Run Home Safety Evaluation — Free

Inspection Details

Assessment date and time recorded

Primary resident mobility concerns documented

Assistive devices currently used identified

Areas evaluated during walkthrough listed

Exterior Entry and Access

Entry path is level, stable, and free of trip hazards critical (required)

Yes No N/A

Photo evidence (optional)

Exterior lighting provides adequate visibility at entry

Steps or threshold height measured

Note (optional)

Handrails present and secure where steps are used critical (required)

Yes No N/A

Photo evidence (optional)

Entry door can be opened and closed without excessive force

Yes No N/A

Interior Walking Surfaces and Fall Risks

Walkways are clear of clutter, cords, and loose items critical (required)

Yes No N/A

Photo evidence (optional)

Floor surfaces are even and free of loose rugs or curled edges critical (required)

Yes No N/A

Photo evidence (optional)

Slip resistance concerns noted on hard flooring or wet-prone areas

Note (optional)

Furniture arrangement allows safe passage with mobility aids

Yes No N/A

Lighting levels in main circulation areas are sufficient

Bathroom Safety

Grab bars are installed securely at toilet and bathing areas critical (required)

Yes No N/A

Photo evidence (optional)

Tub or shower entry is safe for current mobility level critical (required)

Yes No N/A

Non-slip surface or bath mat is present and in good condition

Yes No N/A

Photo evidence (optional)

Toilet height is appropriate for safe transfers

Note (optional)

Shower chair, handheld shower, or other bathing aid recommended if needed

Kitchen and Daily Task Safety

Frequently used items are stored within safe reach

Yes No N/A

Counter and sink access supports safe standing or seated use

Yes No N/A

Appliance controls are readable and usable by resident

Yes No N/A

Sharp objects, hot surfaces, and chemical storage present avoidable hazards

Note (optional)

Bedroom, Stairs, and Emergency Readiness

Bed height supports safe transfers

Note (optional)

Path from bed to bathroom is unobstructed and well lit critical (required)

Yes No N/A

Photo evidence (optional)

Stairs have secure handrails and consistent step conditions critical (required)

Yes No N/A

Photo evidence (optional)

Smoke and carbon monoxide alarms are present and functional critical (required)

Yes No N/A

Emergency exit route is identified and accessible critical (required)

Yes No N/A

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Run: Home Safety Evaluation

Inspection Details

Exterior Entry and Access

Interior Walking Surfaces and Fall Risks

Bathroom Safety

Kitchen and Daily Task Safety

Bedroom, Stairs, and Emergency Readiness

Get your results