Yes, there is no criminal history and no preclusions, complete Authorisation below. No, there is criminal history and or preclusions go to section B (further investigation and consultation required) PART B: Reported Convictions (under the Aged Care Act 1997 which preclude a Candidate/Volunteer) A Candidate/Volunteer is unsuitable to provide aged care when their NCHRC records i. a conviction of murder or sexual assault Yes ii. a conviction of, and sentenced to imprisonment from, any other form of assault Yes Yes to either of the above this Candidate/Volunteer is unsuitable for employment or voluntary activities with ACH Group No go to sections C & D ( further investigation and consultation required) PART C: Other offences not precluded by the Aged Care Act 1997 Document each year other charges, warrants, court orders, offences, findings of guilt, with or without conviction (including suspended sentences) in relation to the person have occurred. Year Reported Year Reported Year Reported 1) 2) 3) 4) 5) 6) Further assessment and consultation is required with the HR Business Partner/HR Manager, regarding the offences and all disclosed information is required, this will be done in conjunction with the relevant line manager to determine the suitability of employment and/or voluntary activities with ACH Group. A Relevant History Assessment (Part D, page 2) is to be completed. (Used in conjunction with the ACH Group Risk Matrix) AUTHORISATION to be completed – Name: Position: Manager’s Date: Manager’s Signature: Payroll Office use only (employees for reimbursement only): Code Reimburse Cost Cost Centre Location Account Date Forward this form to Payroll Volunteer Coordinators please retain –
Yes, there is no criminal history and no preclusions, complete Authorisation below. No, there is criminal history and or preclusions go to section B (further investigation and consultation required) PART B: Reported Convictions (under the Aged Care Act 1997 which preclude a Candidate/Volunteer) A Candidate/Volunteer is unsuitable to provide aged care when their NCHRC records i. a conviction of murder or sexual assault Yes ii. a conviction of, and sentenced to imprisonment from, any other form of assault Yes Yes to either of the above this Candidate/Volunteer is unsuitable for employment or voluntary activities with ACH Group No go to sections C & D ( further investigation and consultation required) PART C: Other offences not precluded by the Aged Care Act 1997 Document each year other charges, warrants, court orders, offences, findings of guilt, with or without conviction (including suspended sentences) in relation to the person have occurred. Year Reported Year Reported Year Reported 1) 2) 3) 4) 5) 6) Further assessment and consultation is required with the HR Business Partner/HR Manager, regarding the offences and all disclosed information is required, this will be done in conjunction with the relevant line manager to determine the suitability of employment and/or voluntary activities with ACH Group. A Relevant History Assessment (Part D, page 2) is to be completed. (Used in conjunction with the ACH Group Risk Matrix) AUTHORISATION – to be completed Manager’s Name: Position: Manager’s Signature: Date: Payroll Office use only (employees for reimbursement only): Code Reimburse Cost Cost Centre Location Account Date Forward this form to Payroll – Volunteer Coordinators please retain
Student-Induction-Checklist-Feb-2017.docx