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Form07.

Accommodation Shift Report

Submit this report before ending your shift in Accommodation. Late reports delay shift approval and payroll processing.

0 of 27 required questions answered

Every question is required unless it is marked optional.

SHIFT DETAILS0/6

One participant per report.

Which vehicle did you drive? (required)

These answers price the shift. None of them are required — leave anything you are unsure of blank and the office will confirm it before the invoice goes out.

What kind of support was this?Optional

Leave blank and it is treated as self-care and daily living.

A shared shift is billed at a shared rate.

Was any part of this shift on a public holiday?Optional

Western Australian public holidays only. A public holiday is charged at a different rate.

Time spent travelling to or with the participant, not your own commute. The NDIS caps what can be claimed per shift.

minutes

Only the kilometres driven with or for the participant. Leave blank if none of the trip is claimable.

km
What kind of night was it?Optional

Did you use any restrictive practice? (required)

Anything restricting the rights or freedom of movement of a person with disability, used to protect them or others from harm.

Was there any outing or community access during your shift? (required)

Was the participant at the accommodation during the night? (required)

PEG feed, if any (required)
Did the participant help to prepare a meal? (required)
Did you notice any significant changes in their diet? (required)

Did the participant have a shower? (required)
Did the participant brush their teeth? (required)
Does the participant have extra requirements with toileting (catheter / stoma)? (required)
Were there any other tasks assisting with personal care? (required)

Does the participant take medication? (required)
Was PRN medication administered during your shift, if needed? (required)
Was there any variation in health or medical issues? (required)
Were there any health or medical appointments? (required)
Did any seizure or epilepsy occur during your shift? (required)

Was there any contact made with the family? (required)
Did any other visitors come in to meet the participant? (required)
Did the participant go out to visit anyone? (required)

Your report goes straight to the coordinator for review.