Safe Days - Home Safety Assessment

• Assessment No:

• Customers Name

• Assessment Conducted On:

  Date

• Assessment Prepared By:

• Location
  Address

Kitchen Area:

• Are all electrical cords and power points out of reach from children ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select install safety gate / barrier use Velcro ties on cords install safety covers in power points

  • install safety gate / barrier
  • use Velcro ties on cords
  • install safety covers in power points

• Are electrical equipment or power points visually damaged ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select have a qualified electrician replace damaged power points. remove / replace damaged or faulty

  • have a qualified electrician replace damaged power points.
  • remove / replace damaged or faulty

• Are ovens ( including microwave ) out of reach ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select check microwave oven fitted with child lock (see instructions) install safety gate / barrier a kitchen entrance, teach children oven is hot, (when light is on) establish a boundary

  • check microwave oven fitted with child lock (see instructions)
  • install safety gate / barrier a kitchen entrance,
  • teach children oven is hot, (when light is on) establish a boundary

• Are oven hood filters clean from oil / grease build up ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select remove oven hood filters and soak in hot soapy water check use manual to see if dishwasher safe,

  • remove oven hood filters and soak in hot soapy water
  • check use manual to see if dishwasher safe,

• Are large items at height secure and prevented from falling ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select secure with brackets remove to safer location

  • secure with brackets
  • remove to safer location

• During cooking, are back rings used before front rings ?

  Safe

  At Risk

  N/A

• Recommendations,

  always use back rings first when cooking

• Are sharp objects (.i.e. Knives) and plastic bags ( knotted ) stored in save locations ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select install safety gate / barrier at kitchen entrance store sharp knives at height install child proof lock on draws install wall knife magnetic holder tie a knot in plastic bags before storing store plastic bags in secure location( locked draw, bag holder at height)

  • install safety gate / barrier at kitchen entrance
  • store sharp knives at height
  • install child proof lock on draws
  • install wall knife magnetic holder
  • tie a knot in plastic bags before storing
  • store plastic bags in secure location( locked draw, bag holder at height)

• Are cleaning products and other chemicals / poisons accessible to children ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select store medicines at height in a secure container place chemicals in a secured locked cupboard install a safety gate / barrier at the entrance to the kitchen

  • store medicines at height in a secure container
  • place chemicals in a secured locked cupboard
  • install a safety gate / barrier at the entrance to the kitchen

• Is there a fire extinguisher / fire blanket available and easily located ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select reposition fire extinguisher / blanket install fire extinguisher & blanket

  • reposition fire extinguisher / blanket
  • install fire extinguisher & blanket

• Are flammable items stored away from cooking area ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select remove flammable items from cooking areas, reposition else where.

  • remove flammable items from cooking areas, reposition else where.

• Is the dishwasher or rubbish bin accessible to children ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select install child proof lock on dish washer install child proof lock on rubbish bin install safety gate / barrier at entrance to kitchen

  • install child proof lock on dish washer
  • install child proof lock on rubbish bin
  • install safety gate / barrier at entrance to kitchen

• Has a table got sharp corners / edges or is table cloths (runners) used ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select install safety corners and or strips to table remove table cloths / runners

  • install safety corners and or strips to table
  • remove table cloths / runners

• Is a high chair used and fitted with a harness ?

  Safe

  At Risk

  N/A

• Recommendations,

  Select remove highchair and replace with highchair fitted with harness install secure fitting child harness to chair

  • remove highchair and replace with highchair fitted with harness
  • install secure fitting child harness to chair

• Home Safety Plan - Recommendations,

  Select remove oven hood filters and soak in hot soapy water check use manual to see if dishwasher safe,

  • remove oven hood filters and soak in hot soapy water
  • check use manual to see if dishwasher safe,

Bathroom / Toilets / Laundry Areas

• Detail number of areas assessed

• Select from range

• Temperature of hot water not above 50*C?

  Safe

  At Risk

  N/A

• Are bath and sink plugs kept within reach of child?

  Safe

  At Risk

  N/A

• medications and cleaning products accessible?

  Safe

  At Risk

  N/A

• Electrical appliances and sockets accessible to children ?

  Safe

  At Risk

  N/A

• Baths fitted with non-slip surface?

  Safe

  At Risk

  N/A

• Taps fitted over bath?

  Safe

  At Risk

  N/A

• Laundry dryer lint cleaned regularly?

  Safe

  At Risk

  N/A

• Toilet seat lid securable?

  Safe

  At Risk

  N/A

• Glass tempered or fitted with shatter resistant film?

  Safe

  At Risk

  N/A

Living Areas - including Access Ways & Stairways

• Has furniture ( Glass Tables ) got sharp corners or edges?

  Safe

  At Risk

  N/A

• Are blinds and curtain cords (or other) out of reach?

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Can large heavy items fall over ( pulled over ) from heights?

  Safe

  At Risk

  N/A

• Are draws / press doors accessible to be used to climb?

  Safe

  At Risk

  N/A

• Is glass fitted in windows / doors / furniture safety glass or shatter proof film?

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Bedrooms / Rumpus Rooms

Balconies / Verandas

Outdoor Areas - Gardens, Play Areas & Driveways

Garage / Sheds

General