Simulated workplaceCAQA Willow Community Care is a fictional business created by CAQA for training and assessment. It is not a real company and no person, client or record here is real.About this simulation
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CAQA Willow Community Care · Simulated workplace

Home Environment Risk Assessment Template

TemplateControlled document
WIL-TPL-002
v2.5
Document ownerPeople and Operations Manager
Version2.5
Approved27 June 2026
Next review27 June 2027
StatusCurrent

Purpose. Case managers and senior support workers use this template to assess the hazards in a client's home before the first service and after any change, so that workers arrive knowing the risks and the controls.

1.When to complete

Complete this assessment before the first service in any home, after any incident in the home, when the person's mobility or health changes, when someone new moves in and at least every twelve months. The assessment must be uploaded to the Client Register and any risk flag entered before a worker is rostered.

2.Walking through the home

Walk through every area a worker will use with the person or their family. Look at access, lighting, floor surfaces, steps, bathroom layout, electrical safety, heating, smoke alarms and storage of medications and chemicals. Ask about pets, smoking, firearms, visitors and anyone in the home who has been aggressive.

3.Manual handling

Record the transfer methods needed, the equipment in the home and whether it is serviced, the space around the bed, chair and toilet, and whether two workers are needed. Where an occupational therapy assessment is needed, request it before the service starts.

4.Rating and controls

Rate each hazard as low, medium or high using the Willow risk matrix and record the control for every medium and high hazard. Controls include equipment, two workers, daylight-only visits, pets secured during visits, and referral to home modification services. Where a hazard cannot be controlled, the manager must decide whether service can start.

5.Discussing with the person

Explain to the person why each control is needed and record their agreement. Where the person declines a control, record the discussion and the person's decision, and escalate to the manager for a dignity of risk decision.

6.Review

Set the review date and record the assessment reference in the Client Register. Workers must report any change in the home in their progress notes so that the assessment stays current.

7.Complete the template

WIL-TPL-002 v2.5 · CAQA Willow Community CareUncontrolled when printed. Simulated document created by CAQA for training and assessment.