| Home Safety Checklist Provided Courtesy of: ResponseLink of SD County - Emergency Response Systems 619.325.0356 |
The boxes below each represent a room in the home. The fall risk in each room can be lessened by
following the guidelines presented. Please contact us if you would like an in-home fall risk
assessment. You can print this checklist and use it for clients, patients, yourself, staff....together we
can all make a difference.
following the guidelines presented. Please contact us if you would like an in-home fall risk
assessment. You can print this checklist and use it for clients, patients, yourself, staff....together we
can all make a difference.
Area #1 Bathroom
Adequate Lighting
Night Lights, Lighted Path
Grab Bars (Toilet, Bath, Sink)
High Rise Toilet Seat
Dual Arm Support
Rubber Mat
Eliminate Clutter
Adequate Storage for oils/lotions
Adequate Lighting
Night Lights, Lighted Path
Grab Bars (Toilet, Bath, Sink)
High Rise Toilet Seat
Dual Arm Support
Rubber Mat
Eliminate Clutter
Adequate Storage for oils/lotions
Area #2 Kitchen
Adequate Lighting
All items can be reached w/o step
Grab Handles Near Counters
Level Flooring
Floor risers less than ¼ inch
No Slip Hazards
Eliminate Clutter
Kitchen table/chairs sturdy
Adequate Lighting
All items can be reached w/o step
Grab Handles Near Counters
Level Flooring
Floor risers less than ¼ inch
No Slip Hazards
Eliminate Clutter
Kitchen table/chairs sturdy
Area #3 Halls/Stairways
Adequate Lighting
Light Switches at Top and Bottom
Reflective Tape/Paint Top/Bottom
Level, Unbroken Stairs
Sturdy Handrail
Steps of same width and height
No items left on stairs
Adequate Lighting
Light Switches at Top and Bottom
Reflective Tape/Paint Top/Bottom
Level, Unbroken Stairs
Sturdy Handrail
Steps of same width and height
No items left on stairs
Area #4 Bedroom
Adequate Lighting
Sturdy Nightstand
Tap Lights, Flashlight
Lighted path to bathroom
No long/handing bedclothes
Clear pathways
No Closet Clutter
Items within reach
Adequate Lighting
Sturdy Nightstand
Tap Lights, Flashlight
Lighted path to bathroom
No long/handing bedclothes
Clear pathways
No Closet Clutter
Items within reach
Area #5 Furniture/Floors
Sturdy, Adequate Height
Clear Pathways – 36’ to 42’
No Wire/cord Hazards
No Jagged Edges
No Glass Furniture
No Floor Clutter
No Slip Hazards
Check for loose carpet tacks
Sturdy, Adequate Height
Clear Pathways – 36’ to 42’
No Wire/cord Hazards
No Jagged Edges
No Glass Furniture
No Floor Clutter
No Slip Hazards
Check for loose carpet tacks
Area #6 General
Wear proper Footwear
Avoid flowing clothing/robes
Medical Info Posted on refridg.
Emergency Response System
Installed and In use for safety
Neighbor key or lockbox
Outside stairs safe
Level outside walkways
Wear proper Footwear
Avoid flowing clothing/robes
Medical Info Posted on refridg.
Emergency Response System
Installed and In use for safety
Neighbor key or lockbox
Outside stairs safe
Level outside walkways
Other recomendations: Review of Medications by Pharmacist or Doctor,
Exercise, Proper Nutrition and Hydration. These are just a few of the areas
covered in our free Fall Prevention Workshops. For more information - call
619.325.0356 - STAY WELL --- Joanne Price
Exercise, Proper Nutrition and Hydration. These are just a few of the areas
covered in our free Fall Prevention Workshops. For more information - call
619.325.0356 - STAY WELL --- Joanne Price
