Keana Care
Forms
Choose the form you need. Every submission is stored securely and goes straight to the coordinator for review — nothing to print, scan or email.
17 formsWorks on a phoneTakes attachments
Starting with a participant
The onboarding pack a new participant and their representative complete.
- Form13First Participant GuideOpen this first. The simple guide for taking on a new participant — work through every item before the first shift, and record the date each one was completed.Open the form →
- Form14Participant Onboarding PackThe full onboarding pack — funding verification, intake, service agreement, consent, support plan, risk assessment, emergency plan and transport consent. Complete it with the participant before the first service; the director signs the release at the end.Open the form →
- Form15Participant Privacy Collection NoticeGive this notice to the participant and explain it before collecting their information. Signing records only that it was provided and explained — it is not consent.Open the form →
- Form16Participant Representative / Nominee Authority VerificationComplete this form only when someone other than the participant will sign, direct, consent, receive information or make decisions. The participant keeps their own capacity, preferences and supported decision-making rights — record them here rather than working around them.Open the form →
Bringing on a support worker
Everything a new staff member signs before their first shift.
- Form17First Support Staff GuideOpen this first. The simple guide for taking on a new support worker — work through every item before their first shift, and record the date each one was completed.Open the form →
- Form18Recruitment, References and Payroll FormsThe six recruitment forms in one pack — candidate assessment, two reference checks, payroll details, the Fair Work statement record and the employee / contractor classification. Complete it before making an offer, and store it in the worker file.Open the form →
- Form19Worker Compliance PackThe direct-support worker file: position description, credential checklist, Worker Code of Conduct, induction, the confidentiality and fitness declaration, and the first supervision review. Complete it before any unsupervised work.Open the form →
- Form20Employment AgreementKeana Care's support worker employment template for Western Australia — Schedule 1 employment details, the fifteen agreement terms, the employee acknowledgements and both signatures. Complete and sign it before the first shift.Open the form →
Day-to-day reporting
Shifts, incidents and the records that have to be kept as they happen.
- Form04Medication Incident ReportComplete this report as soon as practicable after a medication incident. Once submitted it is sent to the coordinator for analysis and closure.Open the form →
- Form05Incident ReportTo be completed for ALL incidents and accidents where an injury has, or could have, resulted. Submit it as soon as practicable; it is then sent to the manager for investigation and closure.Open the form →
- Form06Community Shift ReportSubmit a shift report within a day or two of your shift. Late reports hold up shift approval and the payroll process.Open the form →
- Form07Accommodation Shift ReportSubmit this report before ending your shift in Accommodation. Late reports delay shift approval and payroll processing.Open the form →
- Form12Community Buddy ShiftInduction for new support workers. Complete this after your buddy shift with an established support worker, to confirm what you were shown.Open the form →
- Form11Night Activities TrackingFill in one sheet for each time the participant wakes during the night. Separate sheets are what make the pattern visible across a week.Open the form →
- Form10ABC Recording ChartRecord one incident of a target behaviour: what led up to it, what it looked like, and what happened afterwards. Fill it in as soon as you can, while the detail is still fresh.Open the form →
- Form08Petty Cash RecordRecord every petty cash transaction here — money spent, money credited, or money withdrawn on a company card. Attach the receipts as you go.Open the form →
- Form09Vehicle Inspection LogRecord the condition of a company vehicle. Pick the vehicle first, then photograph what you see — inside, outside, the logbook and the fuel card.Open the form →
Keana Care staff can sign in to the staff dashboard to review what has been submitted.