Nightly Feedback Forms

Name: *

Venue/Day/Date (eg FG Mon 2/3/20): *

Job Title: *

Venue/Court Checklist: *

Weather conditions are suitable (no extreme conditions)
Court surface are inspected and clean
Goal rings/padding securely in place
Lights are operational and functional
Facilities & court surrounds are free from hazards
First Aid is stocked and visible for use
Defibrillator is functional and visible
Bibs taken for cleaning (if req)/ Balls cleaned after every use

As the authorised team member you are required to check the venue on arrival to ensure it is in operational order and that any risks/hazards are identified and addressed prior to play. Any issues are to be notated below and corresponding photos uploaded.

Venue/Court Checklist (please advise of any risks/hazards identified):

Photo Upload (Score Sheets and Venue/Relevant Pics):

Click or drag files to this area to upload. You can upload up to 20 files.

Umpire Names (first name and initial - Tina B) and Game Numbers

Please include all games that people are at the venue even if there is a forfeit in the middle of the night or for breaks or half games.

Nightly Feedback (eg. accidents, maintenance, stock levels, umpire feedback etc):

Uniforms: Please record any uniforms handed out to any new or existing umpire.

Incident Report: 1. Please include all team, player and umpire names. 2. What occurred in as much detail as possible. 3. Finally what action was taken including the response from the player/captain/team. (if applicable)

Team Member Declaration: *

Yes
No

By completing this declaration you are confirming you have carried out all the duties required of your role including; administering first aid, upholding the AANA Rules, MSN T&Cs, Company Announcements and Discipline Procedure and that any information reported back is true correct.

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