Risk Assessment

PARTICIPANT RISK ASSESSMENT FORM

Participant Name

First Last

NDIS Number

Date of Assessment

(E) Extreme risk: Detailed action plan required
(H) High risk: Senior management attention required
(M) Medium risk: Specify routine procedures
(L) Low risk: Manage by routine procedures

High or Extreme risks must be reported to the General Manager and require detailed treatment plans to reduce the risk to Medium or Low.

List

Description of Risk

Persons at Risk

Risk Levels E, H, M, L

Strategies to Reduce Risks

REVIEW OF INDIVIDUAL RISK ASSESSMENT

Each Participant Individual Risk Assessment is reviewed by staff every six to twelve months and discussed with the Participant and carer.

These reviews are recorded into the Participants Risk Assessment, signed, and dated.

PARTICIPANT RISK ASSESSMENT FORM

REVIEW OF INDIVIDUAL RISK ASSESSMENT

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