Safe Environment Checklist (Home)

Item	Yes	No	N/A
Fire and smoke alarms present and operational
High-risk location (e.g. isolated, remote, high-rise flat)
Pets / animals present
Furniture and equipment are in good repair (no broken seating, accessories, etc.)
Hardware in furniture / equipment is recessed and securely fastened
Furniture has no sharp edges at a level to injure the participant
Presence of weapons in the home
External services for gardening / general maintenance (inform workers)
If pesticides are used, is safe-use information provided to workers?
Hot water temperature checked (review state requirements)
Thermostatic mixing valve (TMV) or tempering valve installed to control hot water temperature at tap

Item	Yes	No	N/A
Medication stored on premises
Medication stored in a locked cabinet
Should medication be stored in a locked cabinet? (escalate if No)

Item	Yes	No	N/A
Electrical cords on equipment and appliances are not frayed
Cords are secured and not a trip or entanglement hazard
No exposed wiring observed
Regular inspections are completed to re-assess electrical hazards

Item	Yes	No	N/A
Smoker / smoking fumes present in the home
Chemicals containing ammonia or similar hazardous substances used
Toxic gases or vapours present
Fumes or dust present that may affect worker health
Cleaning products used in the participant's home are controlled and worker-safe
Register of hazardous substances including SDS / MSDS sheets (no more than 5 years old) maintained

Item	Yes	No	N/A
Uneven, slippery or steep surfaces present
Poor housekeeping creating trip hazards
Obstacles placed in walking areas or pathways
Loose rugs or carpets present
Inappropriate or poorly maintained floor surfaces (lack of slip resistance, unprotected holes, gaps)
Stairs or ramps present
Guardrails or suitable edge protection in place where required

Item	Yes	No	N/A
Equipment available for transporting the participant
Carrying equipment required as part of support delivery
Equipment available to move participant as needed
Repetitive or twisting body movements are limited / managed
Frequent lifting of participant or equipment is required
Lifting or moving participant / equipment over long distances or up steps / stairs
Adequate and well-placed lighting while lifting or moving participant / equipment
Worker's clothing or PPE does not interfere with manual handling performance

Item	Yes	No	N/A
Known history of violence
Previous assaults, threats, or verbal violence on record
Criminal record for violence or sexual assault
Reports from affiliated agencies or stakeholders regarding safety concerns
Known use of firearms in the past
History of mental health issues that may increase risk
History of substance abuse
Intervention stress or aggression risk from participant or family situation

Item	Yes	No	N/A
Warning indicators observed (escalating voice tone, mood swings, physical presentation)
Unknown adults in the home
Security issues at the property (e.g. unlocked entry, unsecured access)
Participant presenting in an escalating state of crisis

Item	Yes	No	N/A
Workers are informed of the emergency process (e.g. mobile phones, duress alarms)
Regular contact is maintained with workers to ensure safety and supervision
System in place to track the location of all workers during work shifts
Reporting mechanisms in place for workers to report hazards

Item	Yes	No	N/A
Sharps procedure in place to manage handling of sharps in participant's home
Workers provided with adequate information on communicable diseases (symptoms, risk factors, immunisation)
Trained in relevant policies and procedures
Trained in hazard and risk management
Trained in incident management
Trained in complaints and feedback procedures
Trained in universal infection control procedures
Trained in hot water safety risk management
Provided with adequate PPE (e.g. gloves for personal and domestic support)

Document No.	Version	Created	Review Due	Custodian
CI-SEC-001	V1.1	20 May 2026	May 2027	Clinical Lead