Assessment details
Client identifier Use your service's ID, not the full record
Address and access notes Unit numbers, key safes, which door to use
Completed by and role
Date of assessment
Review date 12 months, or immediately after any incident, hospitalisation or change in household
Access, exit and communications
- Safe parking available; the vehicle can leave without being blocked in
- Path, steps and entry adequately lit for early morning and evening visits
- Entry door and screen open freely; the worker cannot be locked in during the visit
- At least one exit reachable from the main service area
- Mobile coverage inside the home confirmed, with dead spots noted
- Key safe or entry arrangement documented and working
- Neighbouring risks noted (dogs next door, common stairwells, isolated block)
- The worker can call out during the visit, or carries a monitored duress alarm or safety app
Inside the home
- Animals secured or manageable during visits; dog behaviour observed, not just owner-reported
- Weapons, or tools and items positioned as weapons, absent from service areas
- Smoking materials managed around any oxygen equipment
- Floors passable: trip hazards, hoarding and clutter do not block work areas or exits
- Hygiene and biological hazards (sharps, waste, vermin) at a level where service can proceed
- Electrical safety: leads, heaters and appliances in the work area appear sound
- Adequate space and lighting for any manual handling the care plan requires
- Drug or alcohol paraphernalia in service areas noted and reported
- Temperature liveable for the visit length in summer and winter
Household and behavioural factors
- Everyone who lives at or regularly visits the home is known and recorded
- Any history of aggression toward workers, family or previous providers is documented with dates
- Substance use patterns that affect behaviour are recorded, including time-of-day patterns
- Known triggers are listed (medication changes, money, specific topics, changes to visit times)
- The behaviour support plan, if one exists, has been read by every worker who attends
- Other services attending the home have been asked about incidents and flags
- The client's communication needs are understood well enough to detect escalation early
- Any household member who must not be present during visits is named, with the action if they are
Agreed service arrangements
Record what the risks above mean for how visits run. These conditions bind scheduling, not just the worker on the day.
| Risk identified | Agreed arrangement | Approved by | Review date |
|---|---|---|---|
Sign-off
Completed by [worker] and reviewed by [coordinator] on [date]. Any item that could not be assessed is recorded as unknown, not assumed safe. Visits proceed only under the arrangements above; a change in the home or household reopens this assessment before the next visit.