Educator Information

Educator's Name

Visit Arrival Date and Time

Other People Present:


CDO Name

Service Policies & Procedures



EC Code of Ethics

Quality Area 1: Educational Program and Practice

Program current and displayed

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Child Observations current

Links to EYLF/ MTOP

Reflection/ Evaluation

Forward Planning

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CDO observations

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Quality Area 2: Children's Health and Safety

Medical Conditions Risk Minimisation Plan

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Quality Area 3: Physical Environment

Areas observed

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Ratings Certificate

CPR Charts

Evacuation Plans & Critical Events at all exists



Visitors Register

Daily Check

Red/Green Zones

Sleep/Rest Management

Pet Management

Attendance Records checked

Quality Area 4: Staffing Arrangements

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Quality Area 5: Relationships with Children

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Child 7

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Quality Area 6: Collaborative partnerships with families and communities

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Quality Area 7: Leadership and Service Management

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Printed Information/Handouts given:

Professional Development Plan/Educator Goals & Comments:



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Educator Comments

CDO Comments

Critical Reflections

Follow Up

CDO And Educator Agreement
Educator Signature
CDO Signature
Visit Finish Time
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.