Lighting Entry to the home
Is there adequate lighting in the following areas?
Driveway
Yes
No
Garage
Yes
No
Walkways
Yes
No
At all doors
Yes
No
Near the trash area
Yes
No
Any other areas of the yard that are used after dark?
Yes
No
Driveway Entry to the home
Is the driveway smooth and evenly paved?
Yes
No
Is the transition between the driveway and surrounding surfaces (such as the yard), smooth and even, free of ruts and other things (rocks) that could cause tripping?
Yes
No
Is the slope of the driveway low enough that it does not cause a problem?
Yes
No
Walkways to and around home Entry to the home
Are walkways smooth and level (no cracks, gaps or other tripping hazards)?
Yes
No
Are steps along walkways clearly visible?
Yes
No
Do they have handrails?
Yes
No
Are transitions between different surfaces (a patio and sidewalk, concrete and asphalt, walkway and grass, etc.) even and level?
Yes
No
If there are steeply inclined walkways, do they have sturdy, easy-to-grasp handrails?
Yes
No
Are shrubs, bushes and grass trimmed back or removed so they do not infringe on or obstruct the walkway (potential tripping hazard)?
Yes
No
Steps to the doors Entry to the home
Do all steps (even single steps) have sturdy, easy-to-grasp (cylindrical) rails on both sides?
Yes
No
Are the stairs and multiple steps of equal height?
Yes
No
Are the stair treads sturdy, level and in good condition?
Yes
No
Garage Entry to the home
Are there adequate overhead lights in the garage?
Yes
No
Is there a clear pathway to walk through?
Yes
No
Do entry stairs or ramps to the house have railings?
Yes
No
Are ramps rising at a minimum slope of 12:1 (12 inches of ramp length for every one inch of height is standard. However, 16:1 is recommended.)
Yes
No
Do ramps have sturdy rails on both sides?
Yes
No
Are the rails cylindrical for easy grasping?
Yes
No
Ramps (if applicable) Entry to the home
Do ramps have smooth transitions from ramp surface to ground surface?
Yes
No
Do ramps have non-skid surfaces or have non-skid strips been added?
Yes
No
Do ramp railings extend beyond the ramp to help people transition off the ramp?
Yes
No
Do ramps have sufficient width of at least 36 inches between handrails?
Yes
No
Entry porches/decks/landings Entry to the home
Front Rear
Have all potential tripping hazards, such as clutter and overgrown bushes, been removed?
Yes
No
Yes
No
Is the landing wide and deep enough to safely open the door?
Yes
No
Yes
No
Is there a clearly visible, easily reachable doorbell?
Yes
No
Yes
No
Do porches and decks have railings or barriers to prevent someone from stepping or falling off?
Yes
No
Yes
No
Are the railings securely fastened?
Yes
No
Yes
No
Does the decking have secure, even floorboards with no protruding nails?
Yes
No
Yes
No
Is there a non-skid surface on the porch/deck/landing?
Yes
No
Yes
No
Do doormats have non-skid backing, with no upturned corners?
Yes
No
Yes
No
Exterior doors Entry to the home
Front Rear
If necessary, are doorways wide enough to accommodate wheelchairs?
Yes
No
Yes
No
Is a lock or deadbolt present on interior of door?
Yes
No
Yes
No
Are locks in good working order and easy to use?
Yes
No
Yes
No
Are latches and door handles in good condition and easy to use?
Yes
No
Yes
No
If someone has trouble turning a doorknob, are there lever handles?
Yes
No
Yes
No
Do the doors open and close easily without sticking?
Yes
No
Yes
No
Do doors on springs close slowly enough (so they don’t close on someone going through the door)?
Yes
No
Yes
No
Is the threshold at the door less than one inch high?
Yes
No
Yes
No
Are the doors easy to open?
Yes
No
Yes
No
Other outdoor area concerns Entry to the home
Front Rear
If there is a patio or deck, is it level, smoothly surfaced and free of tripping hazards?
Yes
No
Yes
No
Are garbage and recycling areas well lit?
Yes
No
Yes
No
Do these areas have safe, accessible stairs and railings?
Yes
No
Yes
No
Have working chimneys been professionally inspected and cleaned within the last year?
Yes
No
Yes
No
Entryways and vestibules Entry to the home
Front Rear
Have throw rugs (potential tripping hazards) been removed?
Yes
No
Yes
No
Is there a clear pathway (devoid of clutter) through the entry hall?
Yes
No
Yes
No
Are all cords and wires out of the pathway?
Yes
No
Yes
No
Are thresholds low enough (less than 1 inch) so someone does not trip over them?
Yes
No
Yes
No
Is there adequate lighting?
Yes
No
Yes
No
Is the light switch at the entrance to the room?
Yes
No
Yes
No
If necessary, is the entryway wide enough for a wheelchair/walker?
Yes
No
Yes
No
Hallways Entry to the home
#1 #2 #3
If people need support, are there handrails along the hall?
Yes
No
Yes
No
Yes
No
Are halls free of clutter and other tripping obstacles?
Yes
No
Yes
No
Yes
No
Are carpet runners tacked down or do they have anti-skid backing?
Yes
No
Yes
No
Yes
No
Are thresholds less than one inch, so they are not tripping hazards?
Yes
No
Yes
No
Yes
No
If necessary, are halls wide enough for a wheelchair/walker?
Yes
No
Yes
No
Yes
No
Is there adequate lighting?
Yes
No
Yes
No
Yes
No
Is there a light switch at both ends of the hall?
Yes
No
Yes
No
Yes
No
Doors/doorways Entry to the home
Do all doors open easily?
Yes
No
Are thresholds less than one inch?
Yes
No
Are latches and door handles in good condition and easy to use?
Yes
No
If someone has trouble turning a doorknob, are there lever handles?
Yes
No
Interior stairs Entry to the home
2nd floor Basement Other
Do stairs have sturdy rails on both sides that are securely fastened?
Yes
No
Yes
No
Yes
No
Do rails continue onto the landings?
Yes
No
Yes
No
Yes
No
Are the stair treads sturdy, not deteriorating or broken?
Yes
No
Yes
No
Yes
No
Are edges of stair treads clearly visible (no dark, busy patterns)?
Yes
No
Yes
No
Yes
No
Are stair pads in good repair (tacked down, in one piece)?
Yes
No
Yes
No
Yes
No
(If bare wood) Are stair treads slip-resistant?
Yes
No
Yes
No
Yes
No
(If carpeted) Is carpet securely attached, not worn/frayed?
Yes
No
Yes
No
Yes
No
Are top and bottom steps highlighted?
Yes
No
Yes
No
Yes
No
Are stairs free of clutter?
Yes
No
Yes
No
Yes
No
If stairs have a low, overhanging beam that people could bump their heads on, has it been padded?
Yes
No
Yes
No
Yes
No
Are stairs and landings well lit, with light switches at both top and bottom?
Yes
No
Yes
No
Yes
No
Living room (LR) and dining room (DR) Entry to the home
LR DR
Is the lighting adequate?
Yes
No
Yes
No
Yes
No
Is there a light switch at the entrance to the room?
Yes
No
Yes
No
Yes
No
Is there a clear, unobstructed path through the room (no clutter, cords, wires, baskets or other things to trip over)?
Yes
No
Yes
No
Yes
No
Are thresholds minimal and carpet binders tacked down?
Yes
No
Yes
No
Yes
No
Are carpets in good condition (not frayed or turned up, torn, or with worn spots that someone could trip over)?
Yes
No
Yes
No
Yes
No
Are plastic runners/carpet protectors tacked down (not folded or turned up at edges)?
Yes
No
Yes
No
Yes
No
Do throw rugs have anti-skid backing and no upturned corners?
Yes
No
Yes
No
Yes
No
Is tile/linoleum free of chips or tears, and not slippery?
Yes
No
Yes
No
Yes
No
Are bare wood floors slip resistant?
Yes
No
Yes
No
Yes
No
Is there at least one comfortable chair people can get in and out of safely and easily?
Yes
No
Yes
No
Yes
No
Is furniture stable?
Yes
No
Yes
No
Yes
No
Do tables have rounded edges that are clearly visible (no sharp edges, not made of glass)?
Yes
No
Yes
No
Yes
No
Do windows open easily?
Yes
No
Yes
No
Yes
No
Are shades and blinds easy to open and securely attached?
Yes
No
Yes
No
Yes
No
Are electrical cords run behind furniture and not across the floor or under the rug?
Yes
No
Yes
No
Yes
No
Family room (FR) and other room(s) Entry to the home
FR Other
Is the lighting adequate?
Yes
No
Yes
No
Is there a light switch at the entrance to the room?
Yes
No
Yes
No
Is there a clear, unobstructed path through the room (no clutter, cords, wires, baskets or other things to trip over)?
Yes
No
Yes
No
Are thresholds minimal and carpet binders tacked down?
Yes
No
Yes
No
Are carpets in good condition (not frayed or turned up, torn, or with worn spots that someone could trip over)?
Yes
No
Yes
No
Are plastic runners/carpet protectors tacked down (not folded or turned up at edges)?
Yes
No
Yes
No
Do throw rugs have anti-skid backing and no upturned corners?
Yes
No
Yes
No
Is tile/linoleum free of chips or tears, and not slippery?
Yes
No
Yes
No
Are bare wood floors slip resistant?
Yes
No
Yes
No
Is there at least one comfortable chair people can get in and out of safely and easily?
Yes
No
Yes
No
Is furniture stable?
Yes
No
Yes
No
Do tables have rounded edges that are clearly visible (no sharp edges, not made of glass)?
Yes
No
Yes
No
Do windows open easily?
Yes
No
Yes
No
Are shades and blinds easy to open and securely attached?
Yes
No
Yes
No
Are electrical cords run behind furniture and not across the floor or under the rug?
Yes
No
Yes
No
Bathrooms Entry to the home
Bath #1 Bath #2
General considerations
Is there a light switch at the entry?
Yes
No
Yes
No
Is there adequate lighting overall?
Yes
No
Yes
No
… At the sink?
Yes
No
Yes
No
… Over the tub/shower?
Yes
No
Yes
No
Is there a night-light?
Yes
No
Yes
No
Is the door threshold less than one inch?
Yes
No
Yes
No
Is the room free of clutter and tripping hazards?
Yes
No
Yes
No
Is the flooring non-slip/non-skid (including throw rugs), even when wet?
Yes
No
Yes
No
Are there grab bars in other areas of the room as needed?
Yes
No
Yes
No
Is the room kept warm during bathing (heat lamp, towel warmers, etc.)?
Yes
No
Yes
No
Sinks
Are sink faucets easy to reach?
Yes
No
Yes
No
Is it easy to determine where the hot and cold areas of the faucet are?
Yes
No
Yes
No
Is it easy to mix the temperature?
Yes
No
Yes
No
If necessary, have anti-scald devices been installed?
Yes
No
Yes
No
Is the sink wheelchair accessible or can someone sit at the sink?
Yes
No
Yes
No
Are mirrors at an appropriate height?
Yes
No
Yes
No
Tub/shower
Are there sturdy grab bars in the tub and/or shower, if needed?
Yes
No
Yes
No
Is the shower curtain bottom out of the way, so it is not a tripping hazard?
Yes
No
Yes
No
Are toiletries in the tub easily reached from sitting and standing positions?
Yes
No
Yes
No
Is there a non-skid bathmat in the bathtub?
Yes
No
Yes
No
Is there a hand-held shower head?
Yes
No
Yes
No
Are tub/shower faucets easy to use and read (hot & cold clearly marked)?
Yes
No
Yes
No
If needed, is there a tub or shower seat?
Yes
No
Yes
No
If shower/tub doors are present, are they made of a non-shattering material?
Yes
No
Yes
No
Toilet
Are there sturdy grab bars at the toilet (or toilet arms and a raised seat)?
Yes
No
Yes
No
Is toilet paper easily reachable from the toilet seat?
Yes
No
Yes
No
Is the toilet seat in good condition and securely fastened?
Yes
No
Yes
No
Kitchen Entry to the home
Are frequently used items visible and easily reached (front of pantry and refrigerator)?
Yes
No
Are sink faucets easy to reach?
Yes
No
Is it easy to determine where the hot and cold areas of the faucet are?
Yes
No
Is it easy to mix the temperature?
Yes
No
If necessary, have anti-scald devices been installed or the hot water temperature lowered?
Yes
No
If necessary, have timers been installed on the oven and cooktop?
Yes
No
Are burners and control knobs clearly labeled and easy to use?
Yes
No
Are the controls on the front of the stove, not the back?
Yes
No
Is there a close resting place nearby for hot vessels coming out of the oven?
Yes
No
Is glass cookware being used so the person can see the food being cooked?
Yes
No
Is the microwave easy to read, reach and operate?
Yes
No
Are towels, curtains, potholders and other objects that might catch fire located away from the range?
Yes
No
Is there a step stool that is stable and in good repair?
Yes
No
Is kitchen ventilation system or range exhaust functioning properly?
Yes
No
Is there good lighting over work areas?
Yes
No
Laundry Entry to the home
Is there a light switch at the entry?
Yes
No
Is there sufficient lighting?
Yes
No
Is the route to the laundry safe (including any/all stairs and railings)?
Yes
No
Are the appliances at the right height, so it is easy to get clothes in/out of the washer and dryer?
Yes
No
Are the control knobs easy to reach, read and operate?
Yes
No
Are laundry supplies easy and safe to reach?
Yes
No
Is there a non-slip floor surface?
Yes
No
Are tripping hazards off the floor (laundry basket or dirty clothes)?
Yes
No
Bedroom(s) Entry to the home
Bed #1 Bed #2
Is there a light at the entrance to the room?
Yes
No
Yes
No
Is a light reachable from the bed?
Yes
No
Yes
No
Can bureau drawers be reached (height of the drawer) and opened easily?
Yes
No
Yes
No
Is there a clear, unobstructed path through the room (clutter and furniture are out of the way)?
Yes
No
Yes
No
Are cords and wires off the floor?
Yes
No
Yes
No
Do throw and area rugs have non-slip backing and no upturned corners?
Yes
No
Yes
No
Are wood and linoleum floors non-skid?
Yes
No
Yes
No
Is carpet smooth (no folds or holes) and tacked down?
Yes
No
Yes
No
Are curtains and bed coverings off the floor, so they are not tripping hazards?
Yes
No
Yes
No
Is there support for getting in and out of bed, if needed?
Yes
No
Yes
No
Is there a place to sit and get dressed, if needed?
Yes
No
Yes
No
Are windows easy to open and close?
Yes
No
Yes
No
Are window blinds and shades working properly and easy to open?
Yes
No
Yes
No
Are blinds and shades properly secured?
Yes
No
Yes
No
Is there a telephone within reach of the bed?
Yes
No
Yes
No
Are any assistive walking devices (cane, walker, wheelchair) within reach of the bed?
Yes
No
Yes
No
Is there a flashlight or some other form of non-electric lighting within reach of the bed in case of a power outage?
Yes
No
Yes
No
Are electric blankets folded, covered by other objects or “tucked in” when in use? Is the power cord pinched or crushed by the bed, between a wall or the floor?
Yes
No
Yes
No