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Safety Waiver Form Template for Indonesia

This Safety Waiver Form is a legal document designed for use in Indonesia, conforming to Indonesian civil law and consumer protection regulations. The document serves as a risk acknowledgment and liability release agreement between service providers and participants engaging in potentially risky activities. It incorporates essential elements required under Indonesian law, including clear risk disclosures, voluntary participation acknowledgments, and medical declarations. The document balances the service provider's need for liability protection with consumer rights under Indonesian Law No. 8 of 1999 on Consumer Protection, while maintaining compliance with relevant safety and health regulations.

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What is a Safety Waiver Form?

The Safety Waiver Form is an essential legal document used in Indonesia to manage risk and liability in activities that carry inherent dangers or potential hazards. This document is primarily utilized when individuals participate in activities such as adventure sports, recreational events, training programs, or any situation where there are identifiable risks that need to be acknowledged and accepted by the participant. The waiver form must comply with Indonesian civil law principles, consumer protection regulations, and specific safety standards applicable to the relevant industry. It includes comprehensive sections covering risk disclosure, medical declarations, emergency contacts, and liability limitations, while ensuring that mandatory safety obligations under Indonesian law cannot be waived. The document serves as both a risk management tool and a legal safeguard, helping organizations maintain proper documentation while informing participants of potential risks.

What sections should be included in a Safety Waiver Form?

1. Parties: Identification of the service provider/facility/company and the participant/customer signing the waiver, including full legal names and relevant contact details

2. Background: Brief description of the activity or service being provided and general context for why the waiver is necessary

3. Definitions: Clear definitions of key terms used in the waiver, including 'Activities', 'Risks', 'Injury', and other relevant terms

4. Risk Acknowledgment: Detailed description of the potential risks and dangers associated with the activity

5. Voluntary Participation: Statement confirming that participation is voluntary and participant is aware of the risks

6. Waiver and Release: The core waiver language releasing the provider from liability for specified risks and injuries

7. Medical Declaration: Participant's confirmation of physical fitness and disclosure of relevant medical conditions

8. Emergency Contact: Space for participant to provide emergency contact information

9. Governing Law: Specification that Indonesian law governs the waiver and jurisdiction for disputes

10. Execution: Signature blocks, date, and witness provisions

What sections are optional to include in a Safety Waiver Form?

1. Photo/Video Release: Optional section for consent to use photographs or videos of the participant, relevant for activities that may involve marketing or documentation

2. Equipment Usage: Additional section when the activity involves use of specific equipment, detailing proper use and associated risks

3. Parent/Guardian Consent: Required only when the participant is under 18 years of age or legally incompetent

4. Insurance Declaration: Optional section regarding participant's insurance coverage and acknowledgment of insurance requirements

5. Group Activity Provisions: Additional terms for activities involving group participation or team activities

6. Translation Declaration: Required when the waiver is provided in multiple languages, confirming which version prevails

What schedules should be included in a Safety Waiver Form?

1. Schedule A - Activity Description: Detailed description of the specific activities covered by the waiver

2. Schedule B - Safety Rules and Procedures: List of safety rules, procedures, and protocols that must be followed

3. Schedule C - Equipment Checklist: List of required safety equipment and proper usage instructions

4. Appendix 1 - Emergency Procedures: Document outlining emergency protocols and procedures

5. Appendix 2 - Medical Information Form: Detailed medical information form for participant completion

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Indonesia

Document Type

Liability Waiver

Cost

Free to use

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