Complete your home checklist
Answers stay on this page, are not sent to a server and disappear on refresh. Print to keep a copy. This tool does not produce a clinical risk score.
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Use this home fall prevention checklist with the person living in the home. For each item, write “checked”, “needs attention” or “not applicable”. Add a person responsible and a review date. Do not total the answers into a medical risk score. The checks draw on CDC home-safety guidance linked below.
Floors and walking routes
- 1. Are walking routes free of objects?
- 2. Are loose rugs removed or secured against slipping?
- 3. Are cables kept out of walking routes?
Bedroom and lighting
- 4. Can the bedside light be reached easily?
- 5. Is the route to the bathroom lit at night?
Stairs and steps
- 6. Are steps free of belongings?
- 7. Are loose or uneven steps repaired?
- 8. Are handrails secure and available on both sides?
- 9. Can stair lighting be switched on at both ends?
Bathroom and kitchen
- 10. Does the bath or shower have a suitable non-slip surface?
- 11. Are properly installed grab bars available where support is needed?
- 12. Are frequently used kitchen items within easy reach?
Turn observations into an action list
For each unfinished item, record: location / concern / agreed action / person responsible / review date. Ask for help with repairs or installations rather than attempting work that feels unsafe. Agree on changes with your relative before rearranging their home.
What this checklist cannot tell you
It cannot assess balance, medication effects or injury. After a fall, or if you are worried about mobility, contact a health professional. If someone cannot get up or may have a serious injury, call the local emergency service. The linked guide explains when to seek help.
Keep the action list available to the family and caregiver. Mark a task complete only when the agreed change has actually been made. No account or app is needed to use this checklist.
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Sources and editorial scope
Prepared by WellFamily using the public guidance below. This is general information, not a clinical assessment or a claim of medical review.
