|
Safety Item: |
YES |
NO |
|
|
| Are electrical extension cords in good condition,
and do you check electrical outlets regularly for "overloading"? |
YES |
NO |
| Do you keep from stretching electrical extension
cords across the floors? |
YES |
NO |
| Do you resist grabbing a kitchen chair and using
it for a step stool? |
YES |
NO |
| Do you know how and where to turn off gas and
electricity in case of an emergency? Do you know where the tools
you will need to do this are? |
YES |
NO |
| Are proper size fuses used for replacement rather
than pennies or other substitutes? |
YES |
NO |
| Are floor surfaces (carpet, tile, or linoleum)
non-skid? |
YES |
NO |
| Are all floor coverings fastened down? Throw rugs?
Scatter Rugs? Runners? Doormats? Plastic carpet protectors?
Carpeting anchored? |
YES |
NO |
| Are fireplaces screened and protected? | Back to Top | Back to Injury | |
YES |
NO |
| Are open flames such as candles kept away from
walls and curtains? |
YES |
NO |
| Do you have smoke and carbon monoxide detectors
in your home, and do they have fresh batteries? |
YES |
NO |
| Is an approved fire extinguisher kept on each
floor? |
YES |
NO |
| Do you have easy access to fresh light bulbs,
and do you replace them promptly when they burn out? |
YES |
NO |
| Do you take care of tools as soon
as you have finished using them? Hammers, screw drivers, nails,
glue gun, drill; are they where they belong? |
YES |
NO |
| If you have a balcony or porch, is
it in good repair? Are there loose planks, railings, banisters,
poles? Is it "break in" proof to deter thievery or
home break ins? | Back to Top | Back to Injury | |
YES |
NO |
| Do pets nap wherever they want? Even
in high traffic areas of your home? |
YES |
NO |
| Do you use non-skid wax (or no wax
at all) on uncarpeted areas? |
YES |
NO |
| Do you have an emergency family plan for you and your family in case of fire, flood, earthquake,
or other disaster? Do you have a family plan of where to meet
if a disaster occurs? |
YES |
NO |
| Do you know the Poison Control Number?
Is it posted near your phones in EVERY room in the house? Are
there emergency phone numbers posted on your phones as well? |
YES |
NO |
| Do you clear the table and put food
away promptly? (All food should be refrigerated within 2 hours
of preparation to avoid food poisoning). |
YES |
NO |
| Do you thaw frozen meat
in the microwave or refrigerator? |
YES |
NO |
| When lifting a heavy
package, do you bend your knees rather than bend over at the
waist to pick it up? (Let the large muscles in your legs support
your back and carry the weight.) | Back to Top | Back to Injury | |
YES |
NO |
| If you have pets, have
you made sure all fences, gateposts, leashes, and tie outs are
in good repair to avoid pets getting loose and biting people? |
YES |
NO |
| Do you make sure all
windows and doors are latched and locked before retiring each
night? |
YES |
NO |
Do you carry small loads
of laundry or other items around your home? Do you make extra
trips rather than overloading your arms? Do you avoid carrying
laundry in a basket which can block your vision?
|
YES |
NO |
| Since people are less
watchful on well traveled paths, do you take extra care to keep
obstructions, clutter, and debris away from exits and pathways? |
YES |
NO |
| Do you have an outside porch light and turn it on before you leave when you know it will be dark when you return home? |
YES |
NO |
| Do you have ornamental pots, plants, or yard decorations on your porch? Can they been seen at night even if all your lights are off? Could someone trip over them and fall? Are they near the entrance to your home? |
YES |
NO |
|
|
| Are window curtains kept
away from the stove? |
YES |
NO |
| Do you keep electric
appliances (mixer, blender, etc.) unplugged when not in use? | Back to Top | Back to Injury | |
YES |
NO |
| Do you have a working
light over your stove and sink? |
YES |
NO |
| Do your gas furnaces
and appliances have flue ventilation and regular inspections? |
YES |
NO |
| Do you keep all drawers
and cupboards closed when not in use? |
YES |
NO |
| Do you always keep handles
pointed away from the edge of the stove and other burners not
only when you are cooking, but all the time they are the stove,
even when not in use? |
YES |
NO |
| Do you keep knives in
a rack or in a compartmentalized tray? Are the knife points
pointed toward the back of the drawer? |
YES |
NO |
| Do you wipe up grease,
water, and other liquids immediately? (Keep a bag of kitty litter
or sawdust handy to pour on top of an oily spill. It will help
absorb the substance. Then you can sweep it up quickly.) |
YES |
NO |
| Do you keep baking soda
on hand and within easy reach for pan fires? |
YES |
NO |
| Do you have hot dish
holders near the stove? |
YES |
NO |
| Do you keep frequently
used items within easy reach to avoid having to climb for them? | Back to Top | Back to Injury | |
YES |
NO |
| Do you discard chipped,
cracked, or broken dishes and glassware? |
YES |
NO |
| Do you keep chemicals
in cabinets away from the reach of children? |
YES |
NO |
| Do you keep ALL plastic
bags, even those you plan to discard, away from the reach of
children? |
YES |
NO |
| Do you keep pets food
and water dishes in a less traveled area of your kitchen? |
YES |
NO |
| Do you recycle paper,
plastics, and other recyclable items? |
YES |
NO |
|
|
| Do you have a light within
easy reach of the bed to avoid groping in the dark? Do you keep
a flashlight with working batteries within easy reach of the
bed? | Back to Top | Back to Injury | |
YES |
NO |
| Are all space heaters
turned off before retiring? |
YES |
NO |
| Do you keep electric
blankets in good working condition? Are the switches safe? Do
they have an automatic shut-off? |
YES |
NO |
| Is there proper ventilation
near propane or gas heaters? |
YES |
NO |
| Are smoke and carbon
monoxide detectors in the bedroom? Do they have fresh batteries?
(Change them every time you set your clocks an hour ahead in
the spring and an hour behind in the fall.) |
YES |
NO |
| Do you have a working
telephone within easy reach of the bed? |
YES |
NO |
| Do you refrain from keeping
candles in the bedrooms, and even worse, near the beds? (Candles
in bedrooms are dangerous because bed linens and most curtains
are highly flammable.) |
YES |
NO |
| Do the lamps in your
bedrooms have the right size bulb in them? (Oversize bulbs burn
the lamp shade, and are a fire hazard.) |
YES |
NO |
| Do you absolutely forbid
smoking in bed? |
YES |
NO |
| Do you make sure bookshelves
are not overloaded with books? Are they properly put away on
the shelves? |
YES |
NO |
| Is there easy access
to the bathroom? Is the pathway clean and clear of rubble or
other tripping hazards? | Back to Top | Back to Injury | |
YES |
NO |
| Do you keep dresser drawers
closed at all times to avoid bumping into them? |
YES |
NO |
| Are curtains away from
space heaters, gas appliances, or anything else that could catch
fire? |
YES |
NO |
| If your pets sleep with
you do you keep them on the opposite side of the bed you use
most often to get up and lie down? |
YES |
NO |
|
|
| Do you have non-skid
mats in bathtubs and showers? |
YES |
NO |
| Are there grab bars and
rails installed alongside the shower, tub, and toilet? |
YES |
NO |
| Do you keep (and use)
all electrical appliances (hair dryer, shaver, etc.) in an area
away from your tub or shower? |
YES |
NO |
| Are your bathroom rugs
non-skid? |
YES |
NO |
| Do your curling irons
and other electrical items have automatic shut off mechanisms? | Back to Top | Back to Injury | |
YES |
NO |
| Do you store hair spray,
perfume, shaving cream, etc. on a high shelf away from the reach
of children? (Many of these items have toxic chemicals; some
children are allergic to perfume.) |
YES |
NO |
| If you (or someone else)
drops clips, barrettes, and other items on the floor, do you
pick them up immediately to avoid injury to bare feet from stepping
on them? |
YES |
NO |
| In the shower do you
keep shampoo, soap, etc. at eye level and within easy reach
(not on the floor) to avoid bending over and slipping? |
YES |
NO |
| Have you made sure there
are no electrical outlets near the tub or shower? If so, have
you covered them so they can't be used? |
YES |
NO |
| Do you keep a key to
your bathroom door INSIDE and OUTSIDE the bathroom in case someone
locks themselves in? (Children love to lock doors & panic
when they can't get out.) Does every member of your family know
where the key is? |
YES |
NO |
| Do you use bath or skin
oils, lotions, gels, or shaving cream in the bathtub or shower?
Do you understand how slippery they make tub and shower surfaces? | Back to Top | Back to Injury | |
YES |
NO |
| If you use these lotions
or oils when bathing, do you take the time to thoroughly clean
the tub or shower with soap after using them? |
YES |
NO |
| Do you keep your bathroom
cleaning supplies in a locked cabinet or in some other room
instead of your bathroom? |
YES |
NO |
| Does EVERYONE in your
family wash their hands with soap every time they use the toilet?
Do you? |
YES |
NO |
| Do you keep plenty of
toilet paper, paper towels, and/or moist towelets handy for
everyone to use for personal cleanliness? |
YES |
NO |
| Do you often take inventory of your bathroom medicine cabinet? Could you tell if items were missing? If you keep narcotic pain killers in your medicine chest, do you count them? Could you tell if some were missing? Are you familiar with the illegal drug of choice in Utah? Could you tell if someone was storing items to make meth in your bathroom? Do you flush unnecessary or outdated medicines down the toilet? |
YES |
NO |
|
|
| Do you keep all medicines
locked or safely put away from the reach of children? |
YES |
NO |
| Do you make sure all
medicines labeled "External Use Only" are clearly
marked as such and kept AWAY from the other medicines? |
YES |
NO |
| Do you discard all outdated
prescriptions and flush the contents down the toilet? | Back to Top | Back to Injury | |
YES |
NO |
| Do you refuse to share
your medicines with other people? |
YES |
NO |
| Do you understand the
dangers of drinking alcohol when the medicine you are currently
taking is in your system? |
YES |
NO |
| Do you understand the
side effects of the medicines you take? |
YES |
NO |
| Do you understand the
cautions regarding the medicines you are taking? (Driving, operating
equipment, etc.) |
YES |
NO |
| Are you aware you can
get "easy open lids" from your pharmacist? |
YES |
NO |
| Did you know humidity
from hot showers or bathtubs can dilute the potency of some
drugs? (Keep these locked in a cabinet in your bedroom.) |
YES |
NO |
| Do you refuse to give
children under the age of 5 aspirin for fever or flu like conditions
because it can induce a fatal disease known as Reye Syndrome? |
YES |
NO |
| If you see a new doctor
or specialist, do you always tell him/her what medications you
are currently taking? |
YES |
NO |
| Do you know the chemical
(generic) names of common remedies (ibuprofen, acetaminophen,
naproxen sodium, for example)? Some remedies may also have unwanted
or unnecessary ingredients, such as alcohol, decongestants, aspirin, or caffeine. | Back to Top | Back to Injury | |
YES |
NO |
| Ibuprofen (Example: Motrin),
Acetaminophen (Example: Tylenol), Naproxen Sodium (Example:
Aleve), and Aspirin (Example: Bayer), are all designed to treat
different types of pain. Do you know the difference between
these drugs and what type or types of pain each of them relieve? |
YES |
NO |
| Did you know prescription
and over the counter (OTC) drugs can be addictive and abused
as seriously as cocaine, heroin, morphine, and meth amphetamine
(meth)? |
YES |
NO |
|
|
| Do you keep your stairways
and hallways free of clutter and debris? Are items put away
promptly? |
YES |
NO |
| Do all your stairways
have strong sturdy railings or banisters running from the top
to the bottom of the stairs? |
YES |
NO |
| Do your handrails curve
up or down, towards the wall & end with a "knot"
or something similiar to indicate by feeling them, that you
are either on the top or bottom step? |
YES |
NO |
| Are all the steps on
your stairs the same size, width, and depth? |
YES |
NO |
| Do you keep the threads,
carpeting, etc. on your stairs in good repair? |
YES |
NO |
| Are your stairwells well
lighted? do they have a light switch at the top and bottom of
the stairs? |
YES |
NO |
| Do you make sure toys
are not left in these areas? |
YES |
NO |
| Do you insist children
not be allowed to play on the stairs? |
YES |
NO |
| Do you keep your outdoor
stairs free of dirt, debris, ice, and snow? |
YES |
NO |
| Do you remove spider
webs, cobwebs, etc. from cellar and outdoor steps regularly
to keep insects and varmints away? | Back to Top | Back to Injury | |
YES |
NO |
| Do you keep your outdoor
steps free of overgrown weeds and grass? |
YES |
NO |
| Do your closets have
lights, and are they easy to reach, even for small children? |
YES |
NO |
| Are your closets neat
and orderly? |
YES |
NO |
| Do your closets all have
sturdy shelves? |
YES |
NO |
| Are the bars you hang
your clothes on at eye level? Even in your children's closet? |
YES |
NO |
| Are shoes put away neatly
on shelves or racks? |
YES |
NO |
| Are all "like"
items (glue guns, craft items, tools, etc.) all stored together
on the same shelf? | Back to Top | Back to Injury | |
YES |
NO |
| If you keep moth balls
in your closets, are they placed high up on the shelves away
from pets and children? |
YES |
NO |
|
|
| Do you keep your steps,
sidewalks, etc. free of snow, ice, debris, and clutter? |
YES |
NO |
| Do you keep your yard
free of all glass, nails, yard tools, toys, and items with jagged
edges? |
YES |
NO |
| Do you make sure all
garden sprays are non-poisonous? |
YES |
NO |
| Do you keep all garden tools, toys, buckets, pails, etc. turned upside down so they can't collect water? Do you remove all "standing water" from your yard? Do you fill all the holes dug in your yard with dirt? Do you have tires stored in your yard? If so, can they collect and hold water? Do you change the water at least once a week in all ponds, pools, and tanks? Do you purchase mosquitofish for outside pools? Do you know about West Nile Virus (WNV) and how to protect your family from it? |
YES |
NO |
| Can you recognize a black
widow spider? Do you know what a brown recluse spider looks
like? Does your family? Does your family know what to do if
they see these spiders? |
YES |
NO |
| Do you use charcoal lighter
fluid - never gasoline - to start your barbecue? | Back to Top | Back to Injury | |
YES |
NO |
| Are your sheds and outer
buildings always kept locked? |
YES |
NO |
| Do you wear sunscreen
every time you work or play in your yard - even for short periods
of time, or on overcast days? |
YES |
NO |
| Do you keep doors, especially
the front door, locked when you are working out of doors? |
YES |
NO |
| If your pets use the
bathroom outside, do you clean up their messes immediately so
others won't step or slide in it? |
YES |
NO |
| Do you keep hoses, sprinklers,
etc. coiled and out of the way? |
YES |
NO |
| Do you keep firewood
stored away from the house? (Firewood attracts and harbors spiders,
rodents, and varmits.) |
YES |
NO |
| Do you fix broken steps
immediately and keep handrails in good repair? |
YES |
NO |
| Do you keep trees and
shrubs well trimmed? |
YES |
NO |
| Are clotheslines strung
AWAY from high traffic areas and walkways? |
YES |
NO |
| Is your yard fenced? | Back to Top | Back to Injury | |
YES |
NO |
| Do you turn on the lights
early in the evening to help everyone see clearly? |
YES |
NO |
| Do you keep your household
ladder in good repair? Loose hinges? Rungs? |
YES |
NO |
| Do you lock the spreader
base on your household ladder after using it, and do you put
it away rather than leaning it against a wall someplace? |
YES |
NO |
| Have you filled all holes
in your yard which have been dug by humans, animals, or rodents? |
YES |
NO |
| Do you know the "4
to 1" rule when using a ladder? (Set the ladder 1 foot
away from the wall for every 4 feet of ladder height.) |
YES |
NO |
|
|
| Do you keep an extra
set of house and car keys on hand to prevent stress overload
when you can't find your keys? |
YES |
NO |
| Do you make sure all
insurance premiums (home, auto, etc.) are paid on time? Do they
have a high priority on your bill paying list? |
YES |
NO |
| Do you always park under
a streetlight when you go shopping? (Even if it's light when
you enter a store it may well be dark when you leave.) Don't
give anyone the advantage of having your vehicle parked in a
dark spot. | Back to Top | Back to Injury | |
YES |
NO |
| Are your immunizations, and those of your family, up to date? |
YES |
NO |
| If you are female, do
you do a breast self exam every month? If you are male, do
you do a testicle self exam every month? Do you know that Testicular Cancer is the #1 killer of teenagers and young men between the ages
of 14 - 24? Did you know that 1 in every 8 females will get
breast cancer sometime in her life? |
YES |
NO |
| Do you always lock your
vehicle, even in your own driveway? |
YES |
NO |
| Do you avoid walking
alone at night? |
YES |
NO |
| Do you wear low heeled,
comfortable shoes most of the time? Do your shoes have good
traction? |
YES |
NO |
| Are the hems of your
clothing (including pants) short enough to prevent tripping? |
YES |
NO |
If you use a babysitter,
do you make sure they are driven home by a trusted adult driver? Does your babysitter understand they are NEVER to be driven home by someone who appears to be drunk or drugged? Even if this person is you? Have you empowered your babysitter to have the courage to stand up to anyone in your household who appears to be impaired by alcohol or other drugs?
(NEVER EVER allow your sitter to walk home alone. If you can't take your sitter home, instruct them to call their parent or caregiver, even if they only live a block away.)
| Back to Top | Back to Injury | |
YES |
NO |
| Do you absolutely refuse
to ride in a vehicle driven by someone who has been drinking
or using drugs? |
YES |
NO |
Do you ever run a quick errand by yourself at night? Do you tell yourself "I'll be safe, it's only a block, and I have been there hundreds of times." |
YES |
NO |
| Do you absoutely refuse to use an ATM machine when it's dark and you are alone? Have you set this as a rule for your family? |
YES |
NO |
| Do you know what sexual
harassment is? Do you understand the laws regarding it for both
victim and perpetrator? |
YES |
NO |
|
|
| Are the wood beams or
frames free of cracks or chips? |
YES |
NO |
| Are all the oil or grease
spills wiped up? |
YES |
NO |
| Have you replaced any
broken or cracked windows? |
YES |
NO |
| Have you re-cycled all
tires so they aren't lying around your garage? |
YES |
NO |
| Have you removed all
oily rags from the floor, counter, or shelves? |
YES |
NO |
| Have you cleaned up all
broken bottles? |
YES |
NO |
| Have you removed all
spider or cobwebs? |
YES |
NO |
| Is there adequate lighting
to prevent children from feeling nervous or afraid when in the
garage? | Back to Top | Back to Injury | |
YES |
NO |
| Is your water heater
properly ventilated? Have you repaired any chipped or broken
valves? Have you removed any cans, brushes, or paints from the
area surrounding your water heater? Is the flue clear of dust? |
YES |
NO |
| Is your furnace in good
repair? Have you changed the filters? Have you removed all debris
near your furnace? |
YES |
NO |
| Have you made sure all
hoses are coiled up and out of the way? |
YES |
NO |
| Is your fire extinguisher
in good working order? Have you taught your family how to use
it? |
YES |
NO |
| Have you swept your garage
clean? |
YES |
NO |
| Do you keep your garage
free of mice and rodents? Do you have traps available if you
see rodent droppings? Do you clean up droppings and nesting
areas in an appropriate manner to prevent disease? Are you educated about Hantavirus and how to keep your family safe from this virus? |
YES |
NO |
| Is there plenty of room
to pull your vehicles all the way in before you close the garage
door? |
YES |
NO |
| Is your garage door safety
proof? Have you purchased the type that will not close if something
is in the way? Are you sure your children can't be caught under
it and be harmed? |
YES |
NO |
| Do you have a smoke and
carbon monoxide detector in your garage? Have you made sure
they have fresh batteries? |
YES |
NO |
Do you have at least
one paper towel dispenser installed in your garage, and do you keep it full
of paper towels all the time?
| Back to Top | Back to Injury | |
YES |
NO |
| Do you keep your barbecue
covered when not in use? |
YES |
NO |
| Do you have gasoline,
kerosene, or propane in sealed tamper proof containers? Are
they away from fire or flame? |
YES |
NO |
| Is your garage child
injury proof? |
YES |
NO |
| If your pets sleep in
your garage, are their beds clean? Are they free of rodents
or mice? Do you make sure they have fresh food and water daily? Are their food and water dishes kept out of traffic
areas? |
YES |
NO |
| Is your garage door locked
at all times? Do you keep the back door locked whenever the
family is outside or away from home? Do you understand some predators watch for families to be playing in the backyard and choose this time to break in the front door or a window? |
YES |
NO |