload jpg, png, gif or pdf file
Upload
Covid-19 Guidelines
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