Asthma Risk Minimisation Form
Child’s Name:      	
Child’s Date of Birth:      	Child’s Year / Class:      	
Trigger	Risk	Service Risk Minimisation Strategy	

 Cold & Flu	 Low
 Moderate
 High	Parents to notify service if child is unwell so they can be monitored.
Child will be offered quiet activities whilst at OSH.	

 Smoke & Bush Fires	 Low
 Moderate
 High	Time the child spends outside to be minimised. 
Whilst indoors, windows/doors will be closed.
Child will be regularly monitored.
Do regular checks with the council regarding warning for controlled burns.	

 Exercise	 Low
 Moderate
 High	Child will be monitored and reminded to take regular breaks.
Administer inhaler prior to exercise if Action Plan states.	

 Inhaled Allergens	 Low
 Moderate
 High	Keep all areas clean to minimise dust. 
The service is vacuumed and swept daily to keep dust to a minimum.
Be mindful of long exposure to outside allergens.

 Weather Changes	 Low
 Moderate
 High	Keep room at consistent temperatures.
Remind child to adjust clothing to suit the weather.	

 Medication	 Low
 Moderate
 High	Medication is not given to child unless previously authorised by a parent or guardian.
All medication must be supplied in original container with a Chemist label, displaying child’s name and recommended dosage.
A ‘Medication Authority and Administration Form’ must be completed by the parent and match the dispensary label on the medication.	

 Chemical / Strong Smells	 Low
 Moderate
 High	Chemicals not to be used near child
Staff to be mindful of using strong perfumes/deodorants.	

 Emotional Stress 	 Low
 Moderate
 High	Communication with parents is ongoing to ensure a suitable environment and strategies can be used to minimise stress.
Close monitoring of child during high trigger times.	

 Food & Food     Preservatives	 Low
 Moderate
 High	Child to bring food from home.
Service to offer foods with minimal/no preservatives.
Educators will discourage sharing of foods.	

 Other:      	 Low
 Moderate
 High