Lesson 6, Topic 1

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Homestay Provider Risk Self-Assessment

Homestay Provider Risk Self-Assessment Form

Step 1 of 5

Date of Self-Assessment(Required)

Name(Required)

First Last

Email(Required)

Mobile Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Homestay Provider Risk Self-Assessment Form

(Please refer to the EXAMPLE below to complete the Homestay Risk Self-Assessment form for your home on the following pages).

Area	Risks	Level of Risk	Risk Mitigation Strategy (must be completed if Medium or High)
Environmental	Traffic	Low	Advise of cars speeding down street
	Pollution	N/A	n/a: live on the coast
	Unfenced yard	Low	Ensure student aware of local safety concerns
	Cars	Low	Advise of licence requirements
	Alcohol	Low	Complete familiar stock take
	R-rated movies	Low	Parental lock on TV turned on
	Medication	Low	Store medication away from homestay children
	Pets	Low	Introduce pet to student
	Cigarettes / Others (Poisons)	Low	Store items away from homestay students
Facilities	Swimming pool	High	Advise student to not allow entry of unknown visitors
	Exercise bike	Low	Discuss privacy issues with homestay children
	Rented room	Low	Ensure house safety rules are followed
	Tool shed	Low	Advise student to keep shed locked
	Gate	Low	Advise to keep gate shut at all times
Human	Visitors	High	Ensure notification from host family before overnight stays
	Work	Low	Discuss work commitments with student
	Absence of supervision	Low	Introduce house safety protocols
	Travelling	Medium	Ensure car is roadworthy and registered
	Unable to contact	Medium	Record student’s mobile number for emergencies
	Illness	Medium	Seek medical attention if necessary
	Emotional stress	Low	Address family changes sensitively
	Theft	Low	Ensure doors and windows are locked
	Relationships	Medium	Advise student of family separations

Environmental

Traffic(Required)

Risk Mitigation Strategy (Traffic)(Required)

Pollution(Required)

Risk Mitigation Strategy (Pollution)(Required)

Unfenced yard(Required)

Risk Mitigation Strategy (Unfenced yard)(Required)

Cars(Required)

Risk Mitigation Strategy (Cars)(Required)

Alcohol(Required)

Risk Mitigation Strategy (Alcohol)(Required)

R-Rated Movies(Required)

Risk Mitigation Strategy (R-Rated Movies)(Required)

Medication(Required)

Risk Mitigation Strategy (Medication)(Required)

Pets(Required)

Risk Mitigation Strategy (Pets)(Required)

Cigarettes/Other Poisons(Required)

Risk Mitigation Strategy (Cigarettes/Other Poisons)(Required)

Facilities

Swimming Pool(Required)

Risk Mitigation Strategy (Swimming Pool)(Required)

Exercise Bike(Required)

Risk Mitigation Strategy (Exercise Bike)(Required)

Rented Room(Required)

Risk Mitigation Strategy (Rented Room)(Required)

Tool Shed(Required)

Risk Mitigation Strategy (Tool Shed)(Required)

Gate(Required)

Risk Mitigation Strategy (Gate)(Required)

Human

Visitors(Required)

Risk Mitigation Strategy (Visitors)(Required)

Work(Required)

Risk Mitigation Strategy (Work)(Required)

Absence of supervision(Required)

Risk Mitigation Strategy (Absence of supervision)(Required)

Travelling(Required)

Risk Mitigation Strategy (Travelling)(Required)

Unable to contact(Required)

Risk Mitigation Strategy (Unable to contact)(Required)

Illness(Required)

Risk Mitigation Strategy (Illness)(Required)

Emotional stress(Required)

Risk Mitigation Strategy (Emotional stress)(Required)

Theft(Required)

Risk Mitigation Strategy (Theft)(Required)

Relationships(Required)

Risk Mitigation Strategy (Relationships)(Required)

Homestay Provider Annual Recertification 2026

Homestay Provider Risk Self-Assessment