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IHC Quarterly Home Safety Update

Educator Details

Educator First Name*
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Please enter first name.
Educator Last Name*
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Educator Email*
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Client Details

Client First Name*
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Please enter first name.
Client Last Name*
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Client Email*
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In conjunction with our client, please discuss and fill out the following regarding safety in the client's home

INDOOR

Is the first aid kit stored in a locked cupboard or is it out of reach of children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Is all medication in date, stored in a locked cupboard or out of reach of children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Is all medication stored in their original containers or labelled clearly?*
For more info about medicine safety, click here.
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Is all poison stored in a locked cupboard or out of reach of children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all poisons stored in their original containers or labelled clearly?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Is all alcohol stored in a locked cupboard or out of reach of children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all cleaning products stored in a locked cupboard or out of reach of children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all cleaning products stored in their original containers or labelled clearly?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are matches, oil burners, incense and lighters out of reach of children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all knives, razors, scissors and other sharp cut objects out of reach of children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all kitchen appliances (toaster, kettle etc.) out of reach of young children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all plastic bags or similar out of reach of young children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all toiletries, perfumes, jewellery or similar out of reach of young children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all curtain and blind cords out of reach of young children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Is the bathroom set up for safe bathing?*
For more info about bathtime safety, click here.
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!

OUTDOOR

Are all garden/pool/tool sheds securely locked and inaccessible by children?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all pool gates child-locked?*
For more info about pool safety, click here.
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are all Drowning Hazards removed?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Are you aware that Educators are not to engage in activities where they may injure themselves eg. trampolines?*
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!
Have the Australian Standard car seats been recently checked in the vehicle that the children are transported in?*
For more about road safety for children, click here.
Please answer the question.
Please answer the question.
Additional comments if required
Field is required!
Field is required!

GENERAL SAFETY AND HAZARD AND INCIDENT REPORTING

Were there any improvements that were made to the safety of the client’s home during this process?*
Please confirm.
Please confirm.
If yes, detail these improvements (when they were made, and by who etc)
Field is required!
Field is required!
Are there any improvements that need to be made to the safety of the client’s home?*
Please confirm.
Please confirm.
If yes, detail an action plan for these improvements (when will they be made, and by who etc)*
Field is required!
Field is required!
Are there any peak times where adequate supervision of the children is challenging? (eg. school pick up, transportation, sleep times, meal times)*
Please confirm.
Please confirm.
If yes, what can you implement to ensure safe supervision is achievable? What support and advice can you seek from the family or service?
Field is required!
Field is required!
Are there any Seasonal or new Home Safety risks that have emerged since your last update? If so, what? For example, paddle pools, seasonal animals, free standing fans / heaters, open fires, etc.*
Field is required!
Field is required!

You are required to submit a Hazard Report Form. A link to the form can be found in the email you will receive after submission of this update form.

Have there been any incidents or near misses that have occurred since the last udpate?*
Field is required!
Field is required!

You are required to report any incidents or near misses that occur within 24 hours. To ensure you meet lawful obligations, you will be required to submit a belated form now. In the future, be sure to submit an Incident Report Form for any incidents or near misses within 24 hours of the event. A link to the form can be found in the email you will be receive after submission of this update form.

Has the location of care changed since the last update or is the location of care going to change in the next 3 months?*
Field is required!
Field is required!

As per government legislation, you are required to notify the agency as soon as you are aware of a change in care location by providing the change of address immediately. Please contact the agency as soon as possible to discuss. Please keep in mind, notification is supposed to happen PRIOR to any change of care location.

I have checked all of the above and discussed the importance of the above with my client*
Please confirm.
Please confirm.
I confirm that all information provided is true, accurate and current.*
Please confirm.
Please confirm.