Lumiform / Templates / Elderly Home Safety Checklist Template

Elderly Home Safety Checklist Template

Take/attach photos of identified hazards in the nursing home, create actions for fall risk areas/items such as flooring, lighting, etc., and validate the elderly home safety checklist with a digital signature.

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Elderly Home Safety Checklist Template

Elderly Home Safety Checklist

Entry to Elderly Home

Are stairs non-slip and in good repair?

Is the pathway leading to the elderly home clear and even?

Is there easy access for strollers and wheelchairs?

Are the handrails on both sides of the staircase in good working condition?

Is there adequate lighting leading to the elderly home entrance door?

Internal Floors

Is the floor even and not slippery (no leaks or potential to be slippery when wet)?

Are there no tripping hazards such as throw rugs, boxes, electrical cords, or rubbish?

Are the floors cleaned regularly and the spills cleaned up immediately?

Are aged care workers wearing appropriate non-slip footwear?

Hallways, Exits & Doors

Are hallways and doorways free of obstructions?

Do doors open freely and easily?

Do Fire Exits display correct notices and signages?

Are exit signs in place and illuminated?

Do designated emergency exit doors open outwards?

Windows, Ventilation & Noise

Are windows in good condition (open easily with no broken or cracked glass or damaged screens)?

Is the temperature appropriate for the work area?

Are air conditioners serviced regularly (check maintenance records)?

Are noise levels acceptable?

Internal Lighting

Are the lights working (if damaged or not working), are they repaired immediately?

Is the level of light adequate in all areas?

Are light fittings and light switches in good working and visual order and checked regularly?

Is task lighting provided for detailed work?

Electrical Equipment & Supply

Has electrical equipment been inspected and tested at specified intervals (check tags/records)?

Is the electrical safety switch fitted to the elderly home?

Is the safety switch tested regularly?

Are electrical outlets and switches in good condition?

Are there sufficient power outlets?

Are extension leads/power boards used as designed (no double adaptors, or piggyback plugs)?

Furniture, Fittings & Shelves

Is there adequate space to move around common areas?

Is there sufficient individual storage space for the elderly?

Do chairs enable the elderly to sit with their back upright and adjust to lumbar supports?

Are chairs fully adjustable with a stable base?

Elderly Home Emergency Precautions

Are overhead sprinklers and detectors clear of obstructions?

Are appropriate fire extinguishers visible and easy to access?

Are fire-fighting equipment checked regularly (check expiry dates on tags on extinguishers and hose reels)?

Is appropriate extinguisher signages in place and legible?

Are evacuation plans displayed on evacuation routes?

Are emergency telephone numbers clearly visible?

Are evacuations practiced regularly as per legislation?

Have aged care workers completed emergency procedure training?

Hazardous Chemicals

Is the current (within 5 years) safety data sheet kept with stored chemicals?

Are all chemical containers labeled correctly?

Are unused dispensed chemicals disposed of regularly in an appropriate manner?

Are all hazardous chemicals in a secure & locked chemical cabinet?

First Aid Provision

Are first aid supplies checked regularly (check expiry dates, if replenished)?

Are the locations of first aid supplies clearly marked with a white cross on green background?

Do aged care workers know the location of the first aid kits and are easily accessible?

Is the first-aider appointed and his/her name clearly displayed?

Restrooms

Are the toilets clean and well-ventilated?

Is the non-slip bathroom floor surfaces in good condition?

Are hot and cold tunning water available?

Is soap (or soap dispensers) provided?

Are hand drying facilities available?

Are there adequate grab bars near the shower or bathtub?

Are the toilets of proper height (and if not, is there a raised toilet seat available)?

Kitchen Area

Is there suitable eating or coffee/tea break facilities?

Is the kitchen and amenities area kept clean?

Are kitchen appliances and whitegoods clean and well-maintained?

Is there adequate storage available?

Is appropriate PPE worn when conducting required tasks?

Is the fire blanket installed and checked every 6 months?

Are the anti-slip floor surfaces in good condition?

Grounds

Is adequate external lighting installed for night time?

Are gardens well-maintained with branches and excess foliage removed?

Are the ground free of sharp objects?

Are pathways around the facilities clear of trip hazards or overgrown foliage?

Are storage sheds tidy and secured?

Completion

Additional Comments

Nursing Home Safety Inspector Name & Signature

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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.