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?