Home Care Safety Audit Checklist
Use this checklist to review home care safety conditions, identify hazards, and record follow-up actions.
Audit Details
Audit Date
*
-
Month
-
Day
Year
Date
Auditor Name
*
Home/Care Location or Site Name
*
Care Recipient / Client Identifier
Type of Home Care Visit
*
Routine Check
New Client Start
Follow-up Audit
Incident Follow-up
Other
Home Entry and General Access
Main entrance accessible and unobstructed
*
Yes
No
Needs attention
Doorway and entry lighting adequate
*
Yes
No
Needs attention
Walkway and steps safe and clear
*
Yes
No
Needs attention
Handrails present where needed
Yes
No
Needs attention
Notes for access hazards
Living Area Safety
Living area/common area safety checklist
*
Rows
Compliant
Needs Attention
Not Applicable
Floors free of trip hazards
1
2
3
Furniture arranged safely
4
5
6
Cords secured
7
8
9
Adequate lighting
10
11
12
Emergency exits unobstructed
13
14
15
Smoke/heat source hazards addressed
16
17
18
Comments / observations
Floors free of trip hazards
*
Compliant
Needs Attention
Not Applicable
Furniture arranged safely
*
Compliant
Needs Attention
Not Applicable
Cords secured
*
Compliant
Needs Attention
Not Applicable
Adequate lighting
*
Compliant
Needs Attention
Not Applicable
Kitchen and Food Safety
Appliance condition and safe use
*
Rows
Safe
Needs Attention
Not Applicable
Stove/oven
19
20
21
Microwave
22
23
24
Kettle/coffee maker
25
26
27
Small appliances
28
29
30
Sharp items stored safely
*
Rows
Yes
No
Not Applicable
Knives
31
32
33
Scissors
34
35
36
Other sharp utensils
37
38
39
Cleaning products stored separately from food
*
Rows
Yes
No
Not Applicable
Cleaning products
40
41
42
Food items
43
44
45
Food preparation surfaces
46
47
48
Refrigerator cleanliness and temperature monitoring
Rows
Yes
No
Not Applicable
Refrigerator is clean
49
50
51
Temperature is monitored
52
53
54
Temperature is within safe range
55
56
57
Fire extinguisher or fire blanket available
Rows
Present
Not Present
Not Applicable
Fire extinguisher
58
59
60
Fire blanket
61
62
63
Corrective actions / notes
Bathroom Safety
Grab bars present where needed
*
Yes
No
Not Applicable
Non-slip surfaces or mats in place
*
Yes
No
Not Applicable
Toilet and shower/tub access safe
*
Yes
No
Not Applicable
Hot water temperature safe and controlled
*
Unsafe
1
2
3
4
5
6
7
8
9
Safe
10
1 is Unsafe, 10 is Safe
Personal care items stored within reach
*
Yes
No
Not Applicable
Hazards found or recommendations
Bedroom and Mobility Support
Bed height and transfer safety
*
Safe
Needs attention
Not applicable
Clear path to bed and bathroom
*
Clear
Partially blocked
Blocked
Call bell or emergency communication available (if used)
Available
Not available
Not used
Not applicable
Mobility aids available and in good condition
Yes
No
Partially
Not applicable
Comments
Medication and Supplies Storage
Medications stored securely
*
Yes
No
Not Applicable
Labels readable
*
Yes
No
Not Applicable
Expired items removed
*
Yes
No
Not Applicable
Hazardous supplies separated
*
Yes
No
Not Applicable
Sharps and medical waste managed safely
Sharps container in use
Medical waste properly contained
Disposal service arranged
Not Applicable
Notes on storage or handling issues
Emergency Preparedness
Smoke detector status
Present and working
Present, not working
Not present
Not applicable
Carbon monoxide detector status
Present and working
Present, not working
Not present
Not applicable
Emergency contact list available
*
Yes
No
Evacuation plan understood
*
Yes
No
Partially
Emergency supplies accessible
Flashlight
Batteries
First aid kit
Water
Blanket
Phone charger
Important documents
Other
Hazards that could delay evacuation
Cluttered walkways
Stairs without support
Locked or blocked exits
Poor lighting
Heavy furniture
Rugs or cords
Pets
Other
Overall emergency readiness
*
Ready
Needs improvement
High risk
Notes
PPE, Hygiene, and Infection Control
Hand hygiene supplies available
*
Yes
No
Partially
Not applicable
PPE available and used as needed
*
Rows
Yes
No
Not applicable
Gloves available when needed
64
65
66
Masks or face coverings available when needed
67
68
69
PPE used appropriately during care tasks
70
71
72
Surfaces kept clean
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Laundry and waste handled safely
*
Yes
No
Partially
Not applicable
Comments on infection-control concerns observed
Overall Findings and Follow-Up
Overall audit result
*
Pass
Pass with recommendations
Needs immediate action
Corrective actions needed
Responsible person for follow-up
Target completion date
-
Month
-
Day
Year
Date
Overall safety rating
1
2
3
4
5
Submit Audit
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