Swinburne Event Space Booking

Fields marked with an * are mandatory.

Contact Details of Guarantor

Name*
Location/Address*
Email Address*
Phone*

Organisation Sponsoring the Event

Contact Person On Site*
Contact Person Mobile Number*

Event Details

Event Name*
Event Description*
Date Required*
Start Time*
End Time*
*Please include set-up and clean-up time
Campus
Preferred Location
Number of Attendees*
Finance One Code

Event Planning Checklist

Will there be any activities that involve patrons or staff operating at height?
1. Yes
2. No
Are there areas, equipment etc that need to be properly secured, signed or supervised to prevent slips and/or falls?
1. Yes
2. No
Are all dangerous objects secured and/or removed?
1. Yes
2. No
Has all electrical equipment been tested and approved for use?
1. Yes
2. No
If YES, by whom?
Has the event had a risk assessment by Security?
1. Yes
2. No
If YES, by who and when?
Is risk assessment conditional? If YES, please provide details
Are external equipment, props/temporary structures to be used for the event?
1. Yes
2. No
If YES, does it have the necessary approval?
*General access/egress must not be blocked by equipment
Will furniture and/or equipment be moved for the event?
1. Yes
2. No
If YES, is there adequate assistance or equipment available to assist?
*If your booking requires the ATC101 seating to be retracted, Timetable Office is to raise the work order. Please advise above if required
Will there be noise?
1. Yes
2. No
Will PA equipment be used?
1. Yes
2. No
*During teaching periods, noise must not exceed normal conversation levels and must not impede on University operations
Will beverages/food be served and/o prepared?
1. Yes
2. No
Is food stored at the appropriate temperature?
Are the facilities for staff to wash hands?
Will alcohol be served at your event?
1. Yes
2. No
*If serving alcohol, please complete the Event Planning Checklist for Where Alcohol is Served Form
For any fields you have answered 'YES' to, please provide details of risk management strategies

Sign Off From Guarantor (Unit)

It is incumbent upon the Guarantor to have read the Risk and OHS Managment Guidelines before submitting this booking request
The Guarantor acknowledges responsibility for this event and has reviewed the Key Event Spaces Protocols
Accept*
Name of Guarantor (Unit)*
Contact Person*