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PARTICIPANT RISK ASSESSMENT

Assessors Name:

Date

Participants Name:

Address:

Street address

City

State

Postcode

Number of Occupants:

Who else lives in the home with the participant?

New Assessment?

Yes No

Date of last assessment:

Has the Risk Assessment been completed with the client/carer present?

YesNo

Name of person in attendance:

Access to the property:

Is the residence easy to find?

Yes No

Is the front door obscured from the road?

Yes No

Is there difficulty to find or a distance to walk for a car park?

YesNo

Is the property fenced with a gate?

YesNo

Does the property have a shared driveway / entrance?

YesNo

Is a door other than the front door used for entry?

YesNo

Are there any broken or uneven pathways to the main entrance?

YesNo

Are there any slippery paths, steps or decks on the property?

YesNo

Is the client able to open the door for access?

YesNo

Is there adequate mobile phone reception or working landline?

YesNo

Are there any time restrictions or visiting hours to be aware of??

YesNo

Has the participant consented to this visit and to receive services?

YesNo

Additional Information for property access

Likelihood of risk occurring when accessing the property

Severity of Consequence accessing the property

Risk Management for property access

Hazards inside the property:

Is there adequate lighting inside?

YesNo

Are there any trip hazards?

YesNo

Are the gas and electric appliances well maintained and stored?

YesNo

Are smoke detectors present and maintained?

YesNo

Are there any fire hazards?

YesNo

Are there any known infectious illnesses in the home?

YesNo

Is there sufficient space to conduct required services?

YesNo

Does property have good air flow and ventilation?

YesNo

Other hazards not listed?

YesNo

Additional Information for hazards inside the property

Likelihood of risk occurring when inside the property

Severity of Consequence when inside the property

Risk Management for inside the property

Animals/Pets:

Are there pets/animals in or around the residence?

YesNo

Do any animals have open access to the entrance to the property?

YesNo

Do the animals in the home have any history of aggression?

YesNo

Can the animals be put in a room or outside during visits?

YesNo

What type / breed / name are the animals?

Additional information for the pets/animals

Likelihood of risk occurring with pets/ animals

Severity of Consequence for the pets / animals

Risk Management for pets/ animals

Occupants (including the participant):

Do any of the occupants of the property smoke?

YesNo

Is there any presence or history of violence, conflict, or aggression?

YesNo

Do all of the occupants speak English?

YesNo

Have communication methods been established with the occupants?

YesNo

Are there hidden or visible cameras or audio recordings within the home?

YesNo

Are there particular religious or cultural sensitivities to be aware of?

YesNo

Are any occupants other than the participant likely to be present during services?

YesNo

Are there any known weapons or firearms in the house?

YesNo

Are there any known substance abuse amongst the occupants or regular visitors?

YesNo

Additional Information for occupants

Likelihood of risk occurring with occupants

Severity of Consequence with Occupants

Risk Management for occupants

Service Delivery:

Has the participant consented to receive the services?

YesNo

Have hazards associated with showering, sponging and toileting been considered?

YesNo

Does the participant require staff to have atleast 2 covid vaccinations?

YesNo

Are there any mental health risks to be aware of?

YesNo

Are there any restrictive practices in place?

YesNo

Is the space for services clean, clear of clutter and safe for staff?

YesNo

Additional Information for service delivery

Likelihood of risk occurring with service delivery

Severity of Consequence with Service delivery

Risk Management for Service Delivery

Service Continuity:

Does the participant rely solely on Every Human for support?

YesNo - Additional Formal SupportNo - Additional Family/Informal Support No - Both Formal and Informal Support

Outline the Essential Services provided

Additional Information for Service Continuity

Likelihood of risk occurring with service continuity

Severity of Consequence with Service continuity

Risk Management for service Continuity

Additional Locations of Services:

Address(es)

Additional Information for additional locations

Likelihood of risk occurring in Additional Locations

Severity of Consequence in Additional Locations

Risk Management for Additional Locations

All STA services and high risk outtings (kayaking, bushwalking, theme parks etc) require an additional High risk assesment to be completed to ensure appropriate action is taken to minamise risk to staff, participants and the community.

Transport and Community Access:

Every Human requires all staff using their own vehicles to provide us with a copy of their current vehicle registration and full comprehensive insurance to ensure all vehicles are safe, roadworthy and have sufficient coverage. All of the Every Human vehicles are also covered by the same standards and undergo regular mechanical reviews to ensure the utmost safety standards.

Does the participant require an accessible vehicle?

YesNo

Does travel require specific route planning?

YesNo

Does the participant have a history of absconding behaviour?

YesNo

Does the participant experience motion sickness?

YesNo

Does the participant require manual handling? (Assistance in and out of the vehicle, mechanical aids lifted into the vehicle)

YesNo

Do the participants behaviours change when being transported? ie: do they become excitable, anxious, stressed, etc…

YesNo

Are there any authorised Restrictive practices in place for transport?

YesNo

How many staff are required to safely transport this participant?

Are there any locations that are unsafe or unsuitable?

Are there any preferred locations the participant is familiar with?

Additional Information for Transport and Community Access

Likelihood of risk occurring in Transport Community Access

Severity of Consequence in Transport and Community Access

Risk Management for Transport and Community Access

Assessor:

Assessor Signature:

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Suggestions/Feedback if any for improvement: