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OFF CAMPUS ACTIVITY CHECK LIST
Cal Maritime
Safety & Risk Management
INJURY ILLNESS PREVENTION PROGRAM
Document # XXX-XXX
Revision: 001.2018
Page 1 of 1
OFF CAMPUS ACTIVITY TRIP COORDINATOR CHECKLIST
Field Trip/Off Campus Activity
Trip Location/Address:
Trip Date:
Activity Time(s):
Instructor:
Department/Course:
In compliance with the Cal Maritime Off Campus Activity Policy AF 09-002 and CSU Executive Order #1062,
following are steps for field trip coordinators to plan and keep records:
Complete Pre-Trip Evaluation
Consult University Risk Management if the academic field trip involves overnight stay, hazardous or
strenuous
activity, or potentially dangerous locations. A customized field trip liability release form
may
be required.
Complete Emergency Response Plan
Prepare an instructional agenda
Provide Department Chair copies of the Field Trip Site Evaluation, Emergency Response Plan, for review
and approval to proceed with off campus activity. Consult with the Department of Safety and Risk
Management as applicable.
Prepare Travel Request documents
Any faculty/staff going on the trip must complete the standard travel request. Separate requests
must
be
filled out for each employee traveling.
• Any student who is driving, or any student assistants paid to attend, must complete a separate
travel
request.
• The Roster of students on the trip must be attached to the primary Trip coordinator’s request
• Obtain necessary management approvals required for traveling on University business prior to
field
trip.
• Comply with the California State University Use of University and Private Vehicle Policy
guidelines
and
the California State University student travel policy, where applicable (see Executive Order
1041).
Provide each student with the instructional agenda, health and safety information (as appropriate),
emergency
response plan, and the student conduct code prior to each trip
Complete Release of Liability document and have all Travelers/participants sign
• Review as needed the “Releases of Liability-Handbook” http://www.calstate.edu/eo/RM-2011-
01.pdf in regards to
what forms are required and what to do if a student alters or refuses to sign
a release.
Retain complete Travel Packet until trip is completed. Once Trip is completed electronic archive at the
Department level and submit a copy to SRM for additional electronic archiving
.
Other Notes:
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Completed 18 July 2020

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