Sample NDIS SIL Supplementary Module Self-Assessment Checklist template

SIL Supplementary Module Self-Assessment Checklist

$24.99
Instant download. One-time purchase. Fully editable Word (DOCX).

A self-assessment checklist for providers delivering supported independent living. It is structured around the Module 5A quality indicators at sections 72B to 72E, in the order they appear. Complete it at least annually and before any scheduled audit.

What is inside:

  • Instructions, including when the tenancy indicators apply and when to mark them N/A
  • Supported decision-making: accessible information, dignity of risk, mainstream services, procedures and worker training
  • Safeguarding: Code of Conduct, worker skills, informal safeguards, conflict between participants and regular review
  • Practice governance: worker development, supervision, competency, governance documents, co-tenant consultation and emergency planning
  • Tenancy, housing and support: separate agreements, conflict of interest, raising concerns, keys, private space, restrictions and service agreement content
  • For each indicator: suggested evidence, a Yes, Partial or No or N/A status, and an actions column
  • Corrective actions register and assessment sign-off

Good to know: completing the checklist does not guarantee any registration or audit outcome. Results depend on your actual practice and the evidence you hold.

  • Reviewed against the current NDIS Rules, Practice Standards and Commission guidance
  • Editable DOCX with a placeholder legend, so you enter your details once
  • Instant download

These templates are general information, not legal advice. No template can guarantee registration or audit outcomes.

Buying more than one template? This one is also in

On its own this template is $24.99. Each pack below includes it, plus the rest of the set.

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Your responsibility. These are editable templates provided as a starting point, not legal, compliance or professional advice. You are responsible for reviewing each template, adapting it to your service, and making sure the information is current, accurate and appropriate for your circumstances and your state or territory before you rely on it. Moreton Regional Support Services is not liable for any loss, penalty or outcome arising from your use of these templates, and no template can guarantee NDIS registration, audit or compliance outcomes.