Home Safety Risk Assessment

Home Safety Risk Assessment
A risk assessment of the home where work is being undertaken is required:
• before the first service or support starts,
• when service provisions or home environment change and
• annually.
Client Name:

First NameLast Name
Date

DayMonthYear
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Completed by

First NameLast Name
Assessment for:
• This risk assessment is intended to aid in the identification and management of common health and safety risks within the home environment and may not cover everything. Use the blank table at the end of this document to add any areas specific to the environment you are working in.
• This risk assessment should be completed with the person receiving care, support or assistance in their home and/or their representative.
• Tick the appropriate corresponding box to the statements YES, NO or write N/A (not applicable) in the COMMENTS or ACTIONS column.
• Statements ticked NO, may indicate a risk that needs to be addressed. Make note of the risk in the COMMENTS or ACTIONS column and discuss solutions with the person receiving care or their representative.

Outside your home

Rows	Yes	No	Comments or Action
Vehicle parking at or near the home.
House/Unit number clearly marked and identifiable from the street.
Entry/Exit to the yard or home is well-lit and easily accessible in low light or at night.

Induction and Training - Workers have been trained or instructed in the following

Rows	Yes	No	Comments or Action
Introduction to the home and where essential items are located or information kept. E.g.: first aid arrangements, emergency plans and evacuation, access to facilities (bathroom and kitchen), etc
Any procedures, policies or systems used in the home to provide supports and services. This could include security measures, schedule of activities, a safe way of doing a task, etc
Information regarding safe provision of 1:1 care and support is disclosed to worker. E.g.: behaviour management plans or behaviours of concern along with safety strategies, any infectious diseases present in the home that poses a risk to the health of the worker.
Procedures and management of any biological hazards and adequate PPE provided. E.g., a system in place to manage sharps, spills of bodily substances or biological waste at the home appropriately (PPE, cleaning, disinfection and disposal).

Rows	Yes	No	Comments or Action
Access - front and back, paths, driveway, gates, walkways are clear of obstructions or trip hazards, overhanging branches, and are level without any major defaults such as holes or cracks.
Does wet weather conditions affect access? E.g. walking path becomes slippery, yard can flood, dirt paths become muddy, etc
Is the yard free from clutter, council bins stored in suitable location and easy to move, lawn maintained, access to clothesline clear and on stable surface?
Ramps and stairs: not steep, tread in good condition, non-slip surface, handrails in place and in good condition.
Entry/Exit to the home is free of clutter (nothing in the way).
Entry/Exit doors open and close easily, are in good repair and work as expected.
The electricity meter box can be easily accessed in case of an emergency and has safety switches installed.
Outdoor pets are restrained and/or non-threatening?

Rows	Yes	No	Comments or Action
Entry/Exit to the home is clear of obstructions, door locks, knobs and handles working.
There is mobile phone coverage or access to a landline phone.
Doorways, hallways, and work areas kept clear of items or obstructions.
All rooms are kept neat, well maintained, no holes in ceiling or floors and free of mould.
All rooms allow for workers to move comfortably aroundthe house and there is enough clear space for work or activities to be carried out.
Stairs, ramps, verandas, or balconies have handrails in good working order, adequate lighting and are free of clutter.
Lighting: All lights work, switches in good repair without damage. There is enough lighting in all rooms to see the environment clearly and complete tasks safely.

Rows	Yes	No	Comments or Action
Flooring - Is it in good condition, even, free of trip hazards and appropriate for the type of work. Consider - carpeted floors may hinder lifting equipment or other movements, some surfaces may become slippery when wet, electrical leads and cables may be a trip hazard.
Work surface - suitable for tasks (stable, clutter free and height appropriate).
Food preparation areas - clean surfaces, stable and in good condition, equipment in good order.
Temperature maintained at appropriate (comfortable) level throughout indoor areas.
Adequate ventilation and air quality (no fumes, odours, dust particles).
Pets are adequately restrained while work is carried out.
Bathroom and kitchen kept in clean working order with hand washing supplies (soap and hand towel/ paper towel).
Worker has access to a bathroom and kitchen while completing work in the home and an area to have a meal break in (if applicable). Worker has a secure place for their belongings.
All electrical fittings, appliances and equipment are in safe working order (no exposed wiring, damaged cords or missing parts) and away from water.
Any household chemicals are kept in their original containers, labelled and stored correctly.
Any hazardous chemicals kept in the home have Safety Data Sheets available.

Rows	Yes	No	Comments or Action
Others are aware of the dates and times the worker will be attending the home and the support provided.
Others have been made aware to be respectful of the worker, act appropriately and allow support to be completed without disturbance.
Others are aware that while work is occurring, there is to be:
No smoking or vaping in the home
No alcohol use
No illegal drug use
No threats, intimidation, or harassment
No acts of violence or aggression
No inappropriate language
No unwanted touching
Others are aware of what the worker does and does not do in relation to their work.