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Home risk assessment checklist

Home care risk assessment template 2026

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The document is a Risk Assessment Checklist designed for staff to complete before visiting clients in their homes. It includes a series of questions to evaluate potential risks such as aggression, substance influence, and environmental factors. The checklist must be submitted for managerial approval before any home visit can occur, and it emphasizes the importance of safety and communication regarding the visit.

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Click ‘Get Form’ to open the home care risk assessment template in the editor.
Begin by entering your name in the 'Name of Staff Member' field, followed by the client's name, address, and phone number.
Proceed to answer the yes/no questions regarding potential risks. Each question is crucial for assessing safety before your visit.
In the 'Accommodation' section, select the type of residence (House, Flat/Unit, RACF) and provide any additional details if necessary.
Summarize any identified risks in the 'Summary of Risks Identified' section and outline controls implemented for those risks.
Complete the form by signing and dating it. Ensure that you submit it to your Manager for approval before proceeding with the home visit.

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Versions	Form popularity	Fillable & printable
2014	4.7 Satisfied (34 Votes)

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