revised November 2015

SCHOOL DISTRICT NO. 20 (KOOTENAY-COLUMBIA)

2001 Third Avenue, Trail BC V1R 1R6 – Phone 250.368.6434 / Fax 250.364.2470

FIELD TRIP & OFF-SITE EXPERIENCE CHECKLIST

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Administration process respected (ie, proposal submitted to appropriate administrator in time to be considered) Off-site experience accessibility/equipment policy addressed (ie, equal access; voluntary participation, if appropriate; special needs addressed; alternative activity for non-participants) Educational value of the trip is evident (ie, goals, student learning outcomes, curricular connections) Trip is appropriate for the students (ie, age/grade, preparation and follow-up) Duration of trip is appropriate and can be accommodated in the school calendar Destination or route adequately assessed (through pre-visit or other data collection) and appears appropriate Itinerary and activities are outlined and fit the objectives The group appears adequately prepared for trip (ie, knowledge, skills, attitudes, fitness, clothing, equipment) Information to be given to parents/guardians is appropriate for the trip/duration of trip Parent/Guardian information meeting date is planned, if holding one is appropriate for the trip (ie, overnight trip) Parent/Guardian consents to be collected (ie, consent to attend, consent to secure medical treatment) Relevant student health and medical information to be secured from parents (level 5 out of country trips require confirmation and documentation of out of country emergency medical insurance/coverage) Additional insurance needs addressed if relevant (ie, out of province medical, hospital care) Budget and financial arrangements appropriate (ie, financial accessibility, legality of any fees charged as per hardship policy) Transportation arrangements acceptable (type of vehicle and type of driver) and parent consent secured Number and gender(s) of supervisors and supervision plan are appropriate for group, activities and sites/areas Plan to ensure all participants are clear re: behavioural expectations and consequences If overnight stay, accommodation arrangements are acceptable (ie, hygiene, security) Leadership is competent to instruct/lead the particular group in the identified activity(ies) and environment(s) Safety Plan is appropriate (ie, procedures for managing the key inherent risks of the activities, environments and participants) Emergency Plan is in place to deal with injured/ill/lost/stranded participant(s) (ie, training, kits, communications equipment, back-up transportation, Emergency Services access Confirmation and presence of appropriate alternative contingency plan(s) if the trip/part of the trip can’t happen Destination contact and phone number (ie, outdoor centre, camp, local authorities) List of documents teacher will carry (ie, trip plan, permits, passenger lists, medical conditions, out of country medical coverage confirmation, and emergency contacts of participants) Office to receive copy of finalized trip plan, signed consent forms, passenger lists, and names of no-shows There is an appropriate plan in place to evaluate the trip (ie, criteria for success, process to evaluate) Other relevant information unique to the particular trip (specify):

Comments:

Name of Lead Teacher/District Employee Signature Date

(please print)

Name of Principal (please print) Signature Date

Additional Approval (as needed) Signature Date

(specify name and title) (please print)

Policy 1.9

Regulation 1.9.1R

Appendix B-1