The falls home hazard checklist has been designed for you to identify any slips, trips or falls hazards within the home environment; reducing the risks that can contribute to you falling within your own home.
The form may be filled in by yourself, a carer, relative, friend or ask your health care professional to fill it in with you.
The form has been devised in to answering yes or no answers; there are some tips on how to improve safety at home and an action box that you can complete to highlight any actions you have taken to make your home safer; reducing the risks of falls.
Download the checklist:
Page last reviewed: 12/03/2025