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Home Safety Assessment

SAFETY ASSESSMENT FORM

Statement that best describes why you are filling in this form?(Required)

What best describes where the home is situated?

Safety Assessment Update for the Approved Home Address

Safety Assessment for a TEMPORARY Alternate Address

Parent/Guardian(Required)

First Name Last Name

Email(Required)

Educator(Required)

First Name Last Name

Email(Required)

Submitted By(Required)

In conjunction with the Family, please discuss and fill out the following regarding safety in the home

All children have the right to experience quality education and care in a safe and healthy environment, minimising the risk of harm and hazard to children. The physical environment, online enviroment, and child protection requirements must be considered.

In conjunction with the Family, please assess and complete this safety assessment of the alternate location and surrounds

INDOOR SAFETY

Are medications, first aid kits, poisons, alcohol, and cleaning products stored in a locked cupboard or out of reach of children?(Required)

Yes

Describe changes that will me made to meet this standard:

Have all expired items in First Aid Kits been replaced?(Required)

Yes all items are up to date

No, but I have arranged for the family to replace items within the next 2 weeks

Are all medications, poisons, and cleaning products stored in their original containers or clearly labelled?(Required)

For more info about medicine safety, click here.

Yes

Describe why they are not and what hazard management strategies have been put in place:

Are matches, lighters, incense, oil burners, and other fire hazards out of reach of children?(Required)

Yes

Describe why they are not and what hazard management strategies have been put in place:

Are all knives, razors, scissors and other sharp cut objects out of reach of children?(Required)

Yes

Describe why they are not and what hazard management strategies have been put in place:

Are fire extinguishers, fire blankets and smoke alarms all in good working order?(Required)

Yes

Describe why they are not and what hazard management strategies have been put in place:

Are all kitchen appliances (toaster, kettle etc.) out of reach of young children?(Required)

Yes

Describe why they are not and what hazard management strategies have been put in place:

Are all plastic bags or similar out of reach of young children?(Required)

Yes

Describe why they are not and what hazard management strategies have been put in place:

Are all toiletries, perfumes, jewellery or similar out of reach of young children?(Required)

Yes

Describe why they are not and what hazard management strategies have been put in place:

Are all curtain and blind cords out of reach of young children?(Required)

Yes

Describe why they are not and what hazard management strategies have been put in place:

Are all accessible habitable spaces (Dining, lounge-living, study etc.) set up for safe care provision?(Required)

Yes

Describe why they are not and what hazard management strategies have been put in place:

Are all accessible bedrooms set up for safe care and sleep supervision and Red Nose and Kid Safe guides considered?(Required)

Yes

Describe why they are not and what hazard management strategies have been put in place:

Is the bathroom set up for safe bathing?(Required)

For more info about bathtime safety, click here.

Yes

Describe why they are not and what hazard management strategies have been put in place:

Have any prior indoor renovations or building works been recently completed?(Required)

Yes

Please detail when it was completed and when you will be available to complete a virtual Home Safety Update with one of the Head Office Safety Officers:

Are there any indoor renovations or building works currently underway that may impact the safety of children?(Required)

Yes

Please describe the renovations, (what will be changed / added) and describe what hazard management strategies have been put in place:

OUTDOOR SAFETY

Are there any garden or tool sheds, BBQ's, open fires or pits, rubbish or tools, that are accessible to the children?(Required)

Yes

Describe what hazard management strategies have been put in place:

Are there any un-fenced pools, unlocked pool gates, open bodies of water or other drowning hazards, accessible to the children?(Required)

For more info about pool safety, click here.

Yes

Describe what hazard management strategies have been put in place:

Are there any fences, gates or boundaries that children are able to scale, exit or open themselves?(Required)

Yes

Describe what hazard management strategies have been put in place:

Have the Australian Standard car seats been recently checked in the vehicle that the children are transported in?(Required)

For more about road safety for children, click here.

Yes the family regularly checks the car seats

No, but I will ensure family checks within next 2 weeks

N/A

Are bikes, scooters, other wheeled play equipment in good condition, and when using, are helmets available and worn by children?(Required)

For more about road safety for children, click here.

Yes

Describe the reason you are allowing children to breach Australian Standard AS/NZS 2063 whilst attending a Govt subsidised childcare session?

Are you aware that Educators are not to engage in activities where they may injure themselves eg. trampolines, riding motor bikes?(Required)

Yes, I do not put my physical, mental or well being at risk

REMOTE LOCATIONS

Are there any un-fenced silos, water tanks, ponds, creeks, rivers, and dams that are accessible to the children?(Required)

Yes

Describe what hazard management strategies have been put in place:

Are there any animal pens, stockyards, garages, garden or tool sheds and machinery areas that are accessible to the children?(Required)

Yes

Describe what hazard management strategies have been put in place:

Are there any chemicals like pesticides, fuel, and fertilizers that are accessible to the children?(Required)

Yes

Describe what hazard management strategies have been put in place:

Are guns stored separately from ammunition in a gun safe and inaccessible to children?(Required)

Yes

Describe what hazard management strategies have been put in place:

Is all farming machinery and vehicles kept in secured areas with keys removed?(Required)

Yes

Describe what hazard management strategies have been put in place:

Are children always supervised around animals and taught safe behavior?(Required)

e.g. not approaching dogs while eating or livestock with young

Yes

Describe what hazard management strategies have been put in place:

Are seasonal and permanent workers made aware of children’s presence?(Required)

Yes

Describe what hazard management strategies have been put in place:

GENERAL SAFETY AND HAZARD AND INCIDENT REPORTING

Are all shared facilities safe? And have supervision rules been discussed with the children?(Required)

e.g. toilet or shower blocks, pool or playground areas, kitchen or indoor play areas etc.

Yes

Describe what hazard management strategies have been put in place:

Have you had discussions about stranger danger and set area boundaries with the children?(Required)

Yes

Describe what hazard management strategies have been put in place:

Were there any improvements that were made during this safety assessment process?(Required)

Yes

Detail these improvements (when they were made, and by who etc.)

Are there any further improvements that still need to be made to ensure that both the educator and child/children will be safe?(Required)

Yes

Detail an action plan for these improvements (when will they be made, and by who etc.)*

Please upload any relevant files

Drop files here or

Max. file size: 256 MB, Max. files: 10.

Are there any peak times where adequate supervision of the children is challenging?(Required)

eg. school pick up, transportation, sleep times, meal times

Yes

What can you implement to ensure safe supervision is achievable? What support and advice can you seek from the family or service?:

Are there any Seasonal or new Home Safety risks that have emerged since your last update?(Required)

e.g. paddle pools, seasonal animals, free standing fans / heaters, open fires, etc.

Yes and I have or will fill in a Hazard Management Form immediately

Has the location of care changed since the last update or is the location of care going to change in the next 3 months?(Required)

For example, Mini School for 1 week or a temporary location due to the family home being repainted

Yes and I have or will fill in an Alternate Location Request Form immediately

Have there been any incidents or near misses that have occurred since the last update?(Required)

Yes and I have or will fill in an Incident Report Form immediately

Have you or any of the family members been unwell since the last update?(Required)

Yes and this was communicated to all parties including the Service

REMINDER - Hazard Management

You are required to submit a Hazard Management Form whenever seasonal or home safety risks emerge.

REMINDER - Alternate Location

Prior authorisation must be attained for care provision at a new / alternate location. Contact us if you’re unsure of the rules.

REMINDER - Incidents or Near Misses

You are required to report any incidents or near misses that occur, immediately if possible, or once the child is safe, or by the end of the shift at the very latest, but definitely within 24 hours.

REMINDER - Car Seats

Families are required to regularly check that ALL car seats are installed as they were when initially checked.

REMINDER - Prohibited Activities

Educators are not permitted to engage in activities where they may injure themselves e.g. trampolines, riding motor bikes etc.

REMINDER - EDUCATOR SICKNESS – Educators MUST discuss below with the Family as soon as symptoms arise:

1. What type of sickness it is and whether or not it is contagious

2. Whether the family preferred to use some of their own sick or carers leave through their workplace and take care of the children instead

3. If agreed that the Educator will still attend, will the Educator be able to perform well and keep the children safe

4. Will the family provide and require the Educator to wear hygiene protection equipment, e.g. masks, gloves, hand sanitizing solution, etc.

5. Don’t wait until the last minute, if symptoms arise on Sunday morning, call the Family on Sunday morning to discuss what might need to happen if symptoms are still present on Monday morning.

REMINDER - FAMILY SICKNESS – Families MUST discuss below with the Educator as soon as symptoms arise:

1. What type of sickness it is and whether or not it is contagious

2. Whether the family preferred to use some of their own sick or carers leave through their workplace and take care of the children instead

3. If agreed that the Educator will still attend, will the Educator be able to keep themselves safe

4. Is the family able to provide extra hygiene protection equipment, e.g. masks, gloves, hand sanitizing solution, etc.

5. Don’t just give the child Panadol and hope for the best, Educators must be given the option to make an informed choice about their own health and wellbeing.

Safety First: Protecting Educators and Families in IHC Sessions

At ALHCA, we care deeply about the wellbeing of both the families we support and the educators we employ. That’s why we have clear policies in place to ensure everyone feels safe, supported, and empowered before, during, and after any In-Home Care (IHC) session.

Be at risk of emotional trauma
Face reduced physical safety
Experience stressful or unsafe circumstances.

They must not proceed with the session without first contacting ALHCA for advice, support, and formal approval.

Educators Are Employees – Their Safety Matters

Educators are not independent contractors – they are valued employees of ALHCA. This means we all have a shared responsibility to ensure their working environment is physically and emotionally safe at all times.
If an educator is ever asked to attend a session where they feel they may:

Be at risk of emotional trauma
Face reduced physical safety
Experience stressful or unsafe circumstances.

They must not proceed with the session without first contacting ALHCA for advice, support, and formal approval.

Families Have a Duty of Care Too

We understand that life throws curveballs. Emergencies, unexpected changes, or sensitive family matters happen – and families often feel they can trust their educator with anything.
That trust is so important. But we must also remember:

Families have a duty of care to the educator in their home.
If an educator is invited into a situation that may be confronting, unsafe, or emotionally distressing – even with the best intentions – it is essential that ALHCA is made aware and involved in the decision-making process.

Shared Responsibility, Shared Safety

It is never OK for:

An educator to feel obligated to attend just because “the family asked nicely.”
A family and educator to agree on significant changes or plans without ALHCA approval.
Any party to assume it’s “probably fine” without stopping to check.

Doing so could:

Place one or both parties at risk
Result in a non-compliant session
Undermine the safety and wellbeing of everyone involved

Visuals to Remember

Safety first
Shared responsibility
When in doubt, check it out
Contact ALHCA
Care for one another

3 Things to Do Before an Unusual Session

Stop and assess – Is the environment emotionally or physically safe for everyone?
Contact ALHCA – Seek support, advice, and permission before proceeding.
Document concerns – Write down anything unusual and share it with ALHCA.

Educators and Families have agreed to the below Mandatory Conditions for Care at an Alternate Location:

• Educator may only provide care to IHC enrolled children from the specific family they have been linked to

• Educator must supervise children in shared areas (e.g. toilet or shower blocks, pool or playground areas, kitchen or indoor play areas etc.)

• Educator must have completed an ALTERNATE LOCATION SAFETY AND HAZARD ASSESSMENT form prior to provision of care

• Educator must carry an electronic or physical copy of the Alternate Location Safety assessment and Hazard management form with them

• Educator must have completed a location specific LOCKDOWN, EVACUATION AND EMERGENCY PLAN prior to provision of care

• Educator must carry an electronic or physical copy of the location specific Lockdown, Evacuation or Emergency plan with them

• Educator must have access to the Harmony platform where asthma, anaphylaxis and medical plans are stored

• Educator must carry a charged phone, power bank and first aid kit in their excursion toolkit

• Educator must have access to or carry all mandatory resources (policy and record keeping booklet, contact information, safety equipment)

• Educator must carry an electronic or physical copy of all emergency parent, service and other contact information

• Educator must complete Adhoc Excursion forms should care be required outside of the Alternate Location Environment

I confirm that all information provided is true, accurate and current.(Required)

Yes

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Friday 9:00am-4:00pm
We have a 24 hour emergency service
for current clients and carers.

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