Home Fire Risk Checklist

Home Fire Risk Checklist
Use this checklist to assess and minimize fire risks in your home.
Name of Resident or Inspector
First NameLast Name
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Assessment
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Kitchen Fire Hazards
Rows Condition Comments
Flammable items kept away from stove
No overloaded electrical outlets
Fire extinguisher present and accessible
Electrical & Heating Safety
Rows Condition Comments
No exposed wiring
Heating equipment inspected
Portable heaters used safely
Smoke & Carbon Monoxide Alarms
Rows Present and working? Last tested (enter date or N/A)
Smoke alarms on every level
CO alarms near sleeping areas
Escape Routes & Exits
Rows Condition Comments
Exits are clear and accessible
Escape plan practiced by household
Overall Fire Risk Level

1
2
3
4
5
1 is Low, 5 is High
Additional Comments or Recommendations
Should be Empty:

Select theme:

Rows	Condition	Comments
Flammable items kept away from stove
No overloaded electrical outlets
Fire extinguisher present and accessible

Rows	Condition	Comments
No exposed wiring
Heating equipment inspected
Portable heaters used safely

Rows	Condition	Comments
Exits are clear and accessible
Escape plan practiced by household

Rows	Present and working?	Last tested (enter date or N/A)
Smoke alarms on every level
CO alarms near sleeping areas