Stop and be safe

Home Safety

Classes:
Introduction > Take the Test > Home Safety > Poison Safety > Safety Proofing > In Case of Emergency > Outdoor Safety > Home Safety Checklist


Home Safety Checklist

How safe is your home? Use this checklist to keep track of home safety features and important emergency numbers.

Print this page and place this list where you can see it and near phones.

Check to make sure that these important elements in your home are working properly or are up-to-date. It is suggested that they be checked at the beginning of the season, or at least twice a year.

 Date CheckedDate CheckedDate Checked
Fire Alarms (checked to see if working)   
Carbon Monoxide Alarm (checked to see if working)   
Radon Alarms (checked to see if working)   
Smoke Detectors (checked to see if working)   
Furnace, Water Heater, Chimneys (cleaned and checked)   
Emergency Kit (has all required elements, none are expired)    
Emergency Numbers (up-to-date)   
Emergency Plan/Fire Escape Plan (practiced with family)   

EMERGENCY NUMBERS AND CONTACTS:

Emergency: 911 or local emergency number  
Fire Department: 
Poison Control: 
Hospital: 
Personal Physician: 
Emergency Contact: (Name and number of relative or friend who can help) 
Children's School: 

The following people in my home are taking medications and/or have special medical needs:

NameMedications/special medical needs
  
  
  
  
  

Take the Test again and see how much you have learned! or return to the main Skills Development page.


Mountain State Centers for Independent Living
www.mtstcil.org