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This assessment is to be completed prior to visiting any Participant in their home. Staff are not permitted to conduct a home visit until staff have received approval and received your roster of visits.
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Consent


Question Yes No N/A Pending
Is the Participant/representative known about the Support organisation visit?
Has the Participant/representative/carers consented to the proposed visit?
Is the Participant/representative/carers aware of the proposed visit?
Has the Roster been discussed with the participant?

Property access Assessment



Associated Risks Assessment


@foreach ([ 'are_additional_persons' => 'Are additional persons expected to be present at the time of the visit?', 'is_the_participant_or_others' => 'Is the Participant or others known to be potentially aggressive, violent, or disturbed?', 'is_there_evidence_that_the_participant' => 'Is there evidence that the Participant at the premises may be under the influence of alcohol or drugs?', 'does_the_participant_have_any_pets' => 'Does the Participant have any pets? If yes, will they be securely locked away during the visit?', 'does_anyone_smoke' => 'Does anyone smoke at home?', 'is_there_a_risk_of_the_participant' => 'Is there a risk of the Participant or others at the premises using a weapon?', 'will_you_be_visiting_at_night' => 'Will you be visiting at night or outside of normal working hours?', 'has_relevant_medical' => 'Has relevant medical history been communicated, inc. potential risk situations?', 'is_the_home_in_a_high_crime' => 'Is the home in a high-crime area or an isolated location?', 'does_the_client_participant_have_a_blood_borne_disease' => 'Does the client/Participant have a blood-borne disease (e.g. HIV/AIDS or Hepatitis B/C)? if yes, need a safety plan', 'does_the_client_participant_have_an_airborne_disease' => 'Does the client/Participant have an airborne disease (e.g. flu, tuberculosis, measles, chicken pox or influenza)? if yes, need a safety plan', 'does_the_client_participant_have_an_infectious_disease' => 'Does the client/Participant have an infectious disease that can be spread by contact (e.g. herpes, MRSA, scabies, rubella, mumps or ringworm)? if yes, need a safety plan', 'does_the_participant_require_transport' => 'Does the participant require transport support? if yes, please be aware of the safe transport policy' ] as $key => $question) @foreach (['Yes', 'No', 'N/A', 'Pending'] as $val) @endforeach @endforeach
Question Yes No N/A Pending

Hazard Identification

(Summary of Risks)

Risk Evaluation

(Current risk)

Risk Control

(Controls implemented for those Risks)

- Fire Hazards

- Poisoning

- Allergies

- Falls Hazards

Assessment of risk for home visiting

Where appropriate, call ahead to undertake a risk assessment, including identifying if participant/ participant’s family is/are a confirmed, probable, or suspected case of COVID-19. If unsure, ask screening questions:

  • Have you had a positive COVID-19 test result?
  • Are you in close contact with a confirmed case of COVID-19?
  • Do you have a fever or respiratory symptoms, such as a cough, sore throat, or shortness of breath?

If the answer is ‘yes’ to having respiratory symptoms AND to any of the other questions:

  • Advise Participant to contact a GP or the National Coronavirus Hotline (1800 020 080) and seek testing.
  • It is recommended to postpone the home visit or deliver your service electronically (prompts vis phone or dropping essential items at the home).
  • If the face-to-face visit is deemed critical and unavoidable, a short home visit (less than 15 minutes) can be completed by an employee equipped with full personal protective equipment (PPE) — N95 mask (or an authorised SA Health alternative), safety glasses and gloves.

If the answer is ‘no’ to all the above, you can undertake a home visit. The use of a surgical mask is still required for all home visits if social distancing is not possible unless full PPE is required.
During home visits:

  • Minimise physical contact.
  • Maintain a minimum distance of 1.5 metres and ensure a density of no more than 1 person per 2 square metres where possible.
  • Practice universal precautions and infection control procedures; observe general advice on physical distancing and hygiene.
  • Offer the clients a surgical mask to use.


Reference: https://dhs.sa.gov.au/services/cfss/resources/practice-guides/practice-guide-safe-home-visiting
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