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Hazard Report Form

Educator Details

Educator First Name*
Please enter worker/educator's first name.
Please enter worker/educator's first name.
Educator Last Name*
Please enter worker/educator's last name.
Please enter worker/educator's last name.
Educator Email*
Please enter worker/educator's email.
Please enter worker/educator's email.

Client Details

First Name*
Please enter participant/client's first name.
Please enter participant/client's first name.
Last Name*
Please enter participant/client's last name.
Please enter participant/client's last name.
Client Email*
Please enter worker/educator's email.
Please enter worker/educator's email.

ASSESSING AND MANAGING EMERGING RISKS AND HAZARDS

As an IHC Educator, protecting children from hazards and harm is the most important part of your role. It is important to reflect and plan for health and safety in the home learning environment and when providing education and care for children. This Hazard Report Form should be used to quickly record emerging, near miss and potential hazards within the home learning environment that may become a risk causing you or others harm. It should be used consistently to assess hazards including what risks may occur, what the benefit is to children if they engaged with an element of risk and actions needed to improve safety.

RISK CATEGORY KEY

This risk category key should be used to identify the category of risk. The risk category key included on the next page has been designed to support your thinking in different categories, which may have not been considered previously. These are suggestions and should be considered individually based on each home learning environment and added to as needed.

ASSESSING AND MANAGING EMERGING RISKS - EXAMPLE

ASSESSING AND MANAGING THE EMERGENCY RISKS

Please fill out the below form, relevant to the current hazard and risk.
Select a date
Field is required!
Field is required!
Situation*
Please answer the question.
Please answer the question.
Hazard and risk that may cause harm*
Please answer the question.
Please answer the question.
Risk Category*
Please answer the question.
Please answer the question.
Benefit to children*
Consider the FMP, policies and procedures and learning and development of children.
Please answer the question.
Please answer the question.
Actions needed to make it safe for active engagement*
Please answer the question.
Please answer the question.
Communicated to the family Y/N and IHC Service Y/N?*
Please answer the question.
Please answer the question.
I confirm that all information provided is true, accurate and current.*
Please confirm.
Please confirm.