Internal Staff Forms



-       A client asked a friend to bring laxatives in for them when they visited

-       A client was found to be doing push ups in the bathroom


 Injuries are to be reported if they meet ANY of the below criteria:

  1. Require medical attention over and above what is able to be provided from a basic first aid kit from RLNZ (eg. band aids, tweezers, antiseptic cream).
  2. If the injury receives any medical assessment or treatment outside of RLNZ such as a doctors surgery or A&E (for example, assessment for a concussion)
  3. If the injury requires staff or client to miss more than one segment (2 hours) of programme due to the injury (i.e. burn from the stove and unable to attend duties, group or therapy as a result).

*Note: ANY injury is to be noted in the comms log.


-       A car accident where a client is injured – requiring medical care outside of RLNZ

-       A client is cutting cheese, slips and slices their thumb, requiring stitches.


-       Clients walking along side of road, car drifts and nearly hits a client at speed.

-       A stick is spat out of the ride on mower, striking a client in the cheek, narrowly missing their eye.

Report all instances of near misses that meet this definition:

A near miss is an unplanned event that did not result in injury, illness, or damage, but had the potential to do so. 

Any medication near misses - no matter how minor (ie panadol instead of ibuprofen) MUST be recorded to ensure our medication systems are in a place of continuous surveillance and improvement.


-       Electrical socket giving clients shocks when they plug equipment in.

-       A large tree branch overhanging the driveway is highlighted to be ready to drop.

A hazard is an object or situation with the potential for harm in terms of human injury or ill-health, damage to property, damage to the environment, or a combination of these. 


-       Mower ran into car, damaging both vehicles

-       One client punched another

An incident is an event that causes damage to equipment, property or people (excluding accidental physical injury).


-       Positive cases of COVID-19

-       Illnesses that take a client out of programme for 3 days or more

Illnesses that take a client out of programme for 3 or more days OR

Illnesses that 3 or more clients have simultaneously.

Illnesses that are contageous (other than the common flu, for example chickenpox).