Title Page

  • Conducted on

  • Prepared by

Internal Spaces

  • Are walkways clear of materials and other obstructions?

  • Are floor surfaces in good condition? (ie no frayed carpet or cracked tiles)

  • Are mats at the entrances in good condition with edges lying flat?

  • Are procedures in place to immediately clean up spills?

  • Are wet floor signs/ cleaning in progress signs available?

  • Is lighting adequate in communal areas?

  • Is routine cleaning (mopping) scheduled at a time to minimise risk to residents and staff?

  • Are walkways free from cords?

  • Are steps and step noses in good repair?

  • Are team members wearing appropriate footwear to reduce risk of slip, trip and fall injuries

  • Are residents wearing appropriate footwear to reduce risk of slip, trip and fall injuries

  • Is drainage adequate in wet areas (eg . bathrooms/ensuites)

  • Are there adequate provisions in place to prevent slips and falls in wet areas?

Outside

  • Are there potholes, broken paths, cracks, gaps or raised areas because of tree roots or other damage?

  • Is lighting adequate?

  • Is there plant growth (eg moss) over paths and walkways?

Falls last month

  • Have there been any falls last month?

  • How many in total?

  • Is this a higher number than the month prior?

  • Has there been any serious injuries sustained from falls last month? (eg significant bruising or fractures)

Spot check (Check notes of a resident who had a fall last month)

  • Is there a clear description of the incident?

  • Has the Falls Risk assessment been updated?

  • Are there any residents who are having frequent falls?

  • Has a referral been sent to the Falls Team?

  • Has a safeguard been raised as per criteria (ie if person had more than 3 falls in past 12 months)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.