INSPECTION REVIEW SHEET

 

Identify fall hazards and accessibility issues.

1. EXTERIOR ENTRANCES AND EXITS 

  • Note condition of walk and drive surface; existence of curb cuts 

  • Note handrail condition, right and left sides 

  • Note light level for driveway, walk, porch 

  • Check door threshold height 

  • Note ability to use knob, lock, key, mailbox, peephole, and package shelf 

  • Do door and window locks work? 

 

2. INTERIOR DOORS, STAIRS, HALLS 

  • Note height of door threshold, knob and hinge types; 

  • clear width door opening; direction that door swings 

  • Note presence of floor level changes 

  • Note hall width, adequate for walker/WC 

  • Determine stair flight run: straight or curved 

  • Note stair rails: condition, right and left side 

  • Examine light level, clutter hazards 

  • Note floor surface texture and contrast 

 

3. BATHROOM 

  • Are basin and tub faucets, shower control and drain plugs manageable? 

  • Are hot water pipes covered? 

  • Is mirror height appropriate, sit and stand? 

  • Note ability reach shelf above, below basin 

  • Note ability to step in and out of the bath and shower 

  • Can resident use bath bench in tub or shower? 

  • Note toilet height; ability to reach paper; flush; come from sit to stand posture 

  • Is space available for caregiver to assist? 

 

4. KITCHEN 

  • Note overall light level, task lighting 

  • Note sink and counter heights 

  • Note wall and floor storage shelf heights 

  • Are undersink hot water pipes covered? 

  • Is there under counter knee space? 

  • Is there a nearby surface to rest hot foods on when removed from oven? 

  • Note stove control location (rear or front)

 

5. LIVING/DINING/BEDROOM 

  • Chair, sofa, bed heights allow sit/stand? 

  • Do rugs have non-slip pad or rug tape? 

  • Chair available with arm rests? 

  • Able to turn on light, radio, TV, place a phone call from bed, chair, and sofa? 

  • 6. LAUNDRY 

  • Able to hand wash and hang clothes to dry? 

  • Able to access automatic washer/dryer? 

 

7. TELEPHONE / DOOR 

  • Phone jack location near bed, sofa, chair? 

  • Able to get to phone, dial, hear caller? 

  • Able to identify visitors, hear doorbell? 

  • Able to reach and empty mailbox? 

  • Wears neck/wrist device to obtain emergency help? 

 

8. STORAGE SPACE 

  • Able to reach closet rods and hooks, open bureau drawers? 

  • Is there a light inside the closet? 

 

9. WINDOWS 

  • Opening mechanism at 42 inches from floor? 

  • Lock accessible, easy-to-operate?  

  • Sill height above floor level? 

 

10. ELECTRIC OUTLETS AND CONTROLS 

  • Sufficient outlets? 

  • Outlet height, wall locations 

  • Low vision/sound warnings available? 

  • Extension cord hazard?

 

11. HEAT/ LIGHT/ VENTILATION/ SECURITY/ CARBON MONOXIDE/ WATER TEMP CONTROL 

  • Able to open drapes or curtains? 

  • Able to open windows; slide patio doors? 

  • Note rooms where poor light level exists 

  • Pressure balance valve available? 

  • Accessible environmental controls? 

  • Thermometer displays easily readable? 

  • extinguisher?