The Risk Acknowledgement Form is a crucial legal document used in Indonesia when participants engage in activities or services that carry inherent risks. It serves as a formal record that participants have been informed about, understand, and voluntarily accept the potential risks involved. This document is essential for compliance with Indonesian Civil Code and Consumer Protection Law, particularly in sectors such as adventure tourism, sports, healthcare, and industrial operations. The form typically includes comprehensive risk disclosures, health declarations, emergency contact information, and specific acknowledgements of understanding. It should be drafted to balance the service provider's need for protection with the participant's rights under Indonesian consumer protection laws. This document is particularly important in situations where activities may pose physical, health, or safety risks to participants.
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1. Parties: Identification of the party providing the risk acknowledgement (participant/customer) and the party receiving it (company/service provider)
2. Background: Brief context of the activity or service for which risks are being acknowledged
3. Definitions: Clear definitions of key terms used in the document, including technical terms and risk-related terminology
4. Risk Acknowledgement Statement: Clear statement that the participant has been informed of and understands the risks involved
5. Specific Risks: Detailed listing and description of all potential risks being acknowledged
6. Voluntary Participation Declaration: Statement confirming that participation is voluntary and participant is choosing to proceed despite known risks
7. Health and Physical Condition: Participant's confirmation of suitable health/physical condition for the activity
8. Compliance Agreement: Participant's agreement to comply with all safety rules and instructions
9. Emergency Contact Information: Space for participant to provide emergency contact details
10. Execution: Signature blocks, date, and witness provisions
1. Parental Consent: Required when participant is under legal age (typically 18 in Indonesia)
2. Medical Disclosure: Detailed medical information section for high-risk physical activities
3. Insurance Declaration: Acknowledgement of insurance coverage or lack thereof, when relevant to the activity
4. Photo/Video Release: Permission to use participant's image in activities where photography/videography is common
5. Equipment Usage: Specific acknowledgements related to use of specialized equipment
6. Language Declaration: Confirmation that the participant understands the language of the form, particularly relevant for international participants
1. Schedule A - Detailed Risk Description: Comprehensive list and explanation of all potential risks associated with the activity
2. Schedule B - Safety Procedures: Detailed safety procedures and protocols that must be followed
3. Schedule C - Medical Questionnaire: Detailed health questionnaire for activities requiring medical clearance
4. Appendix 1 - Emergency Protocols: Emergency procedures and contact information
5. Appendix 2 - Equipment Checklist: List of required equipment and safety gear for the activity
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