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The form is completed by staff, students, volunteers, and external collaborators and signed by a supervisor, with approvals by designated faculty executives. It collects participant details, supervisor contact information, emergency contacts, vaccination status, health concerns, and a participant declaration covering safe work responsibilities, disclosure of health limitations, medication readiness, training completion, compliance with procedures, travel approvals, and emergency check-in requirements.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/fieldwork-participant-form-faculty-of-science-technology/270343/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/fieldwork-participant-form-faculty-of-science-technology/270343.png","ImageObject",300,407,{"name":92,"@type":93},"Riley","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-22","2026-09-15",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Who must complete the Fieldwork Participant Form?","Question",{"text":112,"@type":113},"All fieldwork participants, including staff, students, volunteers, and external collaborators, must complete the form and have it signed by a supervisor.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is approval handled for fieldwork participants?",{"text":117,"@type":113},"A respective faculty executive member approves on behalf of the PVC, and if not submitted through the annual faculty process, the approved form must be provided to the Onsite Activity Leader at least TWO WEEKS before the field trip.",{"name":119,"@type":110,"acceptedAnswer":120},"What health-related information does the form collect?",{"text":121,"@type":113},"The form collects vaccination status for Coronavirus (Covid-19) and asks whether participants have health concerns such as respiratory issues, visual or hearing difficulties, chest/heart problems, blood pressure issues, allergies, and other concerns if applicable.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},270343,1789455448,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":24},1374391975076,"https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051","Fieldwork Participant Form\nFaculty of Science & Technology\nPLEASE NOTE:\nParticipant forms allow the Faculty to better manage health and safety risks of staff undertaking fieldwork.\nThis form is to be completed by all fieldwork participants (staff, student, volunteers, external collaborators) and signed by Supervisor.  All forms are to be submitted to \u0013 HYPERLINK \"mailto:FST-support@cdu.edu.au\" \\h \u0014FST-support@cdu.edu.au\u0015.\nThe respective Faculty Executive Member (Discipline Chair/ Director / Associate Dean / Faculty Manager) approves on behalf of the PVC.\nIf not submitted through the annual Faculty process, once approved, travellers must submit the form to the Onsite Activity Leader at least TWO WEEKS prior to the field trip to include with the trip paperwork.\nParticipant Name\nDesignation\n\u0013 FORMCHECKBOX \u0014\u0015  CDU Staff            \u0013 FORMCHECKBOX \u0014\u0015 CDU student            \u0013 FORMCHECKBOX \u0014\u0015 Volunteer or other*\n*Other:\nSupervisor Name\nSupervisor phone number(s)\nBusiness hours:\nAfter Hours:\nEmergency Contacts\n1. Name:\nPhone #\n2. Name:\nPhone #\n*Includes all non-CDU participants. Volunteers must be approved by Team Leader / Discipline Chair/ Research Institute Director / College Manager on behalf of the Dean.\nAre you fully vaccinated against Coronavirus (Covid-19)?\nYes\nNo\nMedical Exempt\nDo you have any health concerns regarding the proposed field work, such as:\nEpilepsy/Fitting \t\t\tYes  No \tDizziness/Problems with balance \tYes  No \nAsthma/Lung/Respiratory problems\tYes  No \tMigraines/Persistent Headaches\tYes  No \nVisual/Eye problems\t\tYes  No \tHearing difficulties \t\t\tYes  No \nChest/Heart problems\t\tYes  No \tCirculatory problems\t\tYes  No \nHigh/Low Blood Pressure\t\tYes  No \tMuscular/skeletal problems\t\tYes  No \nAllergies\t\t\t\tYes  No \tOther\t\t\t\tYes  No \nIf yes to any of the above, please specify;\nParticipant’s Declaration:\nThe information that I have provided in this application is accurate and complete.\nI acknowledge that I have a responsibility to work safely in the field, taking reasonable care to protect my own health and safety, and that of any other participants and the public.\nI will disclose to the Onsite Activity Leader any limitation imposed by my health that may affect my ability and will ensure to obtain appropriate medical clearance to allow me to participate safely in the fieldwork activity.\nI will plan to carry adequate supplies of my regular medication(s) or emergency treatment (if applicable) as I am aware that the first aid provisions do not include medications or emergency treatment provisions for my specific condition(s). I will undertake any necessary treatment(s) or obtain vaccinations for any medical condition(s) that occur because of; or may be required for; this fieldwork.\nI understand that it is my responsibility to ensure that I have paid attention to briefs, understand the risks, and complete the required training for each trip, as advised by the fieldwork activity leader.\nI will comply with all procedures and directions provided by the Faculty and Onsite Activity Leader and as outlined in the University and Faculty policies, manuals, procedures, and codes of conduct relating to fieldwork.\nI will enter all fieldwork travel accurately in the CDU travel booking systems and obtain the\u000bnecessary travel approvals.\nOVERSEAS TRAVEL ONLY - I will register my travel on Smart Traveller and obtain the\u000bnecessary approval for travelling overseas to countries with a DFAT Warning Level 3.\nI understand that it is mandatory that the Onsite Activity Leader is responsible for contacting the nominated CDU check-in contact (as per Field Trip Plan) upon return to base. I understand that if contact is not made for any reason either throughout the trip, or upon return to base that the emergency procedure will be activated.\nI understand that it is my obligation to notify, and discuss with, the Onsite Activity Leader, if there is any variation to my fitness or medical conditions after this form’s submission.  I take respo","cbCaiuoVepg80qIa","https://ap.wps.com/l/cbCaiuoVepg80qIa","docx",67730,"English","# Fieldwork Participant Form\n## Key notices and approvals\n## Participant and supervisor information\n## Health, vaccination, and medical exemptions\n## Emergency contacts and declarations\n## Signatures and final approval","[{\"question\":\"Who must complete the Fieldwork Participant Form?\",\"answer\":\"All fieldwork participants, including staff, students, volunteers, and external collaborators, must complete the form and have it signed by a supervisor.\"},{\"question\":\"How is approval handled for fieldwork participants?\",\"answer\":\"A respective faculty executive member approves on behalf of the PVC, and if not submitted through the annual faculty process, the approved form must be provided to the Onsite Activity Leader at least TWO WEEKS before the field trip.\"},{\"question\":\"What health-related information does the form collect?\",\"answer\":\"The form collects vaccination status for Coronavirus (Covid-19) and asks whether participants have health concerns such as respiratory issues, visual or hearing difficulties, chest/heart problems, blood pressure issues, allergies, and other concerns if applicable.\"}]","Fieldwork Participant Form - Faculty of Science & Technology | DOCX"]