Participant Risk assessment

Participant Risk assessment
Made to Help | Level 2 & Level 3 Support Coordination and Support Work
Compliance use note

This template is designed to support NDIS Practice Standards-aligned participant risk assessment, support planning, safeguarding and review. It should be used alongside Made to Help policies, participant service agreements, support plans, incident management procedures, emergency/disaster plans, worker training records and consent records.
Document control

Version 1.1

Next Review Date: 12/5/2027

Rows	Answer
Participant Legal Name
NDIS number
Preferred name / pronouns
Date of birth
Assessment date
Review due
Primary disability / support needs
Living arrangement
Participant communication needs
Decision-making supports / nominee / guardian
Emergency contact 1
Emergency contact 2
Assessor name / role
Provider site / team
Support type
Support Coordination Level 2 / Specialist Support Coordination Level 3 / Support Work
Participant consent to share risk information
Consent limits / nominated providers

Develop this assessment with the participant, and where consented, their family, carers, advocates and support networks. It must reflect the participant’s goals, communication needs, choices and preferences while balancing dignity of risk with reasonable steps to minimise foreseeable harm.

Area

Rows	Participant preference / known trigger	Risk if not followed	Required adjustment / control
Communication and accessible information How does the participant prefer information, choices and risks to be explained?
Goals, values and preferred lifestyle Which goals or activities are important to preserve, even where risk exists?
Dignity of risk decision What risks has the participant chosen to take, what benefits are expected, and what safeguards are agreed?
Consent and information sharing Which providers, family members or support networks may Made to Help contact to manage risk and meet needs?
Cultural, identity, language and privacy preferences What adjustments are required to respect identity, culture, privacy and preferences?
Known triggers, trauma considerations or restrictive practice sensitivities What should workers/coordinators avoid and what proactive strategies work best?

Risk rating guide

Rate each risk before and after controls. Escalate any High or Extreme residual risk to the nominated manager and document actions, consent, communication and review dates.

Likelihood	Score	Consequence	Score	Risk level guide
Rare	1	Insignificant	1	1-4 Low: manage with routine controls
Unlikely	2	Minor	2	5-9 Medium: controls/action owner required
Possible	3	Moderate	3	10-16 High: manager review and documented action plan
Likely	4	Major	4	17-25 Extreme: immediate escalation; consider suspending/altering supports until safe
Almost certain	5	Severe/catastrophic	5	Risk score = likelihood x consequence

Risk Domain

Rows	N/A	No issue	Risk identified	Initial rating	Immediate action / evidence
Health and chronic clinical risks - Medical conditions, chronic health risks, allergies, seizures, pain, respiratory risk, hospital discharge, regular healthcare, deterioration signs, escalation pathway
Medication - Medication chart current, storage, administration, PRN protocols, errors, side effects, polypharmacy, clinical review and consent.
Mealtime / swallowing - Dysphagia, choking risk, texture-modified diet, supervision level, nutrition/hydration, mealtime management plan
Mobility, falls and manual handling - Falls history, transfers, equipment, pressure care, hoist/slings, worker competency and environment fit
Behaviour support / restrictive practices - Triggers, proactive strategies, regulated restrictive practices, authorisation, reporting, worker training and least restrictive alternatives
Communication and decision-making - How participant communicates distress/choice, interpreters, Easy Read, supported decision-making, consent and advocacy needs.
Safeguarding from abuse, neglect and exploitation - Unexplained injuries, isolation, coercion, financial abuse, unsafe relationships, family violence, exploitation or neglect indicators.
Mental health / psychosocial distress - Suicidality or self-harm indicators, relapse signs, crisis contacts, safety plan, trauma-informed strategies
Daily living reliance on Made to Help supports - Degree to which participant relies on Made to Help services for daily living, personal care, meals, medication, community access, appointments, communication or safety checks
Impact if supports are disrupted - Extent to which health, safety, wellbeing, housing, nutrition, medication, behaviour support or safeguarding would be affected if services are interrupted
Continuity of supports - Alternative arrangements where changes or interruptions are unavoidable are explained, agreed with the participant, and delivered in a way appropriate to their needs, preferences and goals
Provider linkages and information sharing - Links with other relevant providers are developed and maintained with participant consent to share information, coordinate risk controls and meet needs
Transitions to or from Made to Help - Risks associated with commencement, handover, provider change, hospital admission/discharge, temporary service interruption or exit are identified, documented and responded to
Worker and service-delivery safety - Lone work, travel, aggression, pets, environmental hazards, after-hours support, boundaries, worker skills and safe staffing
Emergency / disaster / business interruption - Heat, fire, flood, power outage, pandemic, unavailable staff, transport failure, emergency contacts and participant-specific disaster plan
Financial, property and privacy safeguards - Money/property handling, privacy, records, cyber/privacy risks, consent limits and conflict-of-interest considerations

Record planned and implemented strategies to treat known risks, including chronic health risks and risks identified through support coordination or support work. Cross-reference the participant support plan and any clinical, behaviour, mealtime, manual handling, medication, emergency or transition plans.

Rows	Risk / hazard	Existing controls	Initial rating	Additional strategy / treatment required	Owner	Due date	Residual rating	Closed / review notes
1
2
3
4
5
6
7
8
9

Complete immediately if any item is identified.Follow Made to Help procedures and legal/NDIS Commission reporting obligations.This table has one checkbox per item

Escalation Record

Rows	Entry
Manager notified
Date/time
Action taken
Incident record number
Participant/representative informed
NDIS Commission/other body notified if required
Follow-up/review date

Use this section when a service change, worker absence, provider transition, emergency or other interruption is foreseeable or unavoidable. Alternative arrangements must be explained and agreed with the participant where possible and delivered in a way appropriate to their needs, preferences and goals.

Rows	Critical support relied upon	How often / degree of reliance	Impact if disrupted	Alternative arrangement explained and agreed	How arrangement meets needs, preferences and goals	Owner	Review date
1
2
3
4
5

Made to Help should develop and maintain linkswith relevant providers, with the participant’s consent, to share information,manage risks, coordinate supports and meet participant needs

Rows	Provider / contact	Role in participant supports	Consent to share?	Information to share / limits	Risk management purpose	Review date
1
2
3
4
5
6
7
8

Complete for commencement, exit, handoverbetween providers, transition to or from hospital/health services, temporarytransition due to participant risk, change of worker/team, or change infunding/support plan

Rows	Transition event	Known risk	Participant preference / consent	Information required / shared	Control or handover action	Owner	Review / completed
1
2
3
4
5
6

Confirm the participant was consulted in a way they can understand and that their preferences, dignity of risk, privacy, consent and decision-making supports were considered. Include family, advocates and support networks where the participant has consented or where legally required

Rows	Name / role	Signature	Date	Comments / adjustments requested
1
2
3
4
5
6

Type a question
Assessor Name

First NameLast Name
Position
Signature
Date

DayMonthYear
Date

Should be Empty:

Participant Risk assessment

Compliance use note