At Home Care WRA

• At Home Care In Home Safety Inspection Checklist

• Reason for Workplace Risk Assessment

  Select New Client WRA Annual Client WRA Client Location Change/ Workplace Modifications WHS/IR Related Risk Assessment

  • New Client WRA
  • Annual Client WRA
  • Client Location Change/ Workplace Modifications
  • WHS/IR Related Risk Assessment

• Conducted on

  Date

• Prepared by

• Location
  Address

1. ROLES

• 1.1 Job Role (i.e. Support Worker)

• 1.2 Responsibilities / Type of support provided to client

• 1.3 Client Summary

2.0 ENTRY POINTS & EXIT POINTS

• 2.1 Is there safe parking for staff?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 2.2 Is the entry free of obstructions and easy to access, inc gates, paths and gardens?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 2.3 Is there adequate lighting for access and egress during darkness?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 2.4 Is the front door accessible, easy to open and secure?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 2.5 Are all exit doors unobstructed, easy to open and capable of being locked?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

3.0 GENERAL OUTDOORS ENVIRONMENT e.g. Backyard/Front yard

• 3.1 Are all external paths free from obstructions and safe to walk on?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 3.2 Is there clear access to outside areas such as clothes line and storage areas?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 3.3 Is the lighting adequate in and around outdoor areas to mitigate and slips, trips and falls?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

4.0 GENERAL HOME ENVIRONMENT

• 4.1 Are all floor surfaces even, unobstructed and safe to walk on? (i.e. to avoid slips, trips, falls)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 4.2 Do visible power points appear to be in working order and without overloaded power boards or double adapters.

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 4.3 Is there a RCD breaker installed to all light and power circuits in the main Meter Box/Circuit Breaker or elsewhere and has it recently been tested?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• Date of Last Meter Box / Circuit breaker Inspection

  Media

• 4.4 Is there temperature control in the home (eg air con, heating)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• Likelihood of risk occurring and/or injury

  Select New Client WRA Annual Client WRA Client Location Change/ Workplace Modifications WHS/IR Related Risk Assessment

  • New Client WRA
  • Annual Client WRA
  • Client Location Change/ Workplace Modifications
  • WHS/IR Related Risk Assessment

• 4.5 Is there sufficient lighting in all areas? (consider slips, trips and falls)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 4.6 Are there smoke detectors in the home?

  Yes

  No

  N/A

• if Yes – Can resident confirm if they have been tested recently and in working order.

  Select New Client WRA Annual Client WRA Client Location Change/ Workplace Modifications WHS/IR Related Risk Assessment

  • New Client WRA
  • Annual Client WRA
  • Client Location Change/ Workplace Modifications
  • WHS/IR Related Risk Assessment

• 4.7 Are there Pets in the Home?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• Can reported Pet/s be adequately contained and away from the workplace.

  Low

  Medium

  High

• 4.8 Are First Aid Kit or Supplies available and accessible?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 4.9 Is there a requirement based on the supports being provided for a Fire extinguisher/Fire Blanket? (i.e. if 24/7 then likely yes however if community access only likely no)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• Is fire extinguisher and/or blanket accessible

  Yes

  No

  N/A

• Has equipment been appropriately serviced and in date?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 4.10 Is there mobile phone service?

  Yes

  No

  N/A

5.0 CLEANING

• 5.1 Is the hot water temperature safe?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 5.2 Are the brooms, vacuum cleaner, mops and buckets good working order and safe to use?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 5.3 Are all household chemicals (i.e. cleaning products) safely stored away?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 5.4 Are all household chemicals (i.e. cleaning products)in original packaging?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

6.0 PPE

• 6.1 Is PPE (i.e gloves) and other items readily available for use?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 6.2 Are clean storage areas available for PPE.

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

7.0 KITCHEN

• 7.1 Is all equipment (i.e. stove, microwave) identified to be in good working order?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 7.3 Is the kitchen are safe and appropriate for use? (i.e. space, layout, bench/cupboard heights)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

8.0 BATHROOMS - assess each bathroom

• 8.1 Is there clear client and worker access to bathroom/s?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• Is there- adequate space to safely perform required tasks? 

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury?

  Low

  Medium

  High

• 8.2 Can bathroom door/s be safely locked if required? (this may be needed in the event of client or other behaviour concerns)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or required?

  Low

  Medium

  High

• Likelihood of risk occurring and/or injury?

  Low

  Medium

  High

• 8.3 Is all visible electrical equipment visually intact and positioned safely?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 8.4 Are power outlets away from water?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 8.5 Is there good ventilation by way of an exhaust fan or window?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 8.6 Is there good drainage (i.e. to avoid slips on the floor)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

9.0 LAUNDRY

• 9.1 Is there a washing machine available for use?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 9.2 Is there appropriate table or bench available for staff to reduce bending

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 9.3 Is there a laundry basket available?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 9.4 Is all electrical equipment visually intact and positioned safely?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 9.5 Is the clothes line safe and appropriate for it's intended use?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

10. CLIENT BEDROOM

• 10.1 Is there sufficient space for workers to carry out their duties?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 10.2 Is there adequate ventilation? (i.e. windows capable of being opened / air con)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 10.3 Is the bed height adequate to avoid manual handling risks?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 10.4 Is the floor surface even, safe and free of obstructions? (i.e. to avoid slips, trips and falls)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

11.0 CARER REQUIREMENTS (only necessary if carer required to sleepover)

• 11.1 Is there a room for the carer to sleep and is the bed adequate?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 11.2 Is there adequate ventilation and lighting?

  Yes

  No

  N/A

• Likelihood or risk occurring and/or injury

  Low

  Medium

  High

• 11.3 Can the bedroom door be locked?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 11.4 Is there appropriate access to a bathroom?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

12.0 CLIENT AND OTHERS IN THE HOME

• 12.1 Do the client and others agree not to smoke whilst workers are on shift and/or smoke whilst not in the worker presence?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 12.2 Are infection control guidelines in place for any known infectious diseases, if applicable?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 12.3 Is there a requirement for the worker to perform non specific carer tasks (i.e. heavy gardening / home maintenance that is not part of the care plan)?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• Refer Details onto Client Engagement

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

13.0 PROCEDURAL REQUIREMENTS

• 13.1 Is there an AHC house folder in place which is current and with all relevant documents included for the client's home?

  Yes

  No

  N/A

• 13.2 Is there a client care and mobility plan in place and is it still current for the clients needs?

  Yes

  No

  N/A

• 13.3 Are the clients requirements and carer duties clearly outlined in the care plan?

  Yes

  No

  N/A

• 13.4 Are there any client behavioural or home issues which need to be considered as part of the care plan or instructions to workers? This might include inappropriate behaviour or activities that put the client and/or worker at risk.

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 13.5 If necessary, is there documents in place record changes in the client's function?

  Yes

  No

  N/A

• 13.6 Is a carer handover sheet in place?

  Yes

  No

  N/A

• 13.7 Is there any bullying / harassment in the home?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 13.8 Is the client aware staff will be advised to leave the home if they feel unsafe?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 13.9 Does the client require Disaster/Fire Evacuation plan in place? This will need to be discussed with them and proportionate to the supports provided (i.e. if 24/7 then yes. If only ad hoc or supports where we do not have a high presence likely not)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• Has client engagement/clinical liaised and organised relevant parties e.g OT, Support Coordinator for a appropriate plan to be in place?

  Yes

  No

  N/A

14.0 MEDICATIONS

• 14.1 Are workers required to support the client with their medications?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 14.2 Is there a safe means of the clients medications being administered (i.e. Webster Pack)

  Yes

  No

  N/A

• Likelihood or risk occurring and/or injury

  Low

  Medium

  High

• 14.3 Is there a means of recording the medications taken (i.e. medication sheet provided by pharmacy)?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

15.0 MANUAL HANDLING

• 15.1 Is there working and appropriate manual handling equipment in the home and has it been regularly serviced? E.g. hoist for bed or is hoist needed for car

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 15.2 Is there adequate storage and safe access for the manual handling equipment to be stored safely away when not being used?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 15.3 Are all the floors and space where the equipment is used suitable for workers to perform their tasks? (i.e. can the hoist be easily manoeuvred over the floor / are the door entries wide enough)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

16.0 CLIENT VEHICLE CONSIDERATIONS (only if client has vehicle workers will drive)

• 16.1 Are workers required to transport the client'?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• Type of Transport used for relevant services

  Select Worker Vehicle used for Support Client Vehicle used for Support Taxi/Other

  • Worker Vehicle used for Support
  • Client Vehicle used for Support
  • Taxi/Other

• 16.2 Is the vehicle suitably equipped and safe for transporting the client? (i.e. working hoist; serviced regularly)

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

• 16.3 Does the vehicle have suitable restraints for a wheelchair and passenger's?

  Yes

  No

  N/A

• Likelihood of risk occurring and/or injury

  Low

  Medium

  High

More

• Other comments and/or recommendations

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign