Staff Safety ConnectandCheck - New Plan

New Connect&Check Plan - Staff Safety

Complete the information below. If you need help completing this form contact the Shield Team on 1800 069 010 or at yourshield@standbyu.org.au.
Your Organisation

OrganisationTeam Name or Region (if applicable)
Your Organisation's Connect&Check Program Coordinator

First and Last NamePhone Number
Program Coordinator's Email Address
A confirmation copy of the Plan will be sent to this email.
Check-In Call Recipient Information

Provide information for the Person / Site who will receive the check-in calls.
Person / Site Name
This is the name that will be heard when a call is received by the Call Recipient and Responders. It will also be included in texts and emails when a check-in call is escalated.
Person / Site Phone Number
This is the number that will be called to accept the check-in call.
Which State is the Recipient located in
Number of Looped Calls
Include the total number of times (upto a maximum of 5) to call the Person / Site before escalating to Responder 1.
Time between Calls
Include the time lapse between looped calls. Calls can be looped immediately after one another, upto a maximum of 5 minutes between calls.
Start Date

DayMonthYear
Include the date would you like the Connect&Check Plan to commence. Please allow 24 hours for the Plan to be programmed.
WORKFLOW 1 - BUSINESS HOURS

Monday to Friday, 9am - 5pm
Check-In Times: Business Hours

List the times for each day that check-in calls are to be made to the Recipient from Monday to Friday, 9am to 5pm.
BH Monday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
BH Tuesday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
BH Wednesday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
BH Thursday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
BH Friday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
Responders: Business Hours

Include upto 5 Responders who will receive an escalation call, Monday to Friday from 9am to 5pm, if the check-in call isn't accepted by the Recipient. List Responders in the order you would like any missed check-in calls to be escalated.
BH Responder 1

First and last namePhone NumberEmail address (optional)
BH Responder 2

First and last namePhone NumberEmail address (optional)
BH Responder 3

First and last namePhone NumberEmail address (optional)
BH Responder 4

First and last namePhone NumberEmail address (optional)
BH Responder 5

First and last namePhone NumberEmail address (optional)
WORKFLOW 2: AFTER HOURS AND WEEKENDS

Monday to Friday 5pm - 9am, and Saturday and Sunday 24 hours.
Check-In Times: After Hours

List the times for each day that check-in calls are to be made to the Recipient, Monday to Friday 5pm - 9am, and Saturday and Sunday 24 hours.
AH Monday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 6.00pm, 7.00am)
AH Tuesday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 6.00pm, 7.00am)
AH Wednesday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 6.00pm, 7.00am)
AH Thursday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 6.00pm, 7.00am)
AH Friday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 6.00pm, 7.00am)
Saturday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 6.00pm, 7.00am)
Sunday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 6.00pm, 7.00am)
Responders: After Hours and Weekends

Include upto 5 Responders who will receive an escalation call, Monday to Friday (5pm to 9am) and Saturday and Sunday (24 hours), if the check-in call isn't accepted by the Recipient. List Responders in the order you would like any missed check-in calls to be escalated.
AH Responder 1

First and last namePhone numberEmail address (optional)
AH Responder 2

First and last namePhone NumberEmail address (optional)
AH Responder 3

First and last namePhone NumberEmail address (optional)
AH Responder 4

First and last namePhone NumberEmail address (optional)
AH Responder 5

First and last namePhone NumberEmail address (optional)

Would you like to add an Additional Workflow with different Responders?

ADDITIONAL WORKFLOW
Check-in Times: Additional Workflow

List the times for each day that check-in calls are to be made to the Recipient.
AW Monday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
AW Tuesday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
AW Wednesday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
AW Thursday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
AW Friday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
AW Saturday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
AW Sunday
Include all times the Recipient is to receive a check-in call. Use the format hh.mm AM/PM (eg., 9.00am, 4.00pm)
Responders: Additional Workflow

Include upto 5 Responders who will receive an escalation call if the Recipient doesn't accept the check-in call. List Responders in the order you would like any missed check-in calls to be escalated.
AW Responder 1

First and last namePhone number Email address (optional)
AW Responder 2

First and last namePhone number Email address (optional)
AW Responder 3

First and last namePhone number Email address (optional)
AW Responder 4

First and last namePhone number Email address (optional)
AW Responder 5

First and last namePhone number Email address (optional)

Is there any other information we need to know in providing the Connect&Check Service?
Provide as much information as possible.
Important Information About Connect&Check Plans.

User Guides

Important information is included in the Connect&Check Recipient and Responder Guides. It is the Recipient and Responders' responsibility to ensure they have the information they need, and understand their responsibilities prior to using the Connect&Check service. You can download a copy of these guides via the TeamShield portal and if you have any questions, contact the StandbyU Shield Team at yourshield@standbyu.org.au or on 1800 069 010.

Technical Support

The StandbyU Tech Team is available Monday to Friday 9am-5pm AEST, by calling 1800 069 010 (press 2). You can also log a Support Request via the TeamShield portal or emailing yourshield@standbyu.org.au

Your Information and Privacy

StandbyU Foundation is committed to protecting your privacy when collecting, storing, using, and disclosing personal information, in line with Australian Privacy Principles as prescribed by the Privacy Act 1998 (Cth). The information we collect is used only for the purpose of delivering our services.

Recipients and Responders’ Wellbeing

It is paramount that the safety and wellbeing of Recipients and Responders is always protected. The Connect&Check service is designed to alert Responders if a check-in call isn't acknowledged by the Recipient and maximise the effectiveness of support; maximise the types of support options; and increase the likelihood of professional and emergency services getting to Recipients if an when they need them.

It is critical that the Safety Plan Recipients have with Responders, and the action or inaction Responders take when a check-in call is escalated, does not place the Recipient, Responders, or anyone else in danger. If Responders taking action could result in risk to the Recipients or Responders safety, they need to contact 000 immediately. If a crime is being committed, or someone is in danger, Responders must contact police as soon as able so they can respond as required.
I have read and understood all the above information. I agree to this information as a condition of accessing and using the StandbyU Conect&Check Service.
Your Name

First and last nameContact phone number
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