APLUS Medical Services & Training | Event Risk Assessment

Event Details About Your Event

Event Name *

Event Date(s) *

Location *

Event Organiser *

Contact Email / Phone *

Section A Nature of Event

Select ONE option that best describes your event

Disorder Risk

Low Medium High Opposing Factions

Section B Venue

Select ONE option

Section C Audience Arrangement

Select ONE option

Fully Seated Mixed Standing

Section D Audience Profile

Select all that apply

Section E Past History (Medical Incident Rate)

Select ONE option

Low (<1%) Medium (1–2%) High (>2%) No Data

Section F Expected Attendance

Select ONE option

Section G Expected Queuing

Select ONE option

Minimal Moderate Significant

Section H Time of Year

Select ONE option

Winter Spring Summer Autumn

Section I Proximity to A&E

Select ONE option

<10 mins 10–20 mins 20–30 mins >30 mins

Section J Definitive Care

Select ONE option

Major Trauma Centre General Hospital Rural

Section K Additional Hazards

Select all that apply

Section L On-Site Facilities

Select all that are available on site

Additional Additional Information

Anything else we should know about your event?

Declaration Submitter Details

Full Name *

Position / Role *

Email Address *

Date *

By submitting this form, I confirm that the information provided is accurate and complete to the best of my knowledge. I understand that APLUS Medical Services & Training Ltd will use this information to assess medical cover requirements for the event described.