Just fill in as much info as you can - give us a call if you have any questions.
What is the title of the event?
What is the date of your event?
What is the start time of your event? (24 hr format eg 1415)
What is the finish time of your event? (24 hr format eg 2145)
What is the full address of the venue of the event?
Does the event have a website dedicated to it? What is the website address?
What is your name?(required)
What is your email address?(required)
What is your telephone number?
What is your postal address?
Has the event been staged before?
Yes
No
Has a general risk assessment of the event been made?
Yes
No
Will there be toilets available during the event?
Yes
No
What is the total number of people on site during the event?
Additional Information
Medical Risk Assessment
What type of event is it?
Agricultural/County Show
Aviation
Bonfire/Pyrotechnic display
Boxing/Martial Arts
Classical Performance
Dance Event
Marine
Motorcycle Display
Motorsport
Music Festival
New Year Celebration
Public Exhibition
Sports Event
State Occasions
VIP visits/summit
Location and Venue
Indoor
Stadium
Outdoor in confined location e.g. park
Other Outdoor, e.g. festival
Widespread public location in streets
Temporary outdoor structures such as grandstands etc.
Includes overnight camping
Standing or Seated
Seated
Mixed
Standing
Audience Profile
Full mix, in family groups
Full mix, not in family groups
Predominately young adults
Predominately children and teenagers
Predominately elderly
Full Mix with rival factions
Past History
Good data, low casualty rate previously (Less than 1%)
Good data, medium casualty rate previously (1%-2%)
Good data, high casualty rate previously (more than 2%)
First event, no data
Expected Numbers of
Less than 1000
Less than 5000
Less than 10,000
Less than 20,000
Less than 30,000
Less than 40,000
Less than 60,000
Less than 80,000
Less than 100,000
Less than 200,000
Less than 300,000
Expected Queuing
Less than 4 hours
More than 4 hours
More than 12 hours
Time of Year
Summer
Autumn
Winter
Spring
Proximety to the nearest A&E
Less than 30 mins by road
More than 30 mins by road
Profile of definitive care
Choice of A&E departments
Large A&E departments
Small A&E departments
Additional Hazards
Carnival
Helicopters
Motor Sports
Street Theatre
Not Applicable
Additional Info
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