Guide to working safely in people's homes - Queensland Government
Guide to working safely in people's homes - Queensland Government
Guide to working safely in people's homes - Queensland Government
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Checklists overview<br />
Community<br />
service provider:<br />
Address of<br />
premises:<br />
Checklist Inspection by Inspection date<br />
1. Accessibility and safety of<br />
premises<br />
2. Manual tasks<br />
3. Equipment<br />
4. Hazardous substances<br />
Client acknowledgment<br />
The need <strong>to</strong> conduct a workplace health and safety assessment of my home (located at the above address) has been<br />
expla<strong>in</strong>ed <strong>to</strong> me and conducted with my permission. Hazards identified dur<strong>in</strong>g the assessment have been brought <strong>to</strong> my<br />
attention.<br />
Client/Family<br />
(please pr<strong>in</strong>t)<br />
Client/Family<br />
signature<br />
Inspect<strong>in</strong>g<br />
person<br />
(please pr<strong>in</strong>t)<br />
Inspect<strong>in</strong>g<br />
person’s<br />
signature<br />
Workplace Health and Safety <strong>Queensland</strong> | Department of Justice and At<strong>to</strong>rney-General<br />
<strong>Guide</strong> <strong>to</strong> <strong>work<strong>in</strong>g</strong> <strong>safely</strong> <strong>in</strong> people’s’ <strong>homes</strong>. PN10797 Version 3 Last updated February 2011<br />
Date<br />
Date<br />
26
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