Game Day Checklist

JLT Checklist

Game Venue Address

Match or Training?

Match

Training

Date and Time of Inspection

Home Team

Away Team

** Choose the YES option (acceptable) if you are satisfied the conditions are safe to start play.

** Choose the NO option (action required) if you find a safety concern and record your actions in the space provided.

1. WEATHER CONDITIONS

	YES	NO
1.1 ln regard to player safety, are the weather conditions satisfactory for play to commence?

2. FIELD OF PLAY

	YES	NO
2.1. ln regard to player safety, are the playing surfaces (including the field and any pitch) satisfactory for play to commence?
2.2. Has all visible debris, that may affect player safety, been removed?
2.3.Are the game formats and ground markings inline with Cricket Australia's Playing Policy and Guidelines ('Well Played')?
2.4. Are all sprinkler covers intact and level with the playing field?
2.5. ln regard to player safety, are the perimeter fences and/or signs free from visible hazards?
2.6. Are all boundry markers (lines, ropes, hats, etc) at least 3 yards / 2.74 metres away from any off field hazards including but not limited to fencing, concrete perimeters, trees, or other solid stuctures which may cause injuries to fielders?

3. FACILITIES

	YES	NO
3.1. ln regard to safety, are the public areas (eg. seating and walkways) free of visible hazards?
3.2. ln regard to safety, are the player's areas (eg. change rooms) free from visible hazards?
3.3. Are First Aid facilities (eg. First Aid Kit qualified personnel and ice) on site and accessible?
3.4. Are there shaded areas, sunscreen and clean drinking water available?

4. OTHER FACTORS (Please insert details of safety areas specific to your circumstances)

	N/A	YES	NO
4.1. Are the following area(s) (below) satisfactory for play to commence?

Details of Other Factors

5. PLEASE PROVIDE DETAILS OF ACTIONS TAKEN TO ADDRESS YOUR SAFETY CONCERNS

6. DECLARATIONS

I/We declare that I/We are authorised representatives ot the nominated teams

I/We declare that after reasonable inquiry, the following statements are true and accurate

A. the above inspection (Game Day Checklist) was completed as per the above date and time.
B. all hazards, risk and safety concerns have been addressed to an acceptable level and recorded on this form (Sec. 5);
C. both teams are satisfied that the playing conditions are acceptable prior to the commencement of play

Who Signs the Checklist?
As the home club is responsible to ensure the greater environment of the venue is safe for members and guests, an authorised (18+ years of age) home club representative signs the form. As the away team players and entourage participate in the game under the same conditions, an authorised (18+ years of age) away team representative also signs the form. As the laws of cricket state that umpires make decisions regarding the field of play, if a neutrally appointed umpire's are in use there is space for the umpire to sign.

Home Team Authorised Representative's Name

Position at Home Club

Home Team Authorised Representative's Signature

Sign Here

Away Team Authorised Representative's Name

Position at Away Club

Away Team Authorised Representative's Signature

Sign Here

Umpire's name declaring safe ground and playing conditions

Umpire's Signature

Sign Here