Home Safety: How Well Does Your Home Meet Your Needs?

Steps/Stairways/Walkways YesNo

	Are they in good shape?
	Do they have a smooth, safe surface?
	Are there handrails on both sides of the stairway?
	How about light switches at the top and bottom of the stairs?
	Is there grasping space for both knuckles and fingers on railings?
	Are the stair treads deep enough for your whole foot?
	Would a ramp be feasible in any of these areas if it became necessary?

Floor Surfaces YesNo

	Is the surface safe?
	Nonslip?
	Any throw rugs or doormats that might slip underfoot?
	Is carpeting loose or torn?
	Are there changes in floor levels?
	If so, are they obvious or well marked?
	Do you have to step over any electric, telephone, or extension cords?

Driveway and Garage YesNo

	Is there always space to park?
	Is it convenient to the entrance?
	Does the garage door open automatically?

Windows & Doors YesNo

	Are windows and doors easy to open and close?
	Are locks sturdy and easy to operate?
	Do doorways accommodate a walker or wheelchair?
	Can you walk through the doorways easily?
	Is there space to maneuver while opening and closing doors?
	Does the front door have a view panel or peephole at the right height?

Appliances/Kitchen/Bath YesNo

	Is the room arranged safely and conveniently?
	Do the oven and fridge open easily?
	Are stove controls clearly marked and easy to use?
	Is the counter the right height and depth?
	Can you work sitting down?
	Are cabinet doorknobs easy to use?
	Are faucets easy to use?
	Do you have a hand-held shower head?
	Are the items you use often on high shelves?
	Do you have a step stool with handles?
	Can you easily get in and out of the tub or shower?
	Do you have a bath or shower seat?
	Are there grab bars where needed?
	Is the hot water heater regulated to prevent scalding or burning?

Lighting/Ventilation YesNo

	Are there enough lights, and are they bright enough?
	Do you have night lights where needed?
	Is area well ventilated?

Electrical Outlets/Switches/Alarms YesNo

	Can you turn switches easily on and off?
	Are outlets properly grounded to prevent a shock?
	Are extension cords in good shape?
	Do you have smoke detectors in all key areas?
	Do you have an alarm system?
	Is the telephone readily available for emergencies?
	Does the telephone have volume control?
	Can you hear the doorbell ring all throughout the house?

Problems and Ideas ___________________________________________________________________

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