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Staff Supervision & Observation Checklist
This checklist is used during or following direct observation of a support worker delivering services. It is a supportive quality tool - NOT a disciplinary instrument. All feedback must be delivered respectfully and constructively. Both supervisor and staff member must sign.
Section A - Observation Details
Section B - Person-Centred Practice
| Observation Item | Met | Partial | Not Met | N/A |
|---|---|---|---|---|
| Greeted participant warmly and respectfully by their preferred name | ||||
| Asked participant how they wanted to be supported today before commencing | ||||
| Offered meaningful choices throughout the support session | ||||
| Respected participant's decisions including the right to decline or modify support | ||||
| Communicated clearly, at appropriate pace and language level | ||||
| Maintained participant's dignity, privacy, and modesty at all times | ||||
| Responded appropriately to participant's emotional cues and non-verbal communication | ||||
| Demonstrated knowledge of participant's goals and current support plan priorities | ||||
| Involved participant in planning or deciding next steps (active support approach) | ||||
| Did not make decisions on behalf of participant without express consent |
Section C - Safety, Risk and Infection Control
| Observation Item | Met | Partial | Not Met | N/A |
|---|---|---|---|---|
| Work area was safe, free from obvious hazards, and appropriately set up | ||||
| Personal Protective Equipment (PPE) was used correctly where required | ||||
| Infection control protocols (hand hygiene, surface cleaning) were followed | ||||
| Manual handling and physical support techniques were safe and correct | ||||
| Medication handled in accordance with participant's medication plan (if applicable) | ||||
| Hazard or risk identified during session was addressed or reported immediately | ||||
| Emergency procedures and exit routes are known (confirmed verbally with staff) | ||||
| Support delivered within the scope of training and authorisation |
Section D - Documentation and Compliance
| Observation Item | Met | Partial | Not Met | N/A |
|---|---|---|---|---|
| Shift notes completed accurately and contemporaneously during or after the shift | ||||
| Notes use objective, professional language (no judgement, slang, or conjecture) | ||||
| Participant consent confirmed before commencing support activities | ||||
| Privacy of participant maintained - no unnecessary disclosure to others | ||||
| Support delivered within NDIS-funded scope and within the participant's plan | ||||
| Incident or near-miss reporting obligation was understood (confirmed verbally) | ||||
| No use of mobile phone for personal reasons during active support time |
Section E - Professional Conduct and Boundaries
| Observation Item | Met | Partial | Not Met | N/A |
|---|---|---|---|---|
| Arrived on time and presented professionally for the observed shift | ||||
| Dress, hygiene, and presentation appropriate to the role and environment | ||||
| Professional boundaries maintained in all interactions with participant | ||||
| Interactions with other staff and coordinators were respectful and collaborative | ||||
| Did not share personal opinions, religious views, or lifestyle preferences unsolicited | ||||
| Demonstrated initiative - identified needs proactively without being directed | ||||
| Remained calm and composed when faced with challenging behaviour or situations |
Section F - Strengths Observed
Section G - Areas for Development
Section H - Agreed Development Actions
| Action Required | Responsibility | Target Date | Completed |
|---|
Section I - Overall Outcome
Both parties acknowledge this observation was conducted in good faith. The staff member has had the opportunity to review and respond to the findings. Signing confirms receipt - it does not necessarily indicate agreement with all findings.
Observation Signatures
Authorised Signature
Authorised Signature
Authorised Signature
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