SAFETY RISK ASSESSMENT/SUPPORT PLAN 
  • Safety Risk Assessment/ Support Plan

    STA, IHC, SIL (WCS wide)
  •  / /
  • Participant details

  •  / /
  • Risk Assessment

  • PLEASE NOTE (for duty of care for very young participants)

    Under 8 yrs participants will automatically be placed on a 1:1 support ratio.

    Under 12 years participants will automatically be placed on a 1:2 support ratio or higher depending on safety requirements. 

     

    The following assessment has been designed to ensure safety for participants while participating in off-site activities and in day-to-day living experiences while in our care.

  •  

    Please rate the level of need for this participant.

    0 - No support required

    1 - little support (requiring 1 worker to 4 participants - 1:4)

    2 - low support (requiring 1 worker to 3 participants - 1:3)

    3 - moderate support (requiring 1 worker to 2 participants- 1:2)

    4 - high support required (1:1 support)

    5 - extremely high needs (2:1 support) 

  •  
  •  

    Please rate the level of need for this participant.

    0 - No support required

    1 - little support (requiring 1 worker to 4 participants - 1:4)

    2 - low support (requiring 1 worker to 3 participants - 1:3)

    3 - moderate support (requiring 1 worker to 2 participants- 1:2)

    4 - high support required (1:1 support)

    5 - extremely high needs (2:1 support) 

  •  
  •  

    Please rate the level of need for this participant.

    0 - No support required

    1 - little support (requiring 1 worker to 4 participants - 1:4)

    2 - low support (requiring 1 worker to 3 participants - 1:3)

    3 - moderate support (requiring 1 worker to 2 participants- 1:2)

    4 - high support required (1:1 support)

    5 - extremely high needs (2:1 support) 

  •  
  •  

    Please rate the level of need for this participant.

    0 - No support required

    1 - little support (requiring 1 worker to 4 participants - 1:4)

    2 - low support (requiring 1 worker to 3 participants - 1:3)

    3 - moderate support (requiring 1 worker to 2 participants- 1:2)

    4 - high support required (1:1 support)

    5 - extremely high needs (2:1 support) 

  •  
  •  

    Please rate the level of need for this participant.

    0 - No support required

    1 - little support (requiring 1 worker to 4 participants - 1:4)

    2 - low support (requiring 1 worker to 3 participants - 1:3)

    3 - moderate support (requiring 1 worker to 2 participants- 1:2)

    4 - high support required (1:1 support)

    5 - extremely high needs (2:1 support) 

     

    Please mark with a x where you provide permission.

  •  
  •  
  • Support Plan

    Information to ensure the participant’s needs, support requirements, preferences, strengths and goals are met.
  • Participant NDIS Goals

    Please indicate the participant's NDIS Goals below.
  •  / /
  • OFFICE USE

  •  - -
  • Version date 31/03/2022

  • Should be Empty: