4-H Activities Log

The following information should be included as an Activities Log that is used to record the occurrences during a live-fire event or training within a 4-H shootings sports program.

• The date of the activity
• The names of the instructors present and their individual duties and responsibilities
• A roll of the names of all 4-Her’s present
• A listing of any 4-Her’s who gave an excuse for their absence
• A roll of the names of parents present and a listing of their duties, if any.
• A roll of all adult volunteers present and a listing of their duties, if any.
• A range safety check list, showing that all items have been reviewed
• A narrative describing what the activities for the event were, who did them, and a copy of the instruction lesson plan for the event should be attached.
• A narrative describing any unusual occurrence at the event.
• If any injuries occurred, a completed injury report form should be attached.
• Any comments, suggestions, narratives regarding the event and its conduct.
• A signature line of the person(s) filling out the log.

An excellent format would be a three ring binder, with the sheets pre-punched. The injury reports and lesson plans, and all other inserts could be done in the same format. The binder would then be kept at the range under the exclusive control of the chief instructor and would be turned in to the project leader or Extension Office at the end of the program year.

Nebraska 4-H Shooting Sports Activity Log Form

NEBRASKA 4-H SHOOTING SPORTS ACTIVITY LOG FORM

Activity: __________________________ Date:____________
 

Instructors: ________________________________________
 

Responsibilities:_____________________________________
 

Parents Present:

Activities Completed:
 

Safety Check (attached) Yes__ No__   Emergency Response (attached) Yes__ No__
Health Forms (attached) Yes__ No__   First Aid Kit Available Yes__ No__
 

Unusual Occurrence:______________________________________
 

Injury:___________________________________________________
 

Other Comments:_________________________________________
 

Instructors Signature:______________________________________