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Home Safety Screening
Any answer marked “No” indicates a home safety risk.
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Yes |
No |
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Walkways into home are
clear and accessible (stairs). |
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Adequate lighting (between
bed and bath). |
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All walkways clear, sturdy,
and wide enough to walk through safely (rugs, electrical cords). |
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Frequently used items are
placed within reach (kitchen, bathroom, bedroom). |
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Stove and microwave
operating properly. |
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Fire extinguisher / smoke
detector present and working properly. |
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Bathtub has non-skid
surface. |
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Tap water is 120 degrees or
lower. |
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Medications properly stored
and clearly labeled. |
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Emergency phone numbers
easily read and visible. |
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