Fillable CAMPUS EVENT SAFETY CHECKLIST (Lamar University)

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CAMPUS EVENT SAFETY CHECKLIST (Lamar University)

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The CAMPUS EVENT SAFETY CHECKLIST (Lamar University) form is 6 pages long and contains:

  • 2 signatures
  • 134 check-boxes
  • 86 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Lamar University

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Office of EHS & Risk Management
Facilities Management, 103
Tel: (409) 880-7115 Fax: (409) 880-2166
E-Mail: riskmanagement_ehs@lamar.edu
1 of 6
Lamar University
EHS & Risk Management
CAMPUS EVENT SAFETY CHECKLIST
Dept./Club/Organization: __________________________________ Phone #: ___________________
Address: ________________________________________ _______________ _____ ___________
Street Address City State Zip Code
Name of Event: _______________________________________ Date: ______________________
Event Time: Start _______ End __________ Event Location: __________________________________
Area Bldg. or Room #’s
Provide Detailed Description of Activities at the Event: __________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Estimated Attendance: _________________ Admission fees (if any): $_____________________
Outside Organization
University Sponsor Name:
_______________________
Tel: ___________________
Email: ________________
LU Club/Organization
Faculty Advisor Name:
_______________________
Tel: ___________________
Email: ________________
University Department
Event Coordinator Name:
______________________
Tel: __________________
Email: ________________
Office of EHS & Risk Management
Facilities Management, 103
Tel: (409) 880-7115 Fax: (409) 880-2166
E-Mail: riskmanagement_ehs@lamar.edu
2 of 6
SECTION A
APPLICANT CHECKLIST
Attach site plan/layout for event location
SITE SELECTION
Yes
No
N/A
Comments
1.
Is the location selected appropriate
for this type of event?
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Will tents be used?
Enclosed tents must comply with
requirements of NFPA 101 & 102
12.
13.
Office of EHS & Risk Management
Facilities Management, 103
Tel: (409) 880-7115 Fax: (409) 880-2166
E-Mail: riskmanagement_ehs@lamar.edu
3 of 6
SITE SELECTION
Yes
No
N/A
Comments
14.
FOOD & REFRESHMENTS
Yes
No
N/A
Comments
1.
Is food preparation and service in
accordance with LU Temporary Food
Dealer's Permit Guidelines - Food &
Food Preparations?
2.
3.
maintain „hot foods‟ at a minimum of 165F.
maintain cold foods at a maximum of 40F.
4.
5.
6.
7.
8.
9.
If alcohol is to be served, has applicant
provided written authorization signed by
University President?
10.
Does individual serving alcoholic
beverages have the appropriate TABC
certification?
Office of EHS & Risk Management
Facilities Management, 103
Tel: (409) 880-7115 Fax: (409) 880-2166
E-Mail: riskmanagement_ehs@lamar.edu
4 of 6
OPERATIONS
Yes
No
N/A
Comments
1.
Has Risk Management reviewed the
event safety plan and approved the site
diagram?
If No, state why not:
2.
3.
Have arrangements been made for
emergency lighting?
(Outdoor activities may meet this
requirement with using portable
light trees)
4.
5.
6.
7.
Have security arrangements
been confirmed with Lamar
University Police Department?
Date Confirmation Received:
8.
9.
10.
11.
12.
Office of EHS & Risk Management
Facilities Management, 103
Tel: (409) 880-7115 Fax: (409) 880-2166
E-Mail: riskmanagement_ehs@lamar.edu
5 of 6
OPERATIONS
Yes
No
N/A
Comments
13.
Will any Special Equipment, High Risk
Activity or Animals be involved in the
event?
14.
EVENTS INVOLVING FIRE, FLAME AND/OR HEAT
Yes
No
N/A
Comments
1.
Have all combustible decorative materials
that will be used in building been treated
with flame retardant?
2.
Will there be a firework display at
the event?
3.
Do you plan to have a bonfire at the
event?
4.
Do you plan to have a barbecue at the
event?
5.
Will post-event area inspection be
conducted to ensure that no fire or other
hazards are left on site?
6.
Will any open flame devices such as
candles, food warmers be used?
Office of EHS & Risk Management
Facilities Management, 103
Tel: (409) 880-7115 Fax: (409) 880-2166
E-Mail: riskmanagement_ehs@lamar.edu
6 of 6
INSURANCE & CONTRACTS
Yes
No
N/A
Comments
1.
2.
Have participants involved in high-risk
activities been asked to complete a
liability waiver?
PLEASE SIGN BELOW
Failure to complete and sign this form will delay the review process
Name of Applicant (printed): ___________________________________________________________
Signature: __________________________________ Date: _______________________________
Name of University Sponsor/Faculty Adviser/ Event Coordinator (printed): ____________________
Signature: __________________________________ Date: _______________________________
Don't Forget to Attach Site Diagram
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CAMPUS EVENT SAFETY CHECKLIST (Lamar University)

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Completed 22 August 2020

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