Individual Risk Assessment Checklist Individual Risk Assessment Checklist Please enable JavaScript in your browser to complete this form. Individual Risk Assessment Checklist Individual Risk Assessment Checklist Territory Disability Services Participant Information Name Date of Birth File Number Any other information Date of Assessment Risk Meeting Details ItemYesNoComments / Actions Client interview scheduled (at least seven days' notice) Client interview completed Copy of previous risk assessment discussed with client Individual Risk Assessment Form completed Identified Areas to Discuss AreaYesNo Communication risks discussed Mobility risks discussed Personal Care Assistance (ADL’s and dietary needs etc) risks Any new presentation of risks since last report discussed Manual handling risks (new concerns) Relevant care plans prepared & signed by participant/rep Risk of violence (verbal & physical threats) discussed Sexual (abuse and/or offending behaviour) risks discussed Health risks discussed (e.g. chronic diseases, COVID-19) Emergency scenarios discussed & communicated with worker Escalation mechanism in the event of emergency Compliance Compliance ItemYesNo Relevant Risk Assessment completed and sighted Client contributed to identification of risk factors Client/rep partnered with staff to address risks & strategies Client refused to participate in risk assessment process Assessment Completed By Name Signature Role Date Submit Reset Submit
