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                      SAFETY CHECKLIST


Print this;  indicate, with a check-mark, the areas that may need attention or further evaluation for your  safety; and take appropriate steps to alleviate your safety challenges.  (Courtesy of Home Instead Senior Care)


                    ENTRANCE
[   ]    Outside entry safe, well lighted
[   ]    Steps safe, railing secure
[   ]    Visitors visible prior to entry
[   ]    Lock on door in working order

                   LIVING AREAS
[   ]    Doorway accessible
[   ]    Uncluttered walkway
[   ]    Windows can be opened
[   ]    Rugs safe for movement
[   ]    Lighting sufficient and working
[   ]    Electric cords safely attached

                    KITCHEN   
[   ]    Doorway accessible
[   ]    Appliances in working order
[   ]    Faucets working
[   ]    Stove burners, oven working
[   ]    Electric cords safe for use
[   ]    Refrigerator keeps foods cold
[   ]    Dishes, pots, silverware, cutlery
         stored for cleanliness and safety

                    BEDROOM
[   ]    Doorway accessible and lighted
[   ]    Access to bed free of clutter
[   ]    Phone available by the bed
[   ]    Access to closet
[   ]    Rugs safe for movement
[   ]    Lighting accessible from bed
[   ]    Nightstand available for personal items
[   ]    Flashlight and emergency items within reach

                    BATHROOM
[   ]    Doorway accessible
[   ]    Transfer space to toilet, shower, tub
[   ]    Safety mats in tub
[   ]    Safety bars secure
[   ]    Chair for shower, secured to floor
[   ]    Lighting adequate and working
[   ]    If needed, raised toilet seat secure
[   ]    Fixtures in working condition
[   ]    Electric cords safely secured
[   ]    Floors safe if wet, carpet secure

                    STAIRWAYS
[   ]    Handrail secure
[   ]    Stairs free of clutter
[   ]    Carpet secure
[   ]    Lighting sufficient and working

                    GENERAL
[   ]    Working smoke detectors properly placed
[   ]    Carbon Monoxide detector in use
[   ]    House free of bugs, roaches, mice
[   ]    House free of harmful odors
[   ]    Mail safely accessible
[   ]    Garbage safely stored and disposed
[   ]    Emergency numbers posted and visible by phone
[   ]    Medicines properly stored and accessible
[   ]    Keys and locks easy to access
[   ]    Windows free of broken panes
[   ]    Streetlights in front of home working
[   ]    Parking available at a safe distance
[   ]    Doorbell working and able to be heard
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