Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Free resource · Patient-safety tools · Toolkit 18 · Home care

Lone-Worker Safety Protocol and Check-In Log

Nobody visits alone without someone knowing where they are. The rules, the code word, the escalation, and the daily log

Free A4 print-ready PDF · 1 page · keep the ASF mark · scan the QR on the print to return here

Lone-Worker Safety Protocol and Check-In Log

What it is

A lone-worker protocol for home-care staff: the daily visit list shared with the base, check-in and check-out per visit, the code word for a call for help, the risk rating per home, dynamic risk assessment at the door, the escalation ladder when a worker does not check in, and the log.

Where to use it

Every home-care worker; the base coordinator; the induction pack. Evidence for: Home Care Standard 6 — worker safety. Evidence for: Home Care Standard 6 — worker safety. Evidence for: Home Care Standard 6 — worker safety. Evidence for: Home Care Standard 6 — worker safety.

Translate and adapt

English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.

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The same code is printed on the tool itself. Scan it in any facility to reach this page.

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Adapted by ASF from openly licensed WHO, IAEA, AHRQ, CDC and NHS material, or ASF original — source and licence stated on every sheet. Free for any facility. Keep the ASF block.
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