Anaphylaxis Risk Management Plan
Billy Johnson, 4y/o
Name of Child: Billy Johnson
Date of Birth: 5 August 2011
Detail how this will be implemented
Hazards/Risks Recommended Control Measures Yes
and any additional strategies
Equipment/ Adrenaline auto-injectors (auto-injectors) such as List location/s of auto-
Materials Epi-pen and Anapen are stored in a safe, unlocked injectors:
and accessible, easy-to-find location.
Auto-injectors are put in a
bag and labelled Billy are
kept in medication cabinet in
the Kitchen inaccessible to
children; and away from
direct sources of heat.
Auto-injectors are stored in a cool place 15-25 Kept in the kitchen where the
degrees (not below 15 degrees or a refrigerator). temperature is always set at 22 to
24degree.
Auto-injectors and copies of ASCIA Action Plan for A copy of Action plan is kept with the
Anaphylaxis (Action Plans) are located together. medication in the medication cabinet or
stuck on the cabinet door.
Auto-injectors & Action Plans are labelled with Auto injectors and action plans are
students’ names. labelled and kept in separate bags.
Student’s Action Plans have up-to-date photos of The photos on Action plans will be
the students. updated every month.
Expiry dates of adrenaline auto-injectors are Routinely, the service
checked regularly and parents informed in a timely will review each child’s
manner. medication to ensure it
hasn’t expired. A list
will be kept in the office
and medication will be
checked once a month
when first aid checks
are done to make sure
they are in date.
Staff members know where adrenaline auto- The service will ensure that the auto-
injectors and Action Plans are stored. injection device kit is stored in a
location that is known to all staff,
including relief staff; easily accessible
to adults (not locked away)
Staff members are aware of the Anaphylaxis displayed in areas of prominence to ensure all
Guidelines for Queensland State Schools. practices and procedures are followed
Anaphylaxis Risk Management Plan - Billy Johnson Version No.1.0
© Compliant Learning Resources Page 1
Billy Johnson, 4y/o
Name of Child: Billy Johnson
Date of Birth: 5 August 2011
Detail how this will be implemented
Hazards/Risks Recommended Control Measures Yes
and any additional strategies
Equipment/ Adrenaline auto-injectors (auto-injectors) such as List location/s of auto-
Materials Epi-pen and Anapen are stored in a safe, unlocked injectors:
and accessible, easy-to-find location.
Auto-injectors are put in a
bag and labelled Billy are
kept in medication cabinet in
the Kitchen inaccessible to
children; and away from
direct sources of heat.
Auto-injectors are stored in a cool place 15-25 Kept in the kitchen where the
degrees (not below 15 degrees or a refrigerator). temperature is always set at 22 to
24degree.
Auto-injectors and copies of ASCIA Action Plan for A copy of Action plan is kept with the
Anaphylaxis (Action Plans) are located together. medication in the medication cabinet or
stuck on the cabinet door.
Auto-injectors & Action Plans are labelled with Auto injectors and action plans are
students’ names. labelled and kept in separate bags.
Student’s Action Plans have up-to-date photos of The photos on Action plans will be
the students. updated every month.
Expiry dates of adrenaline auto-injectors are Routinely, the service
checked regularly and parents informed in a timely will review each child’s
manner. medication to ensure it
hasn’t expired. A list
will be kept in the office
and medication will be
checked once a month
when first aid checks
are done to make sure
they are in date.
Staff members know where adrenaline auto- The service will ensure that the auto-
injectors and Action Plans are stored. injection device kit is stored in a
location that is known to all staff,
including relief staff; easily accessible
to adults (not locked away)
Staff members are aware of the Anaphylaxis displayed in areas of prominence to ensure all
Guidelines for Queensland State Schools. practices and procedures are followed
Anaphylaxis Risk Management Plan - Billy Johnson Version No.1.0
© Compliant Learning Resources Page 1
