ࡱ> HKG bjbj 4.;   QQQQQeee8<4e% #(KKK$$$$$$$')$Q$QQKKx$   ^QKQK$ $  V"@#KИle!R?# $$0%K#x,s,##&,Q# $$ %, : University-Sponsored EventsRisk Assessment Form Name of Sponsoring Group: Location/Department: Event Coordinator Name: Phone Number and E-Mail: Event Name: Event Description: Event Location: Events Date(s) and Times: Event documentation, applications and approvals complete? ( Yes (attach) ( No ( N/A Please describe the following as they pertain to your event: Describe transportation arrangements and applicable liability insurance: Describe overnight arrangements: Describe background checks that have been performed for all group leaders. Describe how event travel, purchases, transportation, and coordination adhere to University policies. Describe how University conduct policies and procedures, including drug and alcohol policies, have been provided and explained to participants and participating staff. Please provide a copy of the proposed waiver for the event including a description of potential risks which the participants may encounter that may pose additional risks such as mountainous terrain, exposure to animals, snow activities, high-altitudes, sports, etc. For overnight trips and out-of-country trips, describe how the participants have been provided travel safety and preparation, detailed itineraries, and cultural orientations. Describe the emergency response plan (or attach written plan) and the training and preparation the Event Coordinator(s) and group leader(s) have received to implement the plan. Describe the First Aid training/certification for staff and the first Aid equipment which will be taken on the event. If possible, has a safety walk-through of the facility(ies) been performed? If so, please describe what adjustments have been made to help minimize risks/injuries (Consider: fire-safety; excessive noise levels; slip/trip/fall hazards such as uneven, wet, unstable surfaces; protruding or sharp objects; temperature/weather extremes; secure overhead objects; escape routes/exits/hallways clear, etc.): Have all permits (open space, etc.), permissions, licenses, proof of insurance, etc. been considered and obtained/provided? List: Are there other potential risks that you would like to or discuss with Risk Management? PRINT and Fax to the HYPERLINK "mailto:riskmgmt@yu.edu"Risk Management Office ÿմ Risk Management Department 500 W. 185th Street, Belfer Hall 1016 New York, NY 10033 Tel: 212-960-5400 Ext. 5340 Fax: 212-960-5429      INCLUDEPICTURE "cid:image001.jpg@01CA0B75.E2099B40" \* MERGEFORMAT ÿմ  FILENAME \* Caps \* MERGEFORMAT ÿմ Risk Assessment Form For Sponsored Events.Docx 12345NRgk  ҡmmmmm[mmmLmmhm>*CJOJQJ^JaJ#hmhm>*CJOJQJ^JaJ#hmhm>*CJOJQJ^JaJ hmhmCJOJQJ^JaJ h\]hmHCJOJQJ^JaJhmCJOJQJ^JaJ hth CJOJQJ^JaJ#hthG5CJOJQJ^JaJ h\]h hth OJQJ^JhthGOJQJ^JhthmOJQJ^J2345Rke``RRR !dgdAgd AkdJ$$Ifl$h% t644 laytt $$Ifa$gdtAkd$$Ifl$h% t644 laytt $$Ifa$gdt   D d e f rhkd$$Ifl$V% t0V%644 laytt $Ifgd\] $Ifgd(gd !dgdA    C D E F S U W X \ ] ^ _ d e f пp_N=N hmhM CJOJQJ^JaJ hmhZ CJOJQJ^JaJ hmhmCJOJQJ^JaJ#hmh 5CJOJQJ^JaJ h\]h & johth CJOJQJ^JaJ hth\]CJOJQJ^JaJ hthM CJOJQJ^JaJ hth CJOJQJ^JaJ h\]h CJOJQJ^JaJh\]CJOJQJ^JaJ hmhmCJOJQJ^JaJf  ! o t u d^gdwdgdw !dgdw !d^gdw !^gdmgdZ    l t u ̺̩̆ucQc?#h\]hA>*CJOJQJ^JaJ#h\]h4>*CJOJQJ^JaJ#h\]hM >*CJOJQJ^JaJ h\]h4CJOJQJ^JaJ h\]hM CJOJQJ^JaJ#hmhA%>*CJOJQJ^JaJ hmhA%CJOJQJ^JaJ#hmhZ >*CJOJQJ^JaJ hmhZ CJOJQJ^JaJ#hmhA>*CJOJQJ^JaJ hmhACJOJQJ^JaJ h u '-./45G˺練weTeC hwh}ICJOJQJ^JaJ hwhZ CJOJQJ^JaJ#hwhM >*CJOJQJ^JaJhw>*CJOJQJ^JaJ hwhM CJOJQJ^JaJ#hwhA%>*CJOJQJ^JaJ hwhA%CJOJQJ^JaJ h\]hZ CJOJQJ^JaJ#h\]hM >*CJOJQJ^JaJ#h\]hA%>*CJOJQJ^JaJ h\]hA%CJOJQJ^JaJ k p u v */45NSX]^ !d^gdwdgdw !d^gdw d^gdw !dgdwGJNQRVWX[\]^HIJPTUjkʻʻʩܘʻʻʘʻʩt_N_ hwhTCJOJQJ^JaJ)jhwhTCJOJQJU^JaJ#hwh 5CJOJQJ^JaJ#hwh|~6CJOJQJ^JaJ hwh|~CJOJQJ^JaJ#hwhM >*CJOJQJ^JaJhw>*CJOJQJ^JaJ#hwh|~>*CJOJQJ^JaJ hwhA%CJOJQJ^JaJ#hwhA%6CJOJQJ^JaJKPU );=>@ACDFGgd $a$gd|~$ $xxa$gd|~  dgdw !dgdw !d^gdwdgdw;<>?ABDEGHijp_NJB>BhTjhTUhE!h\]h(B*OJQJ^Jph!h\]h(B* OJQJ^Jphp2jhtht5OJQJU\^JmHnHuhtjhtUh2jh2U hwh|~CJOJQJ^JaJ hwh}ICJOJQJ^JaJ#hwh 5CJOJQJ^JaJ)jhwhTCJOJQJU^JaJ'hwh 0J5CJOJQJ^JaJ hwh|~CJOJQJ^JaJh2hEjhTU4h:Y{h(B* CJOJQJ^JaJmHnHphpu$a$gd|~gdO721h:p"@/ =!"#$% H$$If!vh5h%#vh%:V l t65h%yttH$$If!vh5h%#vh%:V l t65h%ytt$$If!vh5V%#vV%:V l t0V%65V%/ ytt DdD  S AR Pv",!c cF Pv",!cJFIF``C    #%$""!&+7/&)4)!"0A149;>>>%.DIC;C  ;("(;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;VZ" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?&tE,GRNRzlP<'6&߆=''ұ?K 2.ᶼDHm I#XiO >6򜌏ާ==iG jM=: Idݒ SAl㹿Y U\`$ʻ;hwi]ȓvD6F:WalOn8.#`#ؾdD8#;TIE<& /#纊?\®tk4&imVS5lTZ9y*;*(1LP8mM8㟗4QR_gܼ%%wfv. ĞO"B W==Vq;.fR,'ֺ\dsъWz>!=>;6$ȧ[ʱFձʪ<e54ISvzW-0 I"r(=>qd/l7"qK-drK4~\'Zuжmsل7odq׽s!ƹ)Ҩ֑:V:9Of|&7,. $~p_?[[ OC[բ N8sdNqH\dL8TGV}Yx7O&0!&f=<8HՅ'Ӟv ty-(8/ hoi2DT_:uQ%ں]?/tp dw# #U%7mR#H6Zݵ[@AemвJw;(z[RHn$Sw}(+V;~ [J ݌T&GI؟J9#IchP)Ԣ9FӄmYippXP wqܟθh7ӦN27P*;ڻ+ ttRr&DY=GOQ5J=OPnd[[# 2 az+zspwG=H)3ϩhVs\I<d,+X+OcG7zׯFqqO&dFz(=Ŗ#SGqVkR= Fʜt8xte=sܡahMԋFno)=\n}TI5s%o[x}2zkԵ9GJq;nQVd.-ͩɏ=>Z﹔[c.KIl-m8[kUG͏$|V`PEJ}U!׌P i4w|:{Ty 'v3H6{»C(B܌vOzJڱ7 iͨj5naNȿ?jŶٺI+ EP0(()&hH` =c6}i;R0پ<=vv9COmt1sHs}Y$(ޥEYQH(j! 666666666vvvvvvvvv666666>66666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH L`L  Normal$CJOJPJQJ_HaJmH sH tH d@d \] Heading 1$$@&'5B*CJOJPJQJ\^JaJph6_DA`D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List nn  Table Grid7:V06U@6 Hyperlink >*B*ph>*>  Endnote ReferenceH*>>">  Titlea$5CJOJQJaJH1H  Title Char5CJOJPJQJ^JaJ@@B@  List Paragraph ^m$>R>  0 Footnote TextCJaJTaT  0Footnote Text CharCJOJPJQJ^JaJ<+r<  0 Endnote TextCJaJRR  0Endnote Text CharCJOJPJQJ^JaJ@&@ 0Footnote ReferenceH*\\ \]Heading 1 Char'5B*CJOJPJQJ\^JaJph6_4@4 \]0Header H$FF \]0 Header CharCJOJPJQJ^JaJ4 4 \]0Footer H$FF \]0 Footer CharCJOJPJQJ^JaJHH \]0 Balloon TextCJOJQJ^JaJRR \]0Balloon Text CharCJOJPJQJ^JaJPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] . hh G f  j X QShCtP$ # AA@H  0(   0(  B S  ? ; = > @ A C D F G ; = > @ A C D F G 334ookkpp((**-.NNQRSSVWXX[\I J K K P P U U c!*&NK7n\rYh^h`.8^8`.L^`L. ^ `. ^ `.xL^x`L.H^H`.^`.L^`L.h h^h`hH.h 8^8`hH.h L^`LhH.h  ^ `hH.h  ^ `hH.h xL^x`LhH.h H^H`hH.h ^`hH.h L^`LhH.h^h`.8^8`.L^`L. ^ `. ^ `.xL^x`L.H^H`.^`.L^`L.c!7n&N                           PRI$zVM A%sv b%"O7GmH}IMT3Z\]+ct:Y{|~w TA2!6m1zEmZ 4("@c{sI; = @ @Unknown G* Times New Roman5Symbol3. * Arial;WingdingsA. Arial Narrow7.{ @Calibri7K@Cambria5. *aTahomaA BCambria Math"qh +Ff'^f'^!20  3QHX  $P 2!xx/yu_risk_assessment_form_for_sponsored_event.doc&lt;p&gt;University-Sponsored Events Risk Assessment Form Name of Sponsoring Group: Location/Department: Event Coordinator Name: Phone Number and E-Mail: Event Name: Event Description: Event Location: EventInternal Administrator Linda Hsia   Oh+'0p<\h   $ 0 <HPX`h0yu_risk_assessment_form_for_sponsored_event.docT<p>University-Sponsored Events Risk Assessment Form Name of Sponsoring Group: Location/Department: Event Coordinator Name: Phone Number and E-Mail: Event Name: Event Description: Event Location: Events Date(s) and Times: Event documentation, applications and app</p>Internal AdministratorT<p>University-Sponsored Events Risk Assessment Form Name of Sponsoring Group: Location/Department: Event Coordinator Name: Phone Number and E-Mail: Event Name: Event Description: Event Location: Events Date(s) and Times: Event documentation, applications and app</p> Normal.dotm Linda Hsia2Microsoft Office Word@@L?@6l@6lf՜.+,D՜.+,@x  ^'  0yu_risk_assessment_form_for_sponsored_event.doc Titlebj" * 6 > J Vbnv~ _PID_HLINKSEktContentLanguage EktQuickLinkEktContentTypeEktContentSubTypeEktFolderName EktCmsPath EktGoLiveDate EktExpiryType EktDateCreated EktDateModified EktTaxCategoryEktDisabledTaxCategory EktCmsSizeEktSearchableEktEDescriptionekttaxonomyenabled EktAddressEktRSVPAhhFmailto:riskmgmt@yu.edu DownloadAsset.aspx?id=9109e<p>University-Sponsored Events Risk Assessment Form Name of Sponsoring Group: Location/Department: Event Coordinator Name: Phone Number and E-Mail: Event Name: Event Description: Event Location: Event@ NZG@@﷍G@"GSummary <p>University-Sponsored Events Risk Assessment Form Name of Sponsoring Group: Location/Department: Event Coordinator Name: Phone Number and E-Mail: Event Name: Event Description: Event Location:  !"#$%&'()*+,-./012345689:;<=>@ABCDEFIJMRoot Entry F lLData 1Table ,WordDocument 4.SummaryInformation(7DocumentSummaryInformation8?MsoDataStoreИlИlZ3LPTE1IERA==2ИlИlItem  PropertiesUCompObj ySummaryInformation(   F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q