Elderly Home Safety Checklist

• HOME SAFETY ASSESSMENT

• Address
  Address

• Professional Healthcare Advocate:

• Conducted on

  Date

Entry to Elderly Home

• Are stairs non-slip and in good repair?

  Yes

  No

  N/A

• Is the pathway leading to the elderly home clear and even?

  Yes

  No

  N/A

• Is there easy access for strollers and wheelchairs?

  Yes

  No

  N/A

• Are the handrails on both sides of the staircase in good working condition?

  Yes

  No

  N/A

• Is there adequate lighting leading to the elderly home entrance door?

  Yes

  No

  N/A

Internal Floors

• Is the floor even and not slippery (no leaks or potential to be slippery when wet)?

  Yes

  No

  N/A

• Are there no tripping hazards such as throw rugs, boxes, electrical cords, or rubbish?

  Yes

  No

  N/A

• Are the floors cleaned regularly and the spills cleaned up immediately?

  Yes

  No

  N/A

• Are aged care workers wearing appropriate non-slip footwear?

  Yes

  No

  N/A

Hallways, Exits & Doors

• Are hallways and doorways free of obstructions?

  Yes

  No

  N/A

• Do doors open freely and easily?

  Yes

  No

  N/A

• Do Fire Exits display correct notices and signages?

  Yes

  No

  N/A

• Are exit signs in place and illuminated?

  Yes

  No

  N/A

• Do designated emergency exit doors open outwards?

  Yes

  No

  N/A

Windows, Ventilation & Noise

• Are windows in good condition (open easily with no broken or cracked glass or damaged screens)?

  Yes

  No

  N/A

• Is the temperature appropriate for the work area?

  Yes

  No

  N/A

• Are air conditioners serviced regularly (check maintenance records)?

  Yes

  No

  N/A

• Are noise levels acceptable?

  Yes

  No

  N/A

Internal Lighting

• Are the lights working (if damaged or not working), are they repaired immediately?

  Yes

  No

  N/A

• Is the level of light adequate in all areas?

  Yes

  No

  N/A

• Are light fittings and light switches in good working and visual order and checked regularly?

  Yes

  No

  N/A

• Is task lighting provided for detailed work?

  Yes

  No

  N/A

Electrical Equipment & Supply

• Has electrical equipment been inspected and tested at specified intervals (check tags/records)?

  Yes

  No

  N/A

• Is the electrical safety switch fitted to the elderly home?

  Yes

  No

  N/A

• Is the safety switch tested regularly?

  Yes

  No

  N/A

• Are electrical outlets and switches in good condition?

  Yes

  No

  N/A

• Are there sufficient power outlets?

  Yes

  No

  N/A

• Are extension leads/power boards used as designed (no double adaptors, or piggyback plugs)?

  Yes

  No

  N/A

Furniture, Fittings & Shelves

• Is there adequate space to move around common areas?

  Yes

  No

  N/A

• Is there sufficient individual storage space for the elderly?

  Yes

  No

  N/A

• Do chairs enable the elderly to sit with their back upright and adjust to lumbar supports?

  Yes

  No

  N/A

• Are chairs fully adjustable with a stable base?

  Yes

  No

  N/A

Elderly Home Emergency Precautions

• Are overhead sprinklers and detectors clear of obstructions?

  Yes

  No

  N/A

• Are appropriate fire extinguishers visible and easy to access?

  Yes

  No

  N/A

• Are fire-fighting equipment checked regularly (check expiry dates on tags on extinguishers and hose reels)?

  Yes

  No

  N/A

• Is appropriate extinguisher signages in place and legible?

  Yes

  No

  N/A

• Are evacuation plans displayed on evacuation routes?

  Yes

  No

  N/A

• Are emergency telephone numbers clearly visible?

  Yes

  No

  N/A

• Are evacuations practiced regularly as per legislation?

  Yes

  No

  N/A

• Have aged care workers completed emergency procedure training?

  Yes

  No

  N/A

Hazardous Chemicals

• Is the current (within 5 years) safety data sheet kept with stored chemicals?

  Yes

  No

  N/A

• Are all chemical containers labeled correctly?

  Yes

  No

  N/A

• Are unused dispensed chemicals disposed of regularly in an appropriate manner?

  Yes

  No

  N/A

• Are all hazardous chemicals in a secure & locked chemical cabinet?

  Yes

  No

  N/A

First Aid Provision

• Are first aid supplies checked regularly (check expiry dates, if replenished)?

  Yes

  No

  N/A

• Are the locations of first aid supplies clearly marked with a white cross on green background?

  Yes

  No

  N/A

• Do aged care workers know the location of the first aid kits and are easily accessible?

  Yes

  No

  N/A

• Is the first-aider appointed and his/her name clearly displayed?

  Yes

  No

  N/A

Restrooms

• Are the toilets clean and well-ventilated?

  Yes

  No

  N/A

• Is the non-slip bathroom floor surfaces in good condition?

  Yes

  No

  N/A

• Are hot and cold tunning water available?

  Yes

  No

  N/A

• Is soap (or soap dispensers) provided?

  Yes

  No

  N/A

• Are hand drying facilities available?

  Yes

  No

  N/A

• Are there adequate grab bars near the shower or bathtub?

  Yes

  No

  N/A

• Are the toilets of proper height (and if not, is there a raised toilet seat available)?

  Yes

  No

  N/A

Kitchen Area

• Is there suitable eating or coffee/tea break facilities?

  Yes

  No

  N/A

• Is the kitchen and amenities area kept clean?

  Yes

  No

  N/A

• Are kitchen appliances and whitegoods clean and well-maintained?

  Yes

  No

  N/A

• Is there adequate storage available?

  Yes

  No

  N/A

• Is appropriate PPE worn when conducting required tasks?

  Yes

  No

  N/A

• Is the fire blanket installed and checked every 6 months?

  Yes

  No

  N/A

• Are the anti-slip floor surfaces in good condition?

  Yes

  No

  N/A

Grounds

• Is adequate external lighting installed for night time?

  Yes

  No

  N/A

• Are gardens well-maintained with branches and excess foliage removed?

  Yes

  No

  N/A

• Are the ground free of sharp objects?

  Yes

  No

  N/A

• Are pathways around the facilities clear of trip hazards or overgrown foliage?

  Yes

  No

  N/A

• Are storage sheds tidy and secured?

  Yes

  No

  N/A

Completion

• Additional Comments

• Nursing Home Safety Inspector Name & Signature

  Sign