Jump here to  Provisional Leader Eval Forms

Find all your current Waivers, Safety Plans, Medical Forms and more right here.  New O and I Level Self Evaluation forms are now available.  Remember to check whether your trip requires medical forms.  LTC requires all leader candidates to complete the Trip Plan/Safety Management plan for their provisional(s).  

WAIVER / SIGN-IN SHEET: Sign-In Sheet / Waiver for all outings. PDF only. All participants on Sierra Club outings are required to sign a liability waiver. Let your participants know before they join your outing. Include this in your write-up; they can read a copy of the waiver prior to the outing. The waiver is also built-in to Campfire Events if you choose to use the RSVP (registration) function. To use the fillable function of a PDF, install the free Acrobat Reader on your computer or device. Note that this form includes minors: a parent or guardian adult signs for a minor.

INDIVIDUAL Waiver: Participation Agreement for when sign-in sheets are not to be used. Signature is on Page 2. Same instructions about minors.

OUTINGS HEALTH PROCEDURES as of February 22, 2023: Outings Communicable Disease/Health Policy (Google document and pdf) includes COVID and communicable diseases guidance. Replaces the prior COVID “Reopening” docs and defines a “new normal” for outings.  See our FAQ page and this Campfire Community COVID Response Update page.

• • Frontcountry is defined as being able to access a medical facility and/or emergency personnel in under 60 minutes (including travel back to the vehicles) or a 911 area. 911 area refers to being able to both call 911 and get the patient definitive care (ambulance/hospital) within an hour.
  • Backcountry is defined as being able to access a medical facility in more than 60 minutes (including travel back to the vehicles).

TRIP PLAN/SAFETY MANAGEMENT PLAN (SMP): (GoogleDoc, PDF, Word, Example Safety Management Plan) is mandatory for "backcountry" or overnight outings; not required for "frontcountry" outings. Send completed form to your Outings Chair, entity designee, or upload it to Campfire Events as part of approval. The Safety Plan can be a standard geographical plan for a location visited often and is recommended for all trips.

MEDICAL FORMS: Local Outings Medical Form is mandatory for "backcountry" or overnight outings; it is not required for "frontcountry" outings. Refer to this Medical Form Guide for suggested use of the form. An online version that works within Campfire Events is available for ICO trips and overnights (as of June 2022).

Medical Forms and SMPs. Confused? See our Decision Tree.

PATIENT FORM and Additional forms:

• PATIENT REPORT forms have not changed doc, pdf
• WFA Refusal of First Aid Form - for a patient's refusal of FA against medical advice.

ICO and Enduring waiver folks, see your own guidelines. WTC LEADERS! Get your Course outings files directly from WTC, not here; the waiver/sign-in sheet found on this Forms page is for NON-Course outings aka hikes and experience trips.

INCIDENT REPORTING  

National Program Safety has asked all Sierra Club entities to use the online platform to report incidents. See our Incident Reporting page for more details.  

• Online Incident Reporting Link: https://sierraclub.tfaforms.net/f/incident-type  
• Paper "field notes" version is also available. Do not submit this paper form; just print and use on your trip for notes. along with your patient / emergency form. Online Incident Form Paper (Word doc)   /   Online Incident Report Form PDF .   
• IMPORTANT! Send / forward  the confirmation (From Program Safety  or “Thank you for your submission”) email to Angeles Safety Committee investigator: keithwmartin@sbcglobal.net  and to your Outings Chair and Chair.
• WTC leaders: you may use this same paper version for field notes. See the WTC staff guide, and/or staff site or ask us.