• Environmental Fall Risk Assessment

    Environmental Fall Risk Assessment

  • Instructions for Use: Overall responsibility to ensure the completion of the environmental checklist lies with the home manager. This is necessary as remedial action may involve major and/or costly modifications to the area or changes in the operational activities within the area.

    The checklist should be completed at least annually.

  • Bathroom & Shower Rooms*
    Rows
  • Passageways/ Hallways*
    Rows
  • Dining Area*
    Rows
  • Are there stairs or ramps in the building/home?*
  • Stairs & Internal Ramps*
    Rows
  • Is there an elevator/ lift in the building/home?*
  • Elevators/ Lifts*
    Rows
  • Exterior *
    Rows
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: