About this resource
Implementing providers must report monthly to the NDIS Commission, including when a practice was not used. This log gathers what you need, shows whether use was in line with the plan, and supports reduction.
Purpose
A record of each use of a regulated restrictive practice, to support monthly reporting within 5 business days of month end.
Who it is for
Primary profession: NDIS providers and support coordinators. Also relevant for positive behaviour support practitioners, disability support workers.
Client or participant group: Registered NDIS providers: directors, quality and compliance staff, house and team leaders.
Practice setting: Registered NDIS providers, including supported independent living homes.
Suggested uses
- Day-to-day records for a registered provider
- Audit evidence that a process is used in practice
- Induction and team training
Instructions for practitioners
- Add your organisation's name and details, and delete what does not apply.
- Show workers how and when to use it, and where completed copies are stored.
- Complete it at the time, in plain and respectful language.
- Check a sample regularly and add any improvements to your Continuous Improvement Register.
Accessibility considerations
Landscape tables with room to write. The Word version can be filled in on screen.
Scope and limitations
An editable template and practical record. It is not legal advice and does not by itself show that a provider meets the NDIS Practice Standards. Check it against the current Practice Standards, NDIS rules, your registration groups and your state or territory's laws, and adapt it to how your service really works.
Higher-risk topic: use only within your training, supervision and organisational procedures.
Research basis
Implementing providers must obtain authorisation under state or territory arrangements, lodge evidence with the NDIS Commission, and report monthly on regulated restrictive practices, including when a practice was not used. Use that is unauthorised or not in line with a behaviour support plan is a reportable incident.
- National Disability Insurance Scheme (Restrictive Practices and Behaviour Support) Rules 2018 (Cth). https://www.legislation.gov.au/F2018L00632/latest/text
- NDIS Quality and Safeguards Commission. (2026). Rules for implementing providers. https://www.ndiscommission.gov.au/rules-and-standards/behaviour-support-and-restrictive-practices/rules-implementing-providers
- NDIS Quality and Safeguards Commission. Supplementary module: Implementing behaviour support plans. https://www.ndiscommission.gov.au/rules-and-standards/ndis-practice-standards/supplementary-module-implementing-behaviour-support
What is included
A 3-page printable A4 PDF, including a practitioner notes page with the research basis (version 1.0).
Originality
Original Practitioner Plus content: wording, activity structure, layout and icons were created for this resource. No third-party worksheets, illustrations or text were reproduced. Written for Practitioner Plus from the NDIS Practice Standards and NDIS rules listed in the research basis; no third-party template was used. It is not an NDIS Commission form.
