Participant Risk Assessment and Emergency / Continuity Plan

Participant Risk Assessment and Emergency / Continuity Plan
Client instruction

The participant should send a copy of this combined plan to their nominee/s, authorised representative/s and agreed emergency support people. Made to Help will also email the completed plan to the participant for review and, where appropriate and with consent, to the support network for confirmation of content

Versions

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.

Version	Effective date	Approved by	Next review due	Owner
180520261	18/5/2026	CEO	18/6/2026	CEO
200520261	18/5/2026	Milan Pintar	18/6/2026	CEO
010620261	1/6/2026	Milan Pintar	18/6/2026	CEO

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 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.

Review trigger	Required action / evidence
3 month review	Confirm participant details, emergency contacts, critical supports, continuity arrangements, nominee/support-network communication and worker instructions remain accurate.
12 month review	Complete full review with participant and, with consent, their support network. Reissue updated plan for review and confirmation.
Change in support needs, environment or health risk	Update plan immediately, including new risks, services, providers, communication needs, evacuation/backup arrangements and consented sharing.
Emergency/disaster warning, service disruption or worker unavailability	Activate continuity arrangements and communicate changes to participant, workers and support networks.
New participant / support plan review / material change / incident / complaint / transition / at least annually	Review and update both risk assessment and emergency / continuity planning components.

Purpose:

This combined document captures participant risk assessment, emergency planning, continuity of supports, escalation and review requirements in one form. Use with the participant support plan, service agreement, incident management process, consent records and relevant clinical, behaviour support, mealtime, medication, transition or safeguarding advice.

Scope of Made to Help support

Rows	Name/Role	Phone / email	Has copy? Yes/No	Consent to contact? Yes/No
Emergency contact 1
Emergency contact 2
Nominee / guardian / authorised representative
GP / health contact
Pharmacy / medication contact
Key support provider / informal support

Scope, participant voice and consent
Participant preference/right
How do you communicate and obtain accessible information?
What matters or what to avoid, Risk if not followed, Required adjustment / control
Do you have any cultural needs or any privacy needs and if you have any dignity of risk choices you need to inform us?
What matters or what to avoid, Risk if not followed, Required adjustment / control
Do we have your consent and how information may be shared?
What matters or what to avoid, Risk if not followed, Required adjustment / control
What are your Known triggers, trauma considerations or restrictive-practice sensitivities?
What matters or what to avoid, Risk if not followed, Required adjustment / control
Risk screening checklist
Do you have extra health information, any allergies, seizures or deterioration signs which require clinical escalation
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
What Medication do you take? Including any PRN? Where do you store them, and document any errors, side effects and a chance to review medications?
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
Do you have any Mealtime/swallowing, nutrition/hydration and choking responses? Do you have a mealtime management plan?
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
How is your Mobility? Do you have any falls, need manual handling, need equipment and what worker competency is needed to help you?
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
Do you have any Behavior support, restrictive practice, triggers and least restrictive strategies we need to know about?
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
How do you make decision-making, share your consent and advocate for yourself?
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
Do you suffer from any Abuse, neglect, exploitation, family violence or safeguarding concerns?
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
Do you have any Mental health, psychosocial distress, self-harm concerns? Do you have a mental health care plan in place or crisis plan?
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
What is your Reliance on supports, disruption impact and continuity arrangements - degree to which participant relies on Made to Help services for daily living. We need to assess the extent of health and safety and if this would be affected if services are interrupted
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
How best can we share information and transition/handover risks to other providers and make alternative arrangements where changes or interruptions are unavoidable. Please tell us how you would like this to occur and how this can be delivered in a way appropriate to the participant needs, preferences and goals.
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
Do you have back up workers in place and is your home environment safe to work in?
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
Do you have a Emergency/disaster plan and are there any privacy concerns around money/property and cyber risks
Status: NA, No issue or Risk, Rating, Immediate action / evidence and Comments
Risk controls and continuity plan
Any areas of risk identified above to be recorded here in further detail. Links with relevant providers are developed and maintained with participant consent to share information, coordinate risk controls and meet needs. Cross reference the participant support plan and any clinical, behaviour, mealtime, medication, emergency or transition plans.
Identified Risks
Risk escalation triggers – reportable
Escalate immediately if identified

Immediate Escalations (mandatory reportable incidence)

Rows	Details
Death, serious injury, abuse/neglect/violence/exploitation, unlawful contact, missing participant, police/emergency involvement
Unauthorised restrictive practice, medication incident needing clinical review, choking/aspiration/seizure/acute health escalation
Worker safety threat, High/Extreme residual risk, interruption to critical supports, urgent transition/safeguarding coordination

Immediate Escalations (mandatory reportable incidence) please call 000 and then call MTH (Lesley-Anne or Milan Pintar)

Death, serious injury, abuse/neglect/violence/exploitation, unlawful contact, missing participant, police/emergency involvement

Unauthorised restrictive practice, medication incident needing clinical review, choking/aspiration/seizure/acute health escalation

Worker safety threat, High/Extreme residual risk, interruption to critical supports, urgent transition/safeguarding coordination

Rows	Details
Name
Date
Incident No
Review Date

Required standard:

Alternative arrangements for continuity of supports, where changes or interruptions are unavoidable, must be explained and agreed with the participant and delivered in a way that is appropriate to their needs, preferences and goals. Changes must be communicated to workers, the participant and, with consent, their support network.

Critical support / service

Rows	Who provides it?	Frequency / degree of reliance	Impact if disrupted ☐ Low ☐ Med ☐ High ☐ Critical	Potential interruption / change	Backup / continuity arrangement	Alternative explained and agreed?	Who approves / coordinates?	How were participant & network told
Personal Care/Daily Living
Support Coordination
Medication/Health/Mealtime Support
Transport/Community Access
Behaviour/Safeguarding/Informal Supports
Other critical support

Question

Rows	YES/NO	Details
Has the correct information been relayed to the plan nominee regarding the risk assessment, emergency plan and continuity of supports?
Have changes to supports been explained to the participant in their preferred communication style?
Has the participant agreed to the proposed alternative arrangements, where possible?
Are arrangements appropriate to the participant needs, preferences and goals?
Have relevant workers received the current plan and instructions?
Have relevant providers/support networks been informed with participant consent?

Emergency actions

Rows	Main risk for this participant	Before / prepare	During / response	After / follow-up
Fire / bushfire / heat / smoke
Flood / storm / power outage
Worker/provider unavailable or transport or housing failure
Behavioural crisis / immediate safety threat
Medical deterioration/Infection outbreak

Evacuation, shelter and essential items

Rows	Details
When to leave
Where to go
How to get there
Who will help
Backup transport
Shelter-in-place location
Mobility/access needs
Pets/assistance animal plan

Checks

Rows	Done? Yes/ No/ NA	Action / Location
Two safe exits known
Medication, scripts, chargers and assistive technology ready
Emergency bag / important documents location known
Plan explained in participant preferred communication style

Emergency bag and important items

Use this checklist as a prompt. It is not exhaustive and must be tailored to the participant. Consider whether the participant, support network or worker is responsible for maintaining each item.

Items

Rows	Required? Yes/ No/ NA	Location / person responsible	Notes
Medication / scripts for at least 3 days where clinically appropriate
Medication list and health summary
Water and non-perishable food suitable to dietary needs
Clothing, warmth, hygiene and continence items
Mobile phone, charger, power bank
Assistive technology, spare batteries, glasses, hearing aids
Communication board/card or written cues
Important documents, ID, guardianship/nominee documents
Behaviour support plan / care plan if applicable
Personal comfort item, sensory item or calming activity
First aid kit / masks / gloves where appropriate
Pet or assistance animal supplies

Other
Health, behaviour and communication instructions

Important instructions available to be communicated with other providers (eg emergency services, NDIS supports)

Rows	Important details	Worker/emergency instruction
Medical conditions / allergies / chronic health risks
Medication / equipment / dietary or swallowing needs
Behaviour support, triggers or distress signs
Mental health, distress or trauma considerations
Infectious disease / infection control needs
What helps the participant understand and stay calm / what makes things worse

Complex participant prompt addendum
Is the participant identified as complex?
Complete this section where complex/high risk is ticked. These prompts are examples only. Workers must consider whether further assessment, clinical input, behaviour support, restrictive-practice review, incident escalation, safeguarding referral, family/provider conference or risk-register entry is required.

Complex Participant Emergency and Risk Addendum

Combined action plan

Final Confirmation

Rows	Yes / No / NA	Details	Date
Participant reviewed this combined risk assessment and emergency / continuity plan and had opportunity to request changes
Plan emailed/stored and provided to workers who need it
Nominee/support network informed where consent allows
Correct information relayed to plan nominee / authorised representative about emergency planning and continuity of supports
High/Extreme or unresolved risks escalated to manager and/or risk register

Signoff

Rows	Name / role / relationship	Signature / confirmation	Date	Comments / adjustments
Participant / nominee
Support Coordinator/Assessor
Reviewer/Manager if required

Should be Empty:

Participant Risk Assessment and Emergency / Continuity Plan

Client instruction

Risk rating guide

Risk rating guide

Purpose:

Scope, participant voice and consent

Participant preference/right

Risk screening checklist

Risk controls and continuity plan

Risk escalation triggers – reportable

Escalate immediately if identified

Required standard:

Emergency bag and important items

Health, behaviour and communication instructions

Complex participant prompt addendum