Home Assessment: Prevent Falls At Home

Similar documents
AGING IN PLACE CHECKLIST Use this checklist to identify fall hazards and accessibility for the homeowner and family members.

Safe at Home. Suggestions for Homeowner Created in partnership with the Administration on Aging. Assessor: Assessor: Homeowner Name: Address:

Safe at Home. Suggestions for Homeowner Created in partnership with the Administration on Aging. Assessor: Assessor: Homeowner Name: Address:

Home Safety Checklist

A Home Safety Checklist

Home Safety Checklist From Adaptive Remodeling Solutions, LLC Monona, WI

Creating the Accessible Home A One-Day Seminar

Checklist. Your Home Safety. Staying On Your Feet. A few simple steps can make your home safer and help prevent you from falling

Structure type: (2 story, ranch, bi-level, split level, I½ story, apt, duplex, town house) Location of house (rural, semi rural, suburban, urban)

Staying Independent. A Fall Prevention Checklist

For the Lifespan: The Caregiver Guide Module 4 The Accessible Home

Home Safety Checklist *

Safe at Home. A Home Safety Inspection Guide Brought to you by Madison Area Firefighters Local 311 local311.org (608)

A Home Safety Checklist

Home Evaluation Questionnaire for PLOF

Home Safety Checklist For Older Adults

HOW TO USE THIS CHECKLIST TO IDENTIFY HOME HAZARDS TO PREVENT FALLS

Accessible Home Design and Remodel Checklist

Aging-in-Place Safety Checklist

Safety Begins at Home

Group Organizers: Let s Get Started!

HOME EVALUATION & ASSESSMENT FOR INDEPENDENT LIVING & ACCESSIBILITY

Fire and burn safety at home

Home Safety Self Assessment Tool (HSSAT)

Sunny Oaks, Inc. Safety & Sanitation Checklist

Aging-In-Place Remodeling Checklist

Canadian Deafblind Association

DESTINY MANAGEMENT Comprehensive Safety & Health Inspection Checklist - AFLs

HOME SAFETY ASSESSMENT

U.S. Fire Administration Fire Safety Checklist. for Older Adults. FA-221/July 2012

MCB/DDS Partnership Orientation & Mobility/Low Vision Services

Pathways to Home: Home Safety Checklist

Friday, March 8, 13. Furniture Arrangement & Traffic Patterns

Universal Design Recommendations for Accessible Housing. Mauricio A. Lizama, Ph.D., ATP

AGING IN PLACE Simple changes to make now to help you live in your home longer, remain independent, decrease the risk of falls, and maintain function.

Safe at Home Repair Evaluation Report

CMHC HOME MAINTENANCE CHECKLIST

Working with. Safe at Home: Tips for the Over-65s

AGING-IN-PLACE: YOUR ULTIMATE SAFETY CHECKLIST

Residential Accessibility Checklist - for Unit Types A and B With Connecticut Amendments Type A Units Accessibility Requirements rev.

Home Safety Checklist. Cambridgeshire and Peterborough Falls Prevention Services

Fire Safety. Fire safety seminars. Fire safety plans

Accessibility Statement

WESTMEAD HOME SAFETY ASSESSMENT LONG FORM

Use a minimum loading pad 6' curb length of a hard surface to connecting curb and sidewalk.

QUESTION: Are lamp, extension, and telephone cords placed out of the flow of traffic?

Vacation Rental Property Inventory. Please complete the attached files form for your vacation, corporate, and or furnished long term rental property.

THANK YOU for your cooperation in cleaning this property we hope you have enjoyed living here.

Environmental Guidance Checklist

National Trust Cottages Access Statement

Universal Design Checklist

W o o d s i d e L O D G E a t M i r e M e a d o w s, H e x h a m s h i r e

Making the grade: Home safety assessment Checklist

Seniors Home Program

Inspection Checklist. Kitchen

Is your loved one s home safe?

Enki Health and Research Systems, Inc. WORKPLACE INSPECTION CHECKLIST AND CORRECTIVE ACTION FORM

S P R I N G C L E A N I N G G U I D E

Presented by HomeSpeck Inspections

Home Safety Checklist Per NFPA Review this checklist with members of your household.

Home Maintenance Schedule

versa home design CONVENIENCE, EASE, AND LIVABILITY PRACTICAL GUIDE TO REMODELING BUILDING BUYING A HOME

Quarterly Safety/Building Inspection Form

Coquille Indian Housing Authority Maintenance Report February 2017

Home Safety Assessment For Owners

Safety for Older Consumers Home Safety Checklist

Checklist for Housekeeper / Home Cleaning Service / Cleaning Maid

Large master bedroom with en suite and walk-in closet on second floor 2 large rental bedrooms on second floor with en suites

While most maintenance is seasonal, there are some things you should do on a frequent basis year-round:

Burien/Normandy Park Fire Department 900 SW 146 th ST PO Box Burien, WA BP (206) Fax (206)

Choose Amuse - Access Statement Choose Amuse 7 Taylors Rise Walkington Beverley East Yorkshire HU17 8SF

101 EASY WAYS TO SAVE ENERGY AND MONEY TOGETHERWESAVE.COM

ACCESS STATEMENT FOR THE STUDIO

VIRGINIA CONFERENCE PARSONAGE INVENTORY

This Workbook has been developed to help aid in organizing notes and references while working on the Fire Safety Merit Badge Requirements.

Access Statement for The Dairy

Tenant Vacating Checklist

Maintaining Seniors Independence Through Home Adaptations A SELF-ASSESSMENT GUIDE

Burns and Scalds Supplemental Reading Materials

Inventory Summary. Estimate Present Value. Total Original Cost. Jewelry

Safety And Fire Prevention. A guide to help Community Living Support Staff prepare for, respond to and prevent emergencies in a residential setting.

Section 8 Housing Choice Voucher Program. Housing Quality Standards (HQS) Inspection Checklist

Lighthouse. Prepare for your LHA inspection. Inspection Guide

101 Low-Cost /No-Cost. Home Energy-Saving Measures

Safety For Older Consumers Home Safety Checklist

MOVE-IN / MOVE-OUT CONDITION

A GUIDE TO THE ROCK ISLAND HOUSING CODE. Prepared By: The City of Rock Island Inspection Division

ce Is the Key Seasonal Home Maintenance Inspecting help keep live. help you. person to round: snow or debris. test button, which should then cause the

Access Statement for Craster Rocks

Home Selling Tips ROOM-BY-ROOM CHECKLIST

you We are CONSERVING dedicated to serving more efficiently. 101 Low-Cost No-Cost Home Energy-Saving Measures That s the cooperative difference.

This access statement is available on our website and in the Welcome File in the cottage.

Sample Safety Inspection Checklist

Villas I at Snowden Overlook Condominium Suggested Home Maintenance Checklist July 27, 2018

Family Foster Home Fire Safety Evaluation Checklist Instructions

47 Levencourt Way London SW8 1HR

CLEANING CHECKLIST DATE:

Access Statement for Woodend Annexe

Sample Safety Inspection Checklist for Schools

Health and Safety. Child Care Centers and Family Day Care Homes

Transcription:

Home Assessment: Prevent Falls At Home 1-866-739-2372 (Toll Free) www.youradrcresource.org

Most falls that cause serious injury occur within the home. Use this home assessment checklist to assess the safety of your home and to identify areas that need improvement. By making some simple changes, you can reduce the likelihood of falling. Contact the ADRC for resources to help you with modifications you may need to stay safe in your home. To prevent falls you should also: Have regular vision check-ups Be aware of your surroundings Stay Active! (i.e. walking, swimming, strength and balance exercises) Wear appropriate footwear Get plenty of Calcium and Vitamin D in your diet This Home Assessment Checklist includes the following areas of your home: Entrances Stairs Bathrooms Lighting Kitchen Telephone Bedrooms Garage Basement Home Emergencies Furniture / Living Area Home Repairs 2

Medications Entrances: Do you have 1. Clear and level pathways? 2. Secure and highlighted outdoor steps? 3. Secure hand railings on both sides of the steps? 4. Easily managed doorknobs, locks, and storm doors? 5. Adequate lighting and motion detector lighting? 6. An easily accessible mailbox? Bathrooms: Do you have 7. Grab bars by the toilet and bath/shower area? 8. Anti-slip tape or anti-slip surface on shower/bath floor? 9. A secure toilet seat at a comfortable height? 10. Night lights with a cool burning bulb? 11. An available phone? 12. Is the doorway accessible? 13. Can you safely transfer into the tub/shower? 14. Will a tub bench or tub chair be needed? 15. Can you reach the outlets? 16. Can you manipulate the light switches? 17. Can you functionally use the sink? Kitchen: Do you have 18. Can you reach the dishes, pots, silverware, and food supply? 19. A non-slip floor and a non-slip mat by the sink? 20. Is the doorway accessible? 21. Are the appliances in working order? 22. Can you manipulate the faucets of the sink? 23. Can you open and close the refrigerator and freezer? 24. Is adequate workspace available? 25. Can you reach the stove controls? 3

26. Can you manage the oven door? 27. Can you reach the outlets? 28. Can you safely transport food to dining area? 29. Are sharp objects stored safely? 30. Are flammables kept away from the stove area? Bedroom: Do you have 31. A bed that allows your feet to touch the floor when sitting on edge? 32. Non-slip linens? 33. Cool burning night-lights? 34. A clear path to the bathroom? 35. A flashlight on bedside table with extra fresh batteries? 36. Is the doorway accessible? 37. Can you get up and down safely from the bed? 38. Is the light accessible from bed? 39. Can you reach the phone? 40. Can you reach your clothes in the closet and dresser? Basement: Do you have 41. A latched basement door? 42. Well-lit uncluttered stairs in good repair? 43. Highlighted stairs with secure railings on both sides? 44. Is there a phone accessible? 45. Is there a safe way for your laundry to be brought downstairs? 46. Is there a light switch at the top and bottom of the stairs? 47. A clear path to the hot water heater, furnace, circuit breaker, and water shut off valve? 48. Do you know what to do in case of emergencies for abovementioned items? Furniture/Living Area: Do you have 49. Sturdy tables? (No three-legged tables) 4

50. Coffee tables that are not too low to be a tripping hazard? 51. Furniture that fits your body? 52. Is the doorway accessible? 53. Is there an uncluttered walking pathway? 54. Can you get up and down safely from the sofa and chair? 55. Can you open and close the windows? 56. Can you manipulate the light switches? 57. Are cords out from beneath carpeting and furniture? Stairs: Do you have 58. Highlighted steps? 59. Well-lit stairs? 60. A light switch at the top and bottom of the stairway? 61. Uncluttered stairs, no stored items on steps? 62. Is there a secure handrail present on both sides of the stairs? 63. Is the carpet secure? (no throw rugs at top or bottom of stairs) Floors: Do you have 64. Beveled thresholds or highlighted thresholds? 65. Slip resistant floors? Glare free floors? 66. Secured scatter rugs? 67. Carpets in good repair not frayed or buckled? 68. Electrical cords (not frayed) out of walkways and not under rugs? Lighting: Do you have 69. Light switches at all room entrances and outlets or switches that are not usually warm or hot to touch? 70. Even lighting in all rooms and throughout the house? 71. Use bulbs with the highest recommended wattage? 72. Night-lights that use a cool burning bulb? 73. A flashlight on all levels of your home? 74. A power failure safety light? 5

Telephone: Do you have 75. An accessible phone in every room? 76. At least one cordless phone? 77. At least one landline/corded phone? 78. An answering machine? 79. A list of emergency numbers by your phone. 80. Are emergency numbers programmed into cell phones? 81. Do you have access to a telephone if you fall? Garage: Do you have 82. Stairs in good repair, highlighted with hand railings on each side? 83. Bright lighting? 84. Uncluttered Floors? 85. Automatic garage doors with emergency reverse? 86. To wipe up any oils spills/drippings? Deck/Garden: Do you have 87. Good body mechanics when you garden? 88. Deck stairs highlighted? 89. Secure hand railings on both sides of deck stairs? 90.Are you aware of uneven ground from tree roots or critter holes? 91.Is all of your equipment safely put away? (Like garden hose?) Home Emergencies: Do you know 92.How to turn off the main water supply? 93. Where your circuit breaker is? 94.A fire escape plan? 95. If your smoke alarm (on every floor)/carbon monoxide detector works? 96.Where to place a water alarm? 97. If your battery operated radio and flashlight work? 98. To place emergency phone numbers next to phone? 99. If the plumbing and utilities are working? 6

Home Repairs: Do you have 100. An accessible fire extinguisher and know how to use it? 101. A contractor who is familiar with universal design? 102. A plan for your home repairs? 103. A budget for home repairs? 104. A timeline for home repairs? Medications: Do you 105. Know all the medications you take? 106. Know all the side-effects each may cause? 107. Have an up-to-date list of all of them? 108. Know if any cause drowsiness? 109. Know where to properly store them? Start today by making your home modification list - projects for today, this week, this month, and this year. Contact the ADRC to learn more about the resources available to help with home modifications and stay safe at home! 1-866-739-2372 (Toll Free) www.youradrcresource.org 7