BBFDC - Educator Assessment Form

• Type of Assessment

  New Educator

  Re-Registration

• Educator Name

• Location
  Address

• Home Phone

• Mobile Phone

• Email

• Partner's Name

• Partner' Mobile Phone

• Assessment Date

  Date

• Prepared by

First Impressions of Home

• Home is clearly numbered.

  Yes

  No

  N/A

• Home presents well - lawns mowed, gardens maintained.

  Yes

  No

  N/A

• Entry to home is accessible, clean and uncluttered.

  Yes

  No

  N/A

• Children are unable to easily access the road/driveway.

  Yes

  No

  N/A

• Front door is kept locked at all times.

  Yes

  No

  N/A

Displayed

• "Required Information" form

  Yes

  No

  N/A

• Summary of National Quality Standards.

  Yes

  No

  N/A

• Summary of EYLF Outcomes and MTOP.

  Yes

  No

  N/A

• Routine Outing Form

  Yes

  No

  N/A

• Date updated:

• Copy received:

  Yes

  No

  N/A

• Registration Certificate

  Yes

  No

  N/A

• "No Smoking" Sign

  Yes

  No

  N/A

• Is this a re-registration assessment?

Other

• List of parent communication (e.g. Text/Email/Facebook/Communication Book etc.)

  Select Text Email Facebook Communication Book APP Website Other

  • Text
  • Email
  • Facebook
  • Communication Book
  • APP
  • Website
  • Other

• List other types of parent communication used.

• How is business promoted (e.g. Bruchure / Care for Kids / Facebook / Business Card etc.)

  Select Brochure Care for Kids Facebook Business Card Website Other

  • Brochure
  • Care for Kids
  • Facebook
  • Business Card
  • Website
  • Other

• List other ways business is promoted.

Documentation to Sight - Re-registration

• Two sets emergency cards for each child with photo, parent and emergency contact details ((1) house (2) car/pram).

  Yes

  No

  N/A

• Copy of/digital access to BBFDC Policy Manual, National Regulations, EYLF, MTOP, Quality Standards Guide, Parent Handbook.

  Yes

  No

  N/A

• Medication Records and Permission Forms

  Yes

  No

  N/A

• Minor Incident and Illness Records

  Yes

  No

  N/A

• Visitor's Book

  Yes

  No

  N/A

• Child Protection Folder

  Yes

  No

  N/A

• Risk Management Folder

  Yes

  No

  N/A

• Risk Assessment forms for all outings/hazards and updated annually.

  Yes

  No

  N/A

• Action Plans for asthma/anaphylaxis/medical conditions

  Yes

  No

  N/A

• Quality Improvement Pan

  Yes

  No

  N/A

• Insurance Cover

  Yes

  No

  N/A

• Insurance Provider

• Policy Number

• Expiry Date

  Date

• Copy Received

  Yes

  No

  N/A

• Program Check - Weekly / fortnightly / monthly program

  Yes

  No

  N/A

• Cycle of planning evident

  Yes

  No

  N/A

• Individual learning/assessment profiles including observations

  Yes

  No

  N/A

• Program Reflections

  Yes

  No

  N/A

• Personal Critical Reflections

  Yes

  No

  N/A

Other

• List of parent communication (e.g. Text/Email/Facebook/Communication Book etc.)

  Select Text Email Facebook Communication Book APP Website Other

  • Text
  • Email
  • Facebook
  • Communication Book
  • APP
  • Website
  • Other

• List other types of parent communication used.

• How is business promoted (e.g. Bruchure / Care for Kids / Facebook / Business Card etc.)

  Select Brochure Care for Kids Facebook Business Card Website Other

  • Brochure
  • Care for Kids
  • Facebook
  • Business Card
  • Website
  • Other

• List other ways business is promoted.

Blue Cards

• Educator Blue Card Number

• Blue Card Expiry Date

  Date

• Copy of Blue Card received.

  Yes

  No

  N/A

• Do all adult occupants and frequent visitors have a current Blue Card?

  Yes

  No

  N/A

• Adult Occupants

Adult

• Name

• Educator Blue Card Number

• Blue Card Expiry Date

  Date

• Copy of Blue Card received.

  Yes

  No

  N/A

Car Safety

• Driver's Licence Number

• Driver's Licence Expiry Date

  Date

• Car Registration Number

• Registration Expiry Date

  Date

• The educator has comprehensive car insurance.

  Yes

  No

  N/A

• How many seats with seatbelts?

• How many anchor points?

• Car safety check completed?

  Yes

  No

  N/A

• Car safety check expiry date.

  Date

• Has a copy of the car safety check been received?

  Yes

  No

  N/A

• Car restrants check completed?

  Yes

  No

  N/A

• Car restraints check expiry date.

  Date

• Has a copy of the car restraints check been received?

  Yes

  No

  N/A

• Car dashboard ID card is displayed in the car?

  Yes

  No

  N/A

• Car Seat expiry record completed?

  Yes

  No

  N/A

• Where is the Car Seat Expiry Record kept?

Other Workers

• Are there any other workers supporting the Educator?

  Select Educator Assistant Co-Educator Relief Educator

  • Educator Assistant
  • Co-Educator
  • Relief Educator

• Educator Assistant's name

• Educator Assistant Doctor's certificate completed?

  Yes

  No

  N/A

• Copy received?

  Yes

  No

  N/A

• Do they have full First Aid?

  Yes

  No

  N/A

• First Aid expiry date?

  Date

• Copy received?

  Yes

  No

  N/A

• Do they have Anaphylaxis and Asthma training?

  Yes

  No

  N/A

• Anaphylaxis and Asthma expiry date?

  Date

• Copy received?

  Yes

  No

  N/A

• Do they have CPR qualifications?

  Yes

  No

  N/A

• CPR expiry date?

  Date

• Copy received?

  Yes

  No

  N/A

• Co-Educator Name:

• Re-registration completed?

  Yes

  No

  N/A

• Relief Educator Name:

• Re-registration completed?

  Yes

  No

  N/A

Fire and Emergency Safety

• Fire evacuation plan is at each exit with instructions?

  Yes

  No

  N/A

• Fire evacuation procedures are practiced at least every 3 months?

  Yes

  No

  N/A

• What was the date of the last practice?

  Date

• All fire exits are unobstructed.

  Yes

  No

  N/A

• Where are the fire extinguisher and/or fire blanket located?

• Are there smoke alarms installed?

  Yes

  No

  N/A

• Date the smoke alarms were last tested.

  Date

• Written Educator Emergency Plan

  Yes

  No

  N/A

• Where is the Educator emergency plan kept?

Medical

• Doctor's certificate has been completed.

  Yes

  No

  N/A

• Has a copy of the doctor's certificate been supplied?

  Yes

  No

  N/A

• List regular medication taken by the Educator

• All household medications are stored out of reach.

  Yes

  No

  N/A

• There are 2 well stocked first aid kits (1 x home / 1 x pram/car)

  Yes

  No

  N/A

• What lockable container is used for children's medication?

Qualifications

• Full First Aid?

  Yes

  No

  N/A

• First Aid expiry date?

  Date

• Copy received?

  Yes

  No

  N/A

• Anaphylaxis and Asthma training?

  Yes

  No

  N/A

• Anaphylaxis and Asthma expiry date?

  Date

• Copy received?

  Yes

  No

  N/A

• CPR qualifications?

  Yes

  No

  N/A

• CPR expiry date?

  Date

• Copy received?

  Yes

  No

  N/A

• Qualifications

  Select Qualified Studying

  • Qualified
  • Studying

• Copy received?

  Yes

  No

  N/A

• Child Protection Training

  Yes

  No

  N/A

• Child Protection Training expiry date

  Date

• Copy received.

  Yes

  No

  N/A

• Has a minimum of 16 hours professional development been completed?

  Yes

  No

  N/A

• How many hours have been completed?

• List any further professional development planned.

Pets

• Are there animals kept on the premises?

  Yes

  No

  N/A

• List all animals kept on the premises.

• Animal worming and flea control is up to date.

  Yes

  No

  N/A

• All pet food bowls and water bowls are out of the reach of children.

  Yes

  No

  N/A

• Is there a separate area for the pets?

  Yes

  No

  N/A

• Details of the separate areas.

Resources and Equipment

• All resources are well maintained.

  Yes

  No

  N/A

• All resources and equipment are kept clean and hygienic.

  Yes

  No

  N/A

• How are resources and equipment kept clean and hygienic?

• Small items that are choking hazards are inaccessible to younger children.

  Yes

  No

  N/A

• There is sufficient furniture.

  Yes

  No

  N/A

• There are child sized tables and chairs.

  Yes

  No

  N/A

• There are sufficient resources and equipment indoors and outdoors.

  Yes

  No

  N/A

• Indoor resources are displayed and stored so they are easily accessible to children to allow self-choice.

  Yes

  No

  N/A

• Outdoor resources are displayed and stored so they are easily accessible to children to allow self-choice.

  Yes

  No

  N/A

• Resources are stored in a tidy manner.

  Yes

  No

  N/A

• Resources are borrowed from the Resource Library.

  Yes

  No

  N/A

• Natural resources are used/available indoors and outdoors

  Yes

  No

  N/A

• Details or natural resources.

Sustainability

• Evidence of sustainability practices sighted.

  Yes

  No

  N/A

• Worm farm

  Yes

  No

  N/A

• Recycling bin

  Yes

  No

  N/A

• Compost bin

  Yes

  No

  N/A

• Vegetable garden

  Yes

  No

  N/A

• Details of water saving procedures.

• Details of power saving procedures.

• Details of sustainable purchasing procedures.

• Any other sustainability procedures.

General

• There is sufficient space for children to play indoors.

  Yes

  No

  N/A

• There is sufficient light and ventilation throughout the home.

  Yes

  No

  N/A

• All stairs and potentially hazardous areas have gates or doors which provide effective barriers.

  Yes

  No

  N/A

• The home is a smoke free environment.

  Yes

  No

  N/A

• The home has been sprayed for pests.

  Yes

  No

  N/A

• When is the next pest treatment due?

  Date

• Copy of the pest treatment report received?

  Yes

  No

  N/A

• How is the home environment checked for health and safety issues?

• Are there any fire arms or ammunition on the premises?

  Yes

  No

• Fire arms/ammuniition stored safely aqccording to Weapons Act 1990.

  Yes

  No

  N/A

• Fire arms licence has been sighted and a copy on the file at the office.

  Yes

  No

  N/A

• The home is clean and hygienic.

  Yes

  No

  N/A

• There is a regular cleaning schedule in place.

  Yes

  No

  N/A

• List cleaning products used.

Bathrooms

• Is bathroom in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• Bathroom door can be unlocked from the outside.

  Yes

  No

  N/A

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Shampoo and conditioner.

  Yes

  No

  N/A

• Cosmetics, perfumes and deodorants.

  Yes

  No

  N/A

• Razors, electric shavers, scissors or other sharp objects.

  Yes

  No

  N/A

• All electrical equipment (e.g. hair dryers etc.)

  Yes

  No

  N/A

• Medications

  Yes

  No

  N/A

• Aerosols

  Yes

  No

  N/A

• Poisons

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All other hazardous materials.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other bathroom hazards identified and risk management applied to these hazards.

• Are there any additional bathrooms in the house?
Bathroom

• Is bathroom in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• Bathroom door can be unlocked from the outside.

  Yes

  No

  N/A

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Shampoo and conditioner.

  Yes

  No

  N/A

• Cosmetics, perfumes and deodorants.

  Yes

  No

  N/A

• Razors, electric shavers, scissors or other sharp objects.

  Yes

  No

  N/A

• All electrical equipment (e.g. hair dryers etc.)

  Yes

  No

  N/A

• Medications

  Yes

  No

  N/A

• Aerosols

  Yes

  No

  N/A

• Poisons

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All other hazardous materials.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other bathroom hazards identified and risk management applied to these hazards.

Bedrooms

• Is Master bedroom in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Cosmetics, perfumes and deodorants.

  Yes

  No

  N/A

• Medications

  Yes

  No

  N/A

• Choking hazards such as small items like jewellery, toys etc.

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All heaters and fans.

  Yes

  No

  N/A

• All exercise equipment.

  Yes

  No

  N/A

• Other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other bedroom hazards identified and risk management applied to these hazards.

• Are there any additional bedrooms in the house?
Bedroom

• Is bedroom in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Cosmetics, perfumes and deodorants.

  Yes

  No

  N/A

• Medications

  Yes

  No

  N/A

• Choking hazards such as small items like jewellery, toys etc.

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All heaters and fans.

  Yes

  No

  N/A

• All exercise equipment.

  Yes

  No

  N/A

• All other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other bedroom hazards identified and risk management applied to these hazards.

Garage

• Is garage in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• The room is clean and tidy.

  Yes

  No

  N/A

• The room has adequate ventilation and light.

  Yes

  No

  N/A

• Garage doors are not visible (i.e. they are covered with fabric or something similar).

  Yes

  No

  N/A

• There is adequate floor covering (e.g. not bare concrete)

  Yes

  No

  N/A

• Is the garage also used for car parking?

  Yes

  No

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• Are all sharp edges on furniture protected?

  Yes

  No

  N/A

• Are shelves, cupboards, TVs etc. stable or secured where needed?

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Choking hazards such as small items like beads, toys etc.

  Yes

  No

  N/A

• Cleaning products and other poisons.

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All heaters and fans.

  Yes

  No

  N/A

• All exercise equipment.

  Yes

  No

  N/A

• All other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other garage hazards identified and risk management applied to these hazards.

Kitchen

• Is kitchen in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Sharp objects - knives, scissors, kitchen utensils, BBQ utensils etc.

  Yes

  No

  N/A

• Cleaning products and other poisons.

  Yes

  No

  N/A

• Plastic bags

  Yes

  No

  N/A

• Medication

  Yes

  No

  N/A

• Alcohol

  Yes

  No

  N/A

• Aerosol sprays

  Yes

  No

  N/A

• Matches and lighters

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All heaters and fans.

  Yes

  No

  N/A

• All other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other kitchen hazards identified and risk management applied to these hazards.

Kitchen

• Is kitchen in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Sharp objects - knives, scissors, kitchen utensils, BBQ utensils etc.

  Yes

  No

  N/A

• Cleaning products and other poisons.

  Yes

  No

  N/A

• Plastic bags

  Yes

  No

  N/A

• Medication

  Yes

  No

  N/A

• Alcohol

  Yes

  No

  N/A

• Aerosol sprays

  Yes

  No

  N/A

• Matches and lighters

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All heaters and fans.

  Yes

  No

  N/A

• All other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other kitchen hazards identified and risk management applied to these hazards.

Living Area

• Is the living area in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• Are all sharp edges on furniture protected.

  Yes

  No

  N/A

• Are shelves, cupboards TVs etc. stable or secured where needed.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Choking hazards such as small items like beads, toys etc.

  Yes

  No

  N/A

• Sharp items such as knives, scissors etc.

  Yes

  No

  N/A

• Cleaning products and other poisons.

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• Alcohol

  Yes

  No

  N/A

• All heaters and fans.

  Yes

  No

  N/A

• All exercise equipment.

  Yes

  No

  N/A

• All other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other living area hazards identified and risk management applied to these hazards.

Laundry

• Is laundry in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• All hot water taps are out of reach of children or temperature controlled.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Cleaning products and other poisons.

  Yes

  No

  N/A

• Plastic bags

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All buckets which contain waster.

  Yes

  No

  N/A

• All other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other laundry hazards identified and risk management applied to these hazards.

Patio

• Is the living area in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• The area is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• Are all sharp edges on furniture protected.

  Yes

  No

  N/A

• Are shelves, cupboards TVs etc. stable or secured where needed.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Choking hazards such as small items like beads, toys etc.

  Yes

  No

  N/A

• Sharp items such as knives, scissors etc.

  Yes

  No

  N/A

• Cleaning products and other poisons.

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All heaters and fans.

  Yes

  No

  N/A

• All exercise equipment.

  Yes

  No

  N/A

• All other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other patio hazards identified and risk management applied to these hazards.

Play Room

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• Are all sharp edges on furniture protected.

  Yes

  No

  N/A

• Are shelves, cupboards TVs etc. stable or secured where needed.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Choking hazards such as small items like beads, toys etc.

  Yes

  No

  N/A

• Sharp items such as knives, scissors etc.

  Yes

  No

  N/A

• Cleaning products and other poisons.

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• Alcohol.

  Yes

  No

  N/A

• All heaters and fans.

  Yes

  No

  N/A

• All exercise equipment.

  Yes

  No

  N/A

• All other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other play room hazards identified and risk management applied to these hazards.

Study

• Is the study area in use or out of bounds?

  In Use

  Out of Bounds

• Out of bounds areas must be inaccessible to children. How is this room inaccessible?

  Select Child Proof Handle Bolted Physical Barrier Handle out of Reach Key Locked Other

  • Child Proof Handle
  • Bolted
  • Physical Barrier
  • Handle out of Reach
  • Key Locked
  • Other

• What other ways is this room made inaccessible?

• The room is clean and tidy.

  Yes

  No

  N/A

• Electricity outlets not in use have safety plugs.

  Yes

  No

  N/A

• All electrical leads are out of reach of children or stored safely.

  Yes

  No

  N/A

• Are shelves, cupboards stable or secured where needed.

  Yes

  No

  N/A

• The following items are inaccessible to children:

• Choking hazards such as small items like beads, toys etc.

  Yes

  No

  N/A

• Sharp items such as knives, scissors etc.

  Yes

  No

  N/A

• Cleaning products and other poisons.

  Yes

  No

  N/A

• Curtain and blind cords.

  Yes

  No

  N/A

• All heaters and fans.

  Yes

  No

  N/A

• All exercise equipment.

  Yes

  No

  N/A

• All other hazardous objects.

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other study hazards identified and risk management applied to these hazards.

Nappy Changing / Toileting Area

• Where is the change mat used?

  Select change table floor

  • change table
  • floor

• Nappy change mat has an impervious surface and is in good condition.

  Yes

  No

  N/A

• The nappy change mat is cleaned after every nappy change.

  Yes

  No

  N/A

• Disposable gloves are used for all nappy changing.

  Yes

  No

  N/A

• Paper/paper towels are used during the nappy change procedure.

  Yes

  No

  N/A

• Detergent and water are used to clean the change table after each use.

  Yes

  No

  N/A

• A hands free lidded bin is used for disposable nappies.

  Yes

  No

  N/A

• "Nappy Change Procedure" displayed.

  Yes

  No

  N/A

• "Handwashing Procedure" displayed.

  Yes

  No

  N/A

• Where are the hand washing facilities located for the educator and children?

• What is used to dry hands?

  Select individual hand towel paper towel

  • individual hand towel
  • paper towel

• Disposable gloves are used for first aid and dealing with bodily fluids.

  Yes

  No

  N/A

• All cleaning products are kept out of reach of children.

  Yes

  No

  N/A

• List cleaning products used.

General

• There is sufficient space for children to play outdoors.

  Yes

  No

  N/A

• There are areas for active and quiet play.

  Yes

  No

  N/A

• There is adequate shade.

  Yes

  No

  N/A

• The outdoor play area is fully fenced.

  Yes

  No

  N/A

• The fence is in good condition.

  Yes

  No

  N/A

• The fence is non-climbable (i.e. there are no garden beds or climbing structures)

  Yes

  No

  N/A

• All gates are safely secured with a lock or safety slip.

  Yes

  No

  N/A

• The yard is mowed and free of debris.

  Yes

  No

  N/A

• How is the outdoor environment checked for health and safety issues?

• There is a regular cleaning schedule in place for outdoor areas.

  Yes

  No

  N/A

• All areas of the yard can be safely supervised.

  Yes

  No

  N/A

• There is a barrier at the bottom of stairs.

  Yes

  No

  N/A

• All sheds are locked.

  Yes

  No

  N/A

• The following items are inaccessible to children.

• Gas bottles

  Yes

  No

  N/A

• Barbeques

  Yes

  No

  N/A

• All exercise equipment

  Yes

  No

  N/A

• Poisonous plants

  Yes

  No

  N/A

• Plants with sharp thorns / prickles

  Yes

  No

  N/A

• Glass safety - all glass accessible to children:

  Select is Safety Glass has Safety Film applied has effective barrier in place has no protection

  • is Safety Glass
  • has Safety Film applied
  • has effective barrier in place
  • has no protection

• List other outdoor hazards identified and risk management applied to these hazards.

Play Equipment

• All equipment over 60cm is surrounded by soft fall, mats or grass.

  Yes

  No

  N/A

• The sandpit is covered when not in use.

  Yes

  No

  N/A

• Trampolines have safety baffles and mesh enclosure attached.

  Yes

  No

  N/A

• All outdoor equipment is in good repair.

  Yes

  No

  N/A

• There is adequate space for sun safe play.

  Yes

  No

  N/A

• List other play equipment hazards and risk management applied to these hazards.

Water Hazards

• Is there a pool or spa on the premises?

  Yes

  No

  N/A

• There is a pool fencing safety certificate.

  Yes

  No

  N/A

• Has a copy of the pool safety certificate been received?

  Yes

  No

  N/A

• The pool gate closes automatically and is in good working order.

  Yes

  No

  N/A

• The pool gate is kept locked at all times.

  Yes

  No

  N/A

• Is there a pond or water feature on the premises?

  Yes

  No

  N/A

• The water feature / pond has an effective barrier to prevent child access.

  Yes

  No

  N/A

• Is there a swimming pool in a neighbour's yard?

  Yes

  No

  N/A

• List other water hazards identified and risk management applied to these hazards.

Educator

• Name

• I agree to complete the follow ups recorded and comply with and maintain the required standard of safety and hygiene as documented on this Educator Assessment Form

  Sign

• Date agreed:

  Date

Coordinator

• Name

• Initial Safety Check Completed.

  Sign

• Date Initial Safety Check completed:

  Date

• Follow Ups Completed.

  Sign

• Date Follow Ups completed:

  Date

• Signed Educator Agreement Contract received:

  Yes

  No

  N/A

• Date Educator Agreement Contract received:

  Date