COVIDSafe Plan for Educators in the Family Home

Please complete all items on this list urgently and submit once everything has been implemented

This plan is to be completed by the educator and client together to ensure that all of the below are followed

Please repeat this form for each household an educator works in

Educator First Name*

Please enter educator's first name.

Educator Last Name*

Please enter educator's last name.

Educator Email*

Please enter educator's email.

Client First Name*

Please enter client's first name.

Client Last Name*

Please enter client's last name.

Client Address*

Please enter client's address.

Set up a hand sanitiser station for use on entering the family home and ensure adequate supplies of hand soap and clean towels are available*

Yes

Please confirm.

Where possible: enhance airflow by opening windows and adjusting air conditioning*

Yes

Please confirm.

Educator to wear face mask unless a lawful exception applies*

Yes

Please confirm.

Educator and client have watched the linked training video on how to wear a mask*

https://publish.viostream.com/play/bfxgwognhq4t96

Yes

Please confirm.

Increase environmental cleaning and ensure high touch surfaces are cleaned and disinfected regularly (at least twice daily)*

Yes

Please confirm.

Ensure adequate supplies of cleaning products in the home, including detergent and disinfectant*

Yes

Please confirm.

The educator and client certifies that they have read the linked Cleaning and Disinfecting Guidelines*

https://melbournesleadingnannyagency.com.au/wp-content/uploads/2020/08/EC_cleaning_disinfecting_guidelines.docx

Yes

Please confirm.

Utilise educator or family thermometer to do a temperature check at the beginning of each shift (below 37.5°C)*

Yes

Please confirm.

The educator certifies that they have previously completed the linked COVID-19 Infection Control Training*

https://www.health.gov.au/resources/apps-and-tools/covid-19-infection-control-training

Yes

Please confirm.

Family and educator agree to have contactless delivery of goods*

Yes

Please confirm.

Family and educator agree not to permit any additional people to the family home*

Yes

Please confirm.

Prepare to immediately notify MLNA and WorkSafe Victoria on 13 23 60 if you have a confirmed COVID-19 in the family home (educator or family)*

Yes

Please confirm.

Date

Field is required!

Both the above listed educator and client acknowledge and understand their responsibilities and have implemented this COVIDSafe Plan in the family home*

Yes

Please confirm.

IHC COVIDSafe Plan

COVIDSafe Plan for Educators in the Family Home

Please complete all items on this list urgently and submit once everything has been implemented

This plan is to be completed by the educator and client together to ensure that all of the below are followed

Main Links

Resources

Quick Links