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Hazard Report Form

Educator Details

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Client Details

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Last Name*
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Client Email*
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ASSESSING AND MANAGING - NEAR MISSES, EMERGING RISKS AND POTENTIAL 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. Use this form to record emerging, near miss and potential hazards within the home learning environment that could become a risk causing you or others harm.

EXAMPLES OF NEAR MISSES

• An educator and child were in a car, the child was in the back seat and opened the door, the educator stopped the car and activated the child lock on the car door.

• A child pulled an empty saucepan off the stove, the educator arranged for the family to install a stove guard.

• A child walked out of the bathroom holding a razor, the educator calmly took the razor and asked the family to either put a baby gate on the bathroom door or to purchase a shower caddy to store items like this out of reach

EXAMPLES OF EMERGING RISKS

• An educator notices that the neighbours are building bee hives, the educator speaks with the family and they decide to imbed learning about poisonous insects and reptiles into the educational planner.

• The wet season is coming, the family are half way through digging post holes for a new gazebo in the back yard, the holes will fill up with water and become a drowning hazard, the educator asks for the holes to be covered or the area fenced off until the gazebo is finished.

• The family is about to get a dog, the educator is worried that the children may get bitten, so they decide to find lots of learning material to imbed into their educational plan in preparation for the dogs arrival.

EXAMPLES OF POTENTIAL HAZARD

• The educator notices that a new cabinet has been put in the loungeroom and its full of alcohol but does not have a lock on it. The educator asks the family to put a childlock on the doors so that the children cannot access it.

• There will be high winds all week, the educator is worried that one of the gum tree branches that hangs above the sandpit might come down. The educator asks the family if they can arrange for a gardener to come and cut the branch off just in case.

• The family have purchased a new baby walker, the child will now be able to reach up much higher, the educator is worried that the child will pull the table cloth off the kitchen table and asks whether the table cloth could be removed to avoid an accident.

COMPLETE THE FORM - ASSESSING AND MANAGING THE NEAR MISS, EMERGING RISK AND POTENTIAL HAZARD

Date*
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Field is required!
Select a date
Hazard Category*
  • - select a option -
  • Biological Hazard
  • Hazardous chemicals and items
  • Manual tasks
  • Slips, trips and falls
  • Environmental Hazards
  • Other Hazards
- select a option -
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Field is required!
Biological Hazard
Examples could include immunisation, infection diseases, hygiene and cleanliness, practices involving bodily fluids, e.g. nappy change, toileting, nose wiping, feeding and cleaning blood and bodily fluid spills
Hazardous chemicals and items
Examples could include storage of chemicals, chemical labelling, storage of tools or firearms, storage of medication, farming equipment, access to alcohol and other illicit items
Manual tasks
Examples could include picking up children, moving furniture, cleaning educational spaces, lifting children who are not mobile, moving children in wheelchairs, furniture not ergonomically friendly (e.g. places where nappy change procedures occur)
Slips, trips and falls
Examples could include slippery floors, toys and other educational resources over the floor, unclear walkways, home items in unsafe places, outdoor equipment with potential opportunities to fall from stairs
Environmental Hazards
Examples could include swimming pool areas, dams, broken fence palings, furniture in need of repair, poisonous plants, pets, farm animals and wildlife
Other Hazards
Examples could include any other hazards which do not fit in the above categories such as electrical power points, loud noises, allergens, working for periods of time without a break, supervision, transportation of children, sleep and rest, medical management, confrontational situations, online safety, visitors.
Hazard Type*
  • - select a option -
  • Near Miss
  • Emerging Risk
  • Potential Hazard
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Describe Hazard*
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Describe actions taken to make it safe for active engagement*
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Describe how you plan to turn the management of this hazard into an Educational Learning opportunity for the child/children?* Click here to download a PDF with some examples
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Describe any communications that you have had with the family*
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Please upload any supporting evidence or documentation here
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I confirm that all the above information provided is true, accurate and current.*
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