Childproofing Room-by-Room Check
See at a glance which rooms still need a gate, latch, anchor or cover fitted. The recheck page catches the device that has worked loose or been left undone.
SC-21 2 pages
Safety checks · SC-22
Home Fall Hazard Check
A free printable home fall hazard check: steps, floors, stairs, lighting, bathroom and the night route to the toilet, with each fix, who does it and when.
Download Free · no sign-up
One page. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.
Print it and write on it
Fill it in type and save
The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.
What this sheet is for
Find the trip and slip hazards in a home before someone finds them the hard way. Each Fix ticked becomes a line at the foot with a name and a date, so it actually gets done.
Who it is for
Older people, their families and carers, and anyone setting up a home for someone who is unsteady on their feet.
How to use it
- Walk the home in daylight and again after dark, when poor lighting shows up.
- Tick OK or Fix on every line, and cross out anything that does not apply.
- Copy each Fix to the table at the foot with its number, what will be done, who will do it and by when.
- Date each fix when it is done, and walk through again whenever the home changes or the person gets about differently.
What is on the sheet
One page, top to bottom:
Printed under the title: Walk each area in daylight and again after dark, ticking OK or Fix on every line. Each Fix goes in the table at the foot with who will sort it and by when.
Write-on lines: Home · Who lives here · Checked by · Date
Also printed: Check · Fix · ENTRANCES AND OUTSIDE · Steps even, edges easy to see · Firm handrail by outside steps · Paths clear of moss, leaves, hoses · Door light on a switch or sensor · Door threshold and mat not a trip · FLOORS AND RUGS · Rugs gripped underneath, or lifted · No cables across walking routes · Nothing left on the floor to trip on · Floors not slippery when wet · STAIRS · Handrail firm for the full flight · Carpet or treads secure, no loose edges · Light switch at the top and bottom · LIGHTING AND KITCHEN · Every room bright enough to see the floor · Switch reachable at each doorway · Everyday things within easy reach · Steady step stool with a handle, if used · BATHROOM · Grab rail by the toilet · Grab rail at the bath or shower · Non-slip mat or surface in the bath · Floor not slippery when wet · BEDROOM AND THE NIGHT ROUTE · Lamp or switch reachable from the bed · Clear path from bed to the toilet · Night light on the route to the toilet · Phone within reach of the bed
Fixes to make — one line for each Fix ticked above, by its number
Table, 6 rows: No. · What will be done · Who · By when · Done
Questions
Does this sheet assess someone's risk of falling?
No. It looks at the home, not the person. Balance, eyesight, medicines and health matter too, and those are for a doctor or other health professional. This sheet is the home half of the picture.
Why are there no heights or measurements for rails and steps?
Because the right height for a rail depends on the person and the building, and some figures are set by building rules that differ by country. Where a rail or a step needs changing, ask a fitter or an occupational therapist for figures that suit.
Related sheets
Next of Kin and Emergency Details Card
Put one person's emergency contacts and practical details on a single page, in the order somebody should actually work through them.
SC-05 2 pages
Emergency Contact Sheet
Put the numbers somebody needs in one place, so a house-sitter, a babysitter, a visiting relative or a tenant is not searching for them at the worst moment.
SC-03 2 pages
Smoke and CO Alarm Test Log
Prove the alarms were tested, and catch the thing most people miss: alarms have an expiry date, and a working test button does not mean a working sensor.
SC-01 2 pages
