Subcommittee on Injury Prevention and Control

Prehospital Home Safety Checklist

This survey is provided as an educational service and is not intended to be exhaustive or certify a residence as safe or unsafe. We advice occupants to seek additional information if questions arise.

	OK	Needs Improvement
Bathroom
Non-skid mats or decals in tub
Stairs (inside and outdoors)
Well-lit
Sturdy handrail along length of stairs
Bedroom
Phone next to bed (may be by report)
General
Secure carpeting on floors and staircases
Fire Safety
Smoke detector functional
Fire extinguisher (in kitchen or nearby)
Child Safety (if applicable)
Plastic plugs in unused electrical outlets
Cleaners out-of-reach or in locked cabinets
Medicines out-of-reach or in locked cabinets
Child safety-gates installed around hazards

Online March 28, 2002

Injury Prevention and Control

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