CSW Employment Package

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KIRINARI

COMMUNITY

SERVICES LTD

Application PackCommunity Support Worker


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Position Title: Community Support Worker

Location: Group home within any one of the Blue Mountains, Hume-Riverina,Northern NSW branches

Manager: Supervisor

Thank you for your interest in applying for a position with Kirinari Community Services Ltd. This

information package regarding the position of Community Support Worker contains the following:

A position description which includes the selection criteria

An application form

A physical demands form

The Kirinari Way

Any additional information about our organisation, including services and objectives can be found onour websitewww.kirinari.com.au.

Please do not hesitate to contact us should you have any further queries regarding your application

Hume Riverina 02 6056 2111Northern NSW 02 6721 5011Blue Mountains 02 4782 9371

The Application

Your application mustaddress the mandatory and any desirable criteria indicated in the PositionDescription to be considered for an interview. If you do not meet all of the mandatory requirementsspecified in the position description, or cannot clearly demonstrate that you meet the mandatoryrequirements, it is unlikely that you will be considered for the position.

It is your responsibility to convince the selection committee that you are the best candidate for theposition. As the selection of candidates for interview is based solely on the information provided in

the application, you must ensure that the information you provide is sufficient for the selectioncommittee to assess the strength of your application.

Selection on Merit

All appointments to Kirinari are based on merit. This means that each applicant is assessed on meritagainst the knowledge, skills, abilities, experience and qualifications identified in the positiondescription.

The applicant, who demonstrates the most merit against these criteria in their application and atinterview, is recommended for the position.

The Selection Panel

The selection panel is responsible for selecting the best suited candidate for the position. Theselection is based on merit and the selected candidate will best satisfy the selection criteria. The

selection committee must base its decision on material presented by the applicants in writing, atinterview, national police check and from referees.
http://www.kirinari.com.au/http://www.kirinari.com.au/http://www.kirinari.com.au/http://www.kirinari.com.au/


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Kirinari Community Services Ltd Client Protection

Kirinari is committed to providing quality services to vulnerable clients in a safe environment.Accordingly it is mandatory that all persons considered for employment at Kirinari include pre-employment/pre-placement police record checks in their recruitment processes, to minimise the riskof employing unsuitable people. Similarly Kirinari will review Police Checks for its staff on a regularbasis as required under its various funding agreements.As part of our policy regarding this,prospective applicants will need to give permission for the organisation to conduct a Criminal HistoryCheck.

Code of Conduct

When you sign your Contract of Employment with Kirinari you commit to working within theprinciples and values of our Code of Conduct. It is important for all employees of Kirinari tomaintain the highest standards of service, conduct and behaviour at all times. Maintenance of and

adherence to these standards are essential in Kirinaris relationships with clients, the community, andin dealing with funding bodies. Our Code of Conduct has been established to ensure thatemployees

are familiar with and adhere to its core staff values at all times:

Respect;

Integrity;

Accountability;

Impartiality;

Responsiveness; and

Leadership.

Remember, the Kirinari Code of Conduct requires that you commit to professional standards ofbehaviour in relation to clients of Kirinari, staff and management of Kirinari, as well as to the general

public.

Image

You should be aware that you will be representing Kirinari. Your conduct and appearance shouldpresent an image that will promote the organisation and reflect a positive and professional approach.Clothing should be neat and clean and suitable for the job you are doing. Factors to consider are:

The lifestyle of your client or clients

The tasks you will be undertakingeg showering, escorting on an outing etc

Comfort and safetyeg closed non-slip footwear, loose fitting clothing

Modesty Appropriate make-up and jewellery

Smoke-Free Workplace

Kirinari is a smoke-free workplace. Smoking is not permitted in any indoor areas, external areas nearwindows, doors and intake vents, or in vehicles used for work purposes.


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Equal Employment Opportunity

Kirinari is committed to providing a safe, flexible and respectful environment for workers and clientsfree from all forms of discrimination, bullying and harassment, sexual harassment, and racial andreligious vilification.

All Kirinari employees are required to treat others with dignity, courtesy and respect.

Work Health, Safety, Welfare and Environment (WHS)

Kirinari recognises its responsibilities for providing a safe and healthy workplace. Kirinari iscommitted to ensuring that the health and safety of all workers, clients, clients families and thegeneral public are not put at risk from any undertaking of Kirinari workers or members.

The primary focus of all undertakings within Kirinari will be the safe care and support of our clientsand workers in accordance with the work health and safety laws.

The goal for Kirinari in work health and safety is the pro-active prevention of work related injuriesand illnesses, and the development and promotion of safe systems of work.Kirinari acknowledges that active co-operation of all workers is required for ensuring a safe and

healthy working environment. Consequently, Kirinari is committed to a consultative approach to workhealth and safety.

Kirinari Community Services

Welcome to Kirinari Community Services Ltd.

If you are interested in working in the field of Community Services, you will share meaningfully inthe lives of people with disabilities and older citizen by being involved in their support anddevelopment according to their individual needs and potential. You need to have a genuine interest inpeople and a keen desire to help them through understanding, kindness, tolerance and determination.

There is a growing public awareness that people with disabilities are fellow citizens, capable of

learning and development and worthy of the dignity and respect afforded to other members of society.

It is important to realise that your own attitudes towards people with disabilities will influence the roleyou play in assisting them through positive ideals. Living and working with people with disabilities

can be challenging and rewarding.

Impairments associated with disability may include intellectual disability, acquired brain injury,

mental health issues, physical conditions, sensory impairments, and/or a lack of basic self-care andsocial skills. People who received support through our home care/community care services may also

have a variety of impairments or support needs, which you will need to be mindful of. Sometimesproblems include community resistance and nonacceptance of the integration of older citizens andpeople with disabilities into a community. However the stigma is lessening and the worth of every

person, with a disability or not, is becoming accepted.

What are the rewards of working in the Human Services?

In all human services careers, staff will share in the successes and frustrations of the people withwhom they are working. A human service career is especially rewarding when, a person achievesacceptance and, thus a more normal life. To know that a persons growth and development in abilityand self respect is, in part, the direct result of your own skill and efforts is a reward beyond materialexpression.

Where you may work?


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Kirinari is a diverse and large organisation, supporting people throughout the Hume and Riverina

Murray regions of Victoria and NSW. Whether you are supporting people with disabilities or oldercitizens, you may be required to work in any location, within your local area.

The Kirinari Story

Kirinari Community Services Limited is a multidimensional provider of support services to peoplethat are disadvantaged across North Eastern Victoria and throughout NSW. Kirinari has two broadsupport programs, our disability divisionsupports people who have disabilities, through our variousaccommodation and outreach programs. These are provided through our Branch structure, which

includes branches in the Hume Riverina, the Blue Mountain, and Northern New South Wales.

Our other division is home/community carewhere we support people that are elderly, people that arerecovering from injury or illness and respite services for people with support needs.

In the early 1980s a supported employment service for people with disabilities called AwareIndustries was set up in Albury-Wodonga. A large number of the people who worked for Awarerequired accommodation services and this need let to the creation of Kirinari Residential Services in1988. In those early years, Kirinari managed 4 residences for people with disabilities.

In 1994, Kirinari management identified that in the future, they would need to get bigger in order tosurvive. Kirinari began an on-going process of development and review of its policies, processes andstructures, of assessment of its operations, all with the view of expanding its services andcontinuously improving its outcomes.

Along with its corporate office in Wodonga, Kirinari now includes three branch offices. They arelocated in Wodonga (Hume Riverina Branch0, in Katoomba (Blue Mountains Branch) and Inverell(Northern NSW Branch). In total Kirinari manages 21 group homes across the three regions of HumeRiverina (Albury, Wangaratta, Wodonga and Griffith), Northern New South Wales (Inverell) and the

Blue Mountains (Katoomba, Blackheath and Sydney). Each residence provides support of adults witha disability. Each residence has up to 24 hour staff support, seven days a week, and accommodates up

to five people.

Kirinari has also expanded into outreach services for people living independently. Outreach services

help people develop their living skills and integration into the community. Kirinari provides agedcare and post-acute care services through its Home/Community Care divisions.

Kirinari is a Not-for-Profit company, governed by a Board of Directors, who employs a ChiefExecutive Officer to manage the services provided.

Kirinari receives the large part of its revenue from government funding. Kirinaris supportedaccommodation services to people with disabilities are funded in Victoria and NSW by theDepartment of Human Services. The services provided by Kirinari are funder under the terms and

conditions in Victoria by the Disability Act (VIC) (2006) and in New South Wales by the NSW

Disability Act (1993). In order to continue receiving government funds, Kirinari has to meet highstandards of service provision at all times. Kirinari also receives some funding from individualservice users and other government departments.

From its small beginnings in 1998, Kirinari now employs over 270 staff and provides services toaround 600 people. But certain things remain the same.

When those first group houses were established in Albury-Wodonga, Kirinari was among the firstservice providers working within the spirit of the new laws set up in Australia to promote the rightsand dignity of people with disabilities. The values and principles underpinning Kirinari services arethe same today as they were back at its start: Kirinari is committed to assisting people to liveindependently in the community, to make their own decisions and choices, to achieve full and active

participation in the society around them, and to develop the skills they need to go on and achievemore.


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Over the years, Kirinari has assisted people to make the transition from institutional life into

independent life in the community. It has helped people move from being cared for, to caring forthemselves;. It has encouraged people to learn.

The work Kirinari is Aboriginal for learning. The basicaim of the organisation is to enablepeople to maximise their potential for independence which requires learning. You will find that thisaim is reflected in all of the programs that Kirinari offers, and is at the core of the mission of Kirinari.

Kirinari is built on solid values and its future will continue to be supported by those values regardlessof the overall size of the organisation.

Kirinaris Our Mission Our Values

Our Mission is

The deliver quality support services to individuals and families to enable them to lead the lives theychoose.

Our Values

Wherever possible, individuals will be given access to, and have the opportunity to participatein, general community life;

Services and assistance will always be provided in the least restrictive environment. In allsituations persons will be treated in ways that respect privacy, promote dignity and enhance

self respect;

People will be encouraged and assisted to lead a life that is productive, creative, interestingand satisfying;

All people shall be respected and treated with dignity;

All people share the same rights, responsibilities and risks associated with community livingas other people;

All people share an entitlement to live in the community with appropriate support under thesame conditions as their fellow citizens and to use the same community services as providedfor their non-disabled peers;

All people shall be actively involved (or when this is not possible represented by theirguardian or advocate) in decisions concerning their health, shelter, education, vocation,general well-being and other life choices;


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POSITION TITLE: Community Support Worker (CSW) (casual hours / EFT as negotiated)

LOCATION: Group home within any one of the Blue Mountains, Hume-Riverina, Northern NSW branches

REPORTS TO: Supervisor

DIRECT

SUPPORTS:

Supervisor

CSWs within a group home

PRIMARYFUNCTIONS:

1. Provide support and care appropriate to the individual needs and circumstances of each client;

2. Create a support environment for each individual client that enhances their life, promotes theirindependence and maximises their choices about their life;

3. Work flexibly and collaboratively with Supervisors and other staff, to as far as possible meet the individualneeds and preferences of clients.

4. Participate in relevant Work Health & Safety, Welfare & Environment (WHS) processes, including HazardID & Risk Assessment, and on-the-job induction and training;

5. Participate in internal and external training as requested and negotiated;

6. Participate in quality improvement activities

7. Provide individualised, private and confidential support to fellow staff.

KIRINARI STAFFPHILOSOPHY:

Kirinaris Visionis: to be known for excellence in providing flexible individualised services and supportand

KirinarisMissionis to enable the individuals and families we support to live the lives they choose.

Kirinaris Valuesare:

Whenever possible, individuals will be given access to, and have the opportunity to participate in, generalcommunity life;

Services and assistance will always be provided in the least restrictive environment;

People will be encouraged and assisted to lead a life that is productive, creative, interesting and satisfying;

All people shall be respected and treated with dignity;

All people share the same rights, responsibilities and risks associated with community living as other people;

All people share an entitlement to live in the community with appropriate support under the same conditions astheir fellow citizens and to use the same community services provided for their non-disabled peers.

All people shall be actively involved (or when this is not possible, represented by their guardian, personresponsible or advocate) in decisions concerning their health, shelter, education, vocation, general well-beingand other life choices.

Kirinari employees warrant that their performance and behaviour will be in accordance with:

Kirinaris Vision, Mission and Values;

the Kirinari Staff Code of Conduct;

all other Kirinari policies, procedures and instructions;

applicable Federal and State legislation, including all applicable service standards;

The contracted terms and conditions of their employment, including any relevant industrial instrument.


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STRATEGIC GOALS:

The 2011-2014 Strategic Plan comprises seven Key Result Areas: Client Service Delivery, Workforce, Governance & Leadership,Service Development & Sustainability, Infrastructure & Technology, and Quality & Compliance.

Strategic KeyResult Area

1

Client ServiceDelivery


2

Workforce


3

Governanceand

Leadership


4

Relationshipsand Partnerships


5

ServiceDevelopment

andSustainability


6

Infrastructureand

Technology


7

Quality andCompliance

Goal:

To deliverservices that offergreater choiceand access andempowers anindividual to livethe life theychoose

Goal:

To attract andretain quality staff toeffectively deliverservices

Goal:

To continueto govern andlead service in aviable andsustainablemanner

Goal:

To buildlinkages andpartnerships toprovide greaterchoice and deliveryof a client centredapproach

Goal:

To further developthe service tomeet needs andtake advantage ofopportunities toexpand/specialise

Goal:

Toguaranteebusinesscontinuity throughprovision ofreliable,appropriate andcurrenttechnology andinfrastructure

Goal:

Toeffectivelymanagecompliance,legislativerequirements andstandards ofservice at aFederal and Statelevel

Objectives:

Reviewcurrentservicedelivery

Examineoptions toincreaseaccessibi-lity toservices

Continue tofocus onsupportingour clients

Objectives:

Attract andretain qualitystaff

Enhanceworkforcecapacity

Continue to upskill existingworkforce

Build a futureworkforce

Objectives:

Strengthengovernancesupport

Ongoingdevelop-ment ofleadershipcapacity andcapabilities

Objectives:

Form strategicalliances

Explorepartnershipopportunities

Strengthencommunityconnections

Objectives:

Examinefutureserviceoptions

Increasecapacity tocoordinateover largegeographicarea

Continue tobuildreputation

Focus onmodernis-ing image

Continue toundertakeresponsibleFinancial

Manage-ment

Objectives:

Addresstechnologycapacityacross allsites

Upgrade ITsystems

Reviewhousinginfrastruc-ture

Objectives:

Continue toimplementQualityFramework

Furtherexpand

monitoringreview andevaluationprocesses

The position of Community Support Worker works mainly in the Key Result Areas 1, 2, 4, 5 and 7 as part of the team withintheir group homes, however they also work within their Branch, and together with all other staff at Kirinari, to achieve strategic goalsand outcomes across the other Key Result Areas.


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SPECIFIC RESPONSIBILITIES:

1. Person-centredservices

Implement procedures and practices that support the delivery of individualised, sensitive andeffective services for clients, including:

Supports required to assist clients achieve their preferred outcomes are identifiedby talkingwith the client, their significant others and other service providers as required;

Collecting resident feedback and preferencesfrom clients meetings;

Client preferences and choices are documentedwithin their About Me Plan;

About Me My Choices and Support Plan are developedfor each client on a timely basis to

record choices and support and reviewed annually; Consistent supports are providedto each client in line with all of their My Choices and Support

Plan;

Implementation of support is monitored dailyvia review of documentation, including ProgressNotes, Incident Reports, Personal Cash Book, file notes, communication book, diaries etc

Report to and liaison with the Supervisorto obtain assistance and direction;

Recognition of the diversity of individuals;

Development ofappropriate communication systems and methods for each individual;

Effective communication with clients, their families and significant others as appropriate;

Facilitating community access & linking clients to relevant services; and

Completinghands-on support as necessary when clients are at home;

2. Administration &Compliance

Review of Kirinari database documentation for each client daily, including Progress Notes,Incident Reports, Cash Book, Housekeeping and other systems as required;.

Individual clients applicable behavioural support reporting requirements, including restrictivepractice authorisations (RPA) and restrictive intervention data system (RIDS)

Implement WHS including hazard ID, risk assessment and risk control measures in the grouphome;

Monitor and comply with house budgets;

Notify Supervisor on a timely basis of any maintenance requests for the group home;

Communicate on a timely and as-needed basis with clients families, guardians, medicalprofessionals and significant others;

Participate in and contribute toquality assurance audits to disability standards.

3. Policy, procedure,protocols &practice

Documentation of policies, procedures, protocols and practice instructions including:

Routines, practices and protocolsfor individual clients in the group home;

Group home proceduresand work instructions for consistent and smooth team operation;

Individual file notesfor individual clients as appropriate;

Incident and investigation reportsas required and requested;

Upholding Kirinari policies, procedures and protocols in relation to service delivery;

Ensuring policies and procedures are implemented and complied with, in the group home.

4. Service Planning& Development

Assist Supervisor to

identify opportunities for improvementto existing services and systems;

increase opportunities for residents to participate in their communities through developingand reviewing in-house quality plans;

promote Kirinari servicesand advocate for its clients in the community;

promote Kirinari workplacesand encourage new staff to join us eg information sessions

MEETINGS Attend staff meetings as rostered;

Attend client planning meetings as requested by clients or Client Services Coordinator / ServicePlanning Coordinator;

Attend other meetings as required and/or approved by the Branch Manager.


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INFORMATION ANDCOMMUNICATIONTECHNOLOGY

Utilise Kirinari custom databases to maintain records;

Utilise Microsoft Office suite to generate documentation;

Utilise internet browsing and research skills;

Use online reporting & notification systems as required for funding providers;

Maintain knowledge of privacy and confidentiality legislation with regard to all records,documentation and information and their application to clients and staff.

Utilise and problem solve with technology as required eg assistive technology, lifting devices,office machinery, household appliances.

QUALITYASSURANCE

Contribute to all Branch audits for compliance with service quality assurance systems, such as: Integrated Monitoring Framework (IMF) (NSW)

Victorian Quality Framework (VQF) (Vic)

National Quality Standards (NQF) (Fed)

QUALIFICATIONS Mandatory: Community Services or Human Services qualifications - Certificate III or higher

Mandatory: Current Australian Drivers Licence

Mandatory: First Aid Certificate (Level 2) or to obtain within 4 weeks of employment

Highly Desirable: Proficiency in Microsoft Office 2007 suite

Highly Desirable: Experience with databases and Internet Explorer

Desirable: Knowledge of / experience working with Behaviors of Concern / ChallengingBehaviours

Desirable: Report / Recording skills

Desirable: Heightened Non Verbal / Verbal skills

Desirable: Flexibility

Desirable: Ability to work within budgets

Desirable: Knowledge / experience working within Personal centered planning

EMPLOYMENTCONDITIONS

As detailed in an individual Employment Contract, described by the Letter of Offer, Terms andConditions, Staff Code of Conduct, and relevant industrial instrument

SELECTIONCRITERIA

Appropriate and current tertiary qualifications, or partial completion thereof with a willingness toachieve completion;

Demonstrated skills and experience in the identification of individual needs and choices, and inthe development and implementation of individual plans to meet those needs and choices;

Working knowledge of the theory and experience of person-centred thinking in disabilityservices, and current legislation around human services;

Working knowledge of current and applicable quality standards in disability service provision;

Ability to communicate effect ively with people;

Demonstrate a holistic and flexible approach to individualised support;

Commitment to own professional development and ability to facilitate learning;

Excellent computer and data management skills;

Excellent time management and prioritising skills;

Work or life experience (2+ years) in delivering services to people with a disability;

Demonstrated ability to contribute to and support a team effort;

Ability to communicate with a diverse range of people;

Negotiation skills in a wide range of situations;

Ability to recognise and resolve conflict and demonstrate resilience.

First Aid Certificate

Drivers Licence


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1A Footmark Court(P O Box 981)

Wodonga Vic 3690Ph: 02 6056 2111Fax: 02 6056 3349

Email:[email protected]

APPLICATION FOR EMPLOYMENT

Thank you for your interest in working with Kirinari Community Services Ltd. All applications are treatedconfidentially.

Please complete all sections of this form in your own handwriting.

Details of VacancyPosition applied for:

Branch/Region/Location:

What is your availability for work?

(please tick)

Full time Part time Casual

Are you currently, or have you previously been, employed by Kirinari?(please tick)

Yes No

Applicant DetailsTitle (please tick): Ms Mrs Miss Mr Other

Surname

Given Name(s):

Preferred Name(s):

Address:

Suburb / City State Postcode

Contact DetailsPhone No: Mobile No:

Email:

Preferred Contact Method? (tick) Phone: Mobile: Emaill

Current LicencesDo you hold a current Drivers Licence?(please tick)

Yes No Licence No:

Do you hold a current First Aid certificate?(please tick)

Yes No If Yes,Expiry Date:

Verification of Work StatusAre you an Australian Citizen or Permanent Resident?(please tick)

Yes No

If not, do you hold a valid working visa(please tick)

Yes No

(If you hold a valid working visa, please provide a copy of passport and applicable visa)
mailto:[email protected]:[email protected]:[email protected]:[email protected]


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Medical InformationDo you have any health problems or a medical condition which may affect your ability toperform the inherent requirements of the position applied for as specified in the positiondescription attached to this application?

Yes No

If yes, please give details

Would you agree to undergo a medical examination to assess your suitability to be able tocarry out the inherent requirements of the position applied for? Yes No

Employment HistoryPlease give details of your current or most recent employer

Employers Name:

Address:

Position Held: From to

Supervisors Name: Telephone No.:

Reason for Leaving:

Do we have your permission to contact your current employer? (please tick) Yes No

Enter the details of the last four positions you have held, not including the one you have listed above:

Employer Name: Location: Positon Held Start Date End Date Reason for Leaving


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Qualifications/Education

Secondary Education: HSC/VCE School Certificate Other

Tertiary Education:

Date Qualified Qualification Name Institution Name Duration (Mths)

Training: (please list)

Date Qualified Course Name Institution Name Duration (Mths)

Membership of relevant professional bodies, associations: (please list)

Verification of identity and entitlement to work in AustraliaPlease provide a certified copy of one (1) of the following four documents. The original document will need to be sighted whenaccepting your documents. If you are the holder of a VISA then your right to work and any restrictions will be verified with theDepartment of Immigration and Citizenship through VEVO or the Visa Entitlement Verification Faxback service.

Australian or New Zealand

Passport

Full Australian Birth Certificate

Australian or New Zealand

Citizenship Certificate

Overseas passport with confirmation of a current temporary work VISA and its expiry date

Overseas passport with VISA details Holder(s)permitted to remain in Australia indefinitely


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Criminal History CheckAll successful applicants are required to consent to undergo a National criminal records check as a condition of employment. Bycompleting the following question you are consenting to undergo a National criminal records check.

Have you ever been convicted* of a criminal offence? Yes No

*To be convicted a court would have made a finding that you were either:

Convicted by a single judge or jury of the offence

Guilty of the offence(s) charged but dismissed without conviction

Referee ListPlease list below three referees whom you give your consent to us contacting, regarding your suitability for the position:Name Telephone/Mobile Company Name & Position Held Relationship to you & your role

Are there any other details relevant to the position you are applying for which you would like us to consider?

DECLARATION BY ALL APPLICANTS:I understand that all offers of employment are conditional upon satisfactory reference and background checks being obtained, (includingNational criminal record and pre-employment medical checks, as relevant and required for the position) and the production of alldocuments necessary for Kirinari to verify my identity, qualifications and ability to work in Australia. I consent to the authorisedrepresentatives of Kirinari contacting any person(s) or institutions relevant to this application to undertake these verifications and checks.

I certify that the information provided in this application is true and complete to the best of my knowledge, information and belief. Iunderstand withholding pertinent information or submitting false or misleading information on this application, my resume, duringinterviews or at any other time during the hiring process, may result in my disqualification from further consideration for employment or if Iam employed, the termination of my employment. I confirm that I have completed this application in my own handwriting.

I acknowledge that all Kirinari workplaces and vehicles are smoke free as part of our non smoking policy.

Applicants Signature: ______________________________________________ Date: / /

Any supporting documentation should be attached to this application form. Any application not ful ly completed may be deemed notacceptable and eliminated from consideration.

NOTE: Kirinari is an Equal Opportunity Employer. Kirinaris Employment Policy is that the best person for the position will beappointed, but reserves the right to make no appointment if no applicant is deemed to satisfactorily meet the selection criteria.


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PERSONAL DECLARATION IN RELATION TO CRITICALPHYSICAL JOB DEMANDS

Name: _______________________________________________________

Position: ____________________________________________________

You have applied for a position with Kirinari Community Services Ltd.

This position may involve critical physical job demands summarised as follows.Please tick the boxes to indicate that you have read and are able to undertake the following:

Capacity to sit frequently

Capacity to stand frequently

Capacity to walk over uneven and even ground frequently

Capacity to climb steps and stairs frequently

Capacity to perform repetitive forward reach with both upper limbs

Capacity to perform repetitive neck rotation

Capacity to perform repetitive neck extension

Capacity to perform repetitive neck flexion

Capacity to perform lower back rotation frequently

Capacity to perform repetitive elbow flexion

Capacity to perform repetitive gripping

Capacity to carry up to 10kgs frequently Capacity to kneel, crouch or squat frequently

Capacity to perform frequent fine hand manipulation of both right and left hands

Capacity to perform frequent side reaching

Capacity to perform frequent tripod grip (eg. To hold a pen)

Capacity to perform frequent low back rotation

Capacity to perform frequent wrist flexion, ulna and radial deviation

Environmental Issues

Working inside and outside

Working in hot and cold weather

Working in wet and dry conditions

(Please note that these descriptions have been written to describe the critical physicaldemands for an able bodied person performing the tasks associated with this Job. Anyperson with a disability should not view these descriptions as a barrier to their employment.Kirinari Community Services Ltd is aware of its responsibilities under the DisabilityDiscrimination Legislation and would appreciate disclosure of any Information that may berequired to allow us to assess modifications to the workplace in terms of the DisabilityDiscrimination legislation and enable to enable us to provide a safe system of work for all our

employees in compliance with our occupational health and safety obligations.)


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1. Have you suffered an injury or disease that could be affected by performing thephysical duties of this position, as outlined above. This includes any condition thatyou are already aware of could reasonably be expected to foresee. If the answer isyes, please provide details of those injuries and/or diseases:

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. (a) Please identify which specific tasks, duties and/or responsibilities (as outlinedabove) you know or which you could reasonably be expected to have foreseen mayaffect the injuries and/or diseases you have disclosed:

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________

(b) Please identify aids or workplace modifications that would allow you to performthe tasks and responsibilities as outlined above:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

For occupational health and safety and workers compensation insurance purposes (inVictoria, pursuant to Section 82(7) of theAccident Compensation Act 1985), KirinariCommunity Services Ltd requires you to provide information regarding any injuries ordiseases you may have or have had which could be affected by performing the duties of thisposition.


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(IMPORTANT: If you do not disclose an injury or disease of which you are aware or couldreasonably be expected to have foreseen could be affected by the nature of youremployment, or make false or misleading disclosures, you will not be entitled to claimworkers compensation in the event you suffer a recurrence, aggravation, acceleration,exacerbation or deterioration of that injury or disease arising out of or due to the nature ofemployment with the Kirinari Community Services Ltd).

Do you understand your responsibilities to disclose any previous injuries ordiseases?

Yes No

Name: _____________________ Signature:_____________________Date: / /

Note:This form is required to be completed and along with the relevant National Police CheckFormand returned to Human Resources. Kirinari will not offer employment to any personwho has failed to return this form as requested due to our occupational health and safetyobligations.


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