Home Safety Walkthrough Checklist
A photo-documented home safety walkthrough for an older adult's residence: entry access, bathroom grab bars, lighting, loose rugs and cords, smoke alarms, and clear exit paths.
Who uses it and how often
- Used by
- Home care assessors, occupational therapists, and family care coordinators.
- Frequency
- At intake, then annually or after any fall or change in mobility.
The checklist (13 questions)
Room-by-room safety walkthrough with photo evidence captured on the device camera.
- 01
Resident / client name
Short textRequired - 02
Walkthrough date
DateRequired - 03
Entry and walkways clear of trip hazards?
Yes / No / N/ARequired - 04
Photo of entry and main walkway
Photo / cameraRequired - 05
Living area free of hazards and well lit?
Yes / No / N/ARequired - 06
Photo of living area
Photo / cameraRequired - 07
Bathroom grab bars and non-slip surfaces in place?
Yes / No / N/ARequired - 08
Photo of bathroom
Photo / cameraRequired - 09
Kitchen appliances and food storage safe?
Yes / No / N/ARequired - 10
Photo of kitchen
Photo / cameraOptional - 11
Smoke and CO alarms tested and working?
Yes / No / N/ARequired - 12
Hazards found and corrective actions
Dictation is available on supported devices.
Long textOptional - 13
Reviewer signature
SignatureRequired
How to run this inspection
- 01
Identify the client and the date of the walkthrough.
- 02
Photograph each area as you assess it so recommendations are evidence-based.
- 03
Check bathroom safety, lighting, trip hazards, and alarm function.
- 04
List recommended modifications in priority order.
Run it on a phone instead of paper
Open this checklist in FormFlow QA to schedule it against your sites, assign it to your team, attach photos and signatures, and keep every submission encrypted and searchable. There is a free plan during beta.