Each year, according to estimates by the U.S. Consumer Product Safety Commission (CPSC), nearly one million people over age 65 are treated in hospital emergency rooms for injuries associated with the products they live with and use everyday. The death rate from unintentional injuries in the home is approximately three times greater for older people than for the younger population. Specifically, there are 60 deaths per 100,000 persons 65 and older, while there are 20 deaths per 100,000 persons under 65.
Slips and falls are the main source of injury for older people in the home. CPSC recommends the use of grab-bars and non-slip mats in the bathtub, handrails on both sides of the stairs, and slip-resistant carpets and rugs. Burns occur from hot tap water and from open flame. CPSC recommends that consumers turn down the temperature of their water heater to 120 degrees Fahrenheit to help prevent scalds. CPSC also recommends the installation and maintenance of at least one smoke detector on every floor of the home. Older consumers should consider purchasing nightwear that is flame resistant and choose garments made of tightly woven fabrics such as 100% polyester, 100% nylon, or 100% wool.
Each year, many older Americans are injured in and around their homes. The U.S. Consumer Product Safety Commission (CPSC) estimates that in 1981, over 622,000 people over age 65 were treated in hospital emergency rooms for injuries associated with products they live with and use everyday. CPSC believes that many of these injuries result from hazards that are easy to overlook, but also easy to fix. By spotting these hazards and taking some simple steps to correct them, many injuries might be prevented. Use this checklist to spot possible safety problems which may be present in your home. Keep this checklist as a reminder of safe practices, and use it periodically to re-check your home. This checklist is organized by areas in the home. However, there are some potential hazards that need to be checked in more than just one area of your home.
In all areas of your home, check all electrical and telephone cords; rugs, runners and mats; telephone areas; smoke detectors; electrical outlets and switches; light bulbs; space heaters; woodburning stoves; and your emergency exit plan.
QUESTION: Are lamp, extension, and telephone cords placed out of the flow of traffic?
YES NO
RECOMMENDATION: Cords stretched across walkways may cause someone to trip.
QUESTION: Are cords out from beneath furniture and rugs or carpeting?
YES NO
RECOMMENDATION: Furniture resting on cords can damage them, creating fire and shock hazards. Electric cords which run under carpeting may cause a fire.
QUESTION: Are cords attached to the walls, baseboards, etc., with nails or staples?
YES NO
Nails or staples can damage cords, presenting fire and shock hazards.
QUESTION: Are electrical cords in good condition, not frayed or cracked?
YES NO
Damaged cords may cause a shock or fire.
QUESTION: Do extension cords carry more than their proper load, as indicated by the ratings labeled on the cord and the appliance?
YES NO
Overloaded extension cords may cause fires. Standard 18 gauge extension cords can carry 1250 watts.
NOTE: Over time, adhesive on tape can wear away. Rugs with slip- resistant backing also become less effective as they are washed. Periodically, check rugs and mats to see if new tape or backing is needed.
QUESTION: Are emergency numbers posted on or near the telephone?
YES NO
RECOMMENDATION: In case of emergency, telephone numbers for the Police, Fire Department, and local Poison Control Center, along with a neighbor's number, should be readily available.
QUESTION: Do you have access to a telephone if you fall (or experience some other emergency which prevents you from standing and reaching a wall phone)?
YES NO
YES NO
RECOMMENDATION: At least one smoke detector should be placed on every floor of your home.
QUESTION: Do you have properly working smoke detectors?
YES NO
RECOMMENDATION: Many home fire injuries and deaths are caused by smoke and toxic gases, rather than the fire itself. Smoke detectors provide an early warning and can wake you in the event of a fire.
NOTE: Some fire departments or local governments will provide assistance in acquiring or installing smoke detectors.
QUESTION: Do all outlets and switches have cover plates, so that no wiring is exposed?
YES NO
RECOMMENDATION: Exposed wiring presents a shock hazard.
QUESTION: Are light bulbs the appropriate size and type for the lamp or fixture?
YES NO
RECOMMENDATION: A bulb of too high wattage or the wrong type may lead to fire through overheating. Ceiling fixtures, recessed lights, and "hooded" lamps will trap heat.
QUESTION: Are heaters which come with a 3-prong plug being used in a 3-hole outlet or with a properly attached adapter?
YES NO
RECOMMENDATION: The grounding feature provided by a 3-hole receptacle or an adapter for a 2-hole receptacle is a safety feature designed to lessen the risk of shock.
QUESTION: Are small stoves and heaters placed where they can not be knocked over, and away from furnishings and flammable materials, such as curtains or rugs?
YES NO
RECOMMENDATION: Heaters can cause fires or serious burns if they cause you to trip or if they are knocked over.
QUESTION: If your home has space heating equipment, such as a kerosene heater, a gas heater or an LP gas heater, do you understand the installation and operating instructions thoroughly?
YES NO
RECOMMENDATION: Unvented heaters should be used with room doors open or window slightly open to provide ventilation. The correct fuel, as recommended by the manufacturer, should always be used. Vented heaters should have proper venting, and the venting system should be checked frequently. Improper venting is the most frequent cause of carbon monoxide poisoning, and older consumers are at special risk.
QUESTION: Is woodburning equipment installed properly?
YES NO
RECOMMENDATION: Woodburning stoves should be installed by a qualified person according to local building codes.
QUESTION: Do you have an emergency exit plan and an alternate emergency exit plan in case of a fire?
YES NO
RECOMMENDATION: Once a fire starts, it spreads rapidly. Since you may not have much time to get out and there may be a lot of confusion, it is important that everyone knows what to do.
Remember periodically to re-check your home.
In the kitchen, check the range area, all electrical cords, lighting, the stool, all throw rugs and mats, and the telephone area.
QUESTION: Are towels, curtains, and other things that might catch fire located away from the range?
YES NO
RECOMMENDATION: Placing or storing non-cooking equipment like potholders, dish towels, or plastic utensils on or near the range man result in fires or burns.
QUESTION: Do you wear clothing with short or close-fitting sleeves while you are cooking?
YES NO
RECOMMENDATION: CPSC estimates that 70% of all people who die from clothing fires are over 65 years of age. Long sleeves are more likely to catch fire than are short sleeves. Long sleeves are also more apt to catch on pot handles, overturning pots and pans and causing scalds.
QUESTION: Are kitchen ventilation systems or range exhausts functioning properly and are they in use while you are cooking?
YES NO
RECOMMENDATION: Indoor air pollutants may accumulate to unhealthful levels in a kitchen where gas or kerosene-fire appliances are in use.
QUESTION: Are all extension cords and appliance cords located away from the sink or range areas?
YES NO
RECOMMENDATION: Electrical appliances and power cords can cause shock or electrocution if they come in contact with water. Cords can also be damaged by excess heat.
For more information on cords, refer to the beginning of the checklist (pages 1 and 2).
QUESTION: Does good, even lighting exist over the stove, sink, and countertop work areas, especially where food is sliced or cut?
YES NO
RECOMMENDATION: Low lighting and glare can contribute to burns or cuts. Improve lighting by:
(Make sure that the bulbs you use are the right type and wattage for the light fixture.)
QUESTION: Do you have a step stool which is stable and in good repair?
YES NO
RECOMMENDATION: Standing on chairs, boxes, or other makeshift items to reach high shelves can result in falls. CPSC estimates that in 1982, 1500 people over 65 were treated in hospital emergency rooms when they fell from chairs on which they were standing.
Remember: Check all of the product areas mentioned at the beginning of the checklist.
In the living room/family room, check all rugs and runners, electrical and telephone cords, lighting, the fireplace and chimney, the telephone area, and all passageways.
QUESTION: Are chimneys clear from accumulations of leaves, and other debris that can clog them?
YES NO
RECOMMENDATION: A clogged chimney can cause a poorly-burning fire to result in poisonous fumes and smoke coming back into the house.
QUESTION: Has the chimney been cleaned within the past year?
YES NO
RECOMMENDATION: Burning wood can cause a build up of a tarry substance (creosote) inside the chimney. This material can ignite and result in a serious chimney fire.
For information on the telephone area, refer to the beginning of the checklist.
QUESTION: Are hallways, passageways between rooms, and other heavy traffic areas well lit?
YES NO
RECOMMENDATION: Shadowed or dark areas can hide tripping hazards.
QUESTION: Are exits and passageways kept clear?
YES NO
Furniture, boxes, or other items could be an obstruction or tripping hazard, especially in the event of an emergency or fire.
Remember: Check all of the product areas mentioned at the beginning of the checklist.
In the bathroom, check bathtub and shower areas, water temperature, rugs and mats, lighting, small electrical appliances, and storage areas for medications.
QUESTION: Are bathtubs and showers equipped with non-skid mats, abrasive strips, or surfaces that are not slippery?
YES NO
RECOMMENDATION: Wet soapy tile or porcelain surfaces are especially slippery and may contribute to falls.
QUESTION: Do bathtubs and showers have at least one (preferably two) grab bars?
YES NO
RECOMMENDATION: Grab bars can help you get into and out of your tub or shower, and can help prevent falls.
QUESTION: Is the temperature 120 degrees or lower?
YES NO
Water temperature above 120 degrees can cause tap water scalds.
NOTE: If the water heater does not have a temperature setting, you can use a thermometer to check the temperature of the water at the tap.
QUESTION: Is a light switch located near the entrance to the bathroom?
YES NO
RECOMMENDATIONS: A light switch near the door will prevent you from walking through a dark area.
QUESTION: Are small electrical appliances such as hair dryers, shavers, curling irons, etc., unplugged when not in use?
YES NO
RECOMMENDATION: Even an appliance that is not turned on, such as a hairdryer, can be potentially hazardous if it is left plugged in. If it falls into water in a sink or bathtub while plugged in, it could cause a lethal shock.
QUESTION: Are all medicines stored in the containers that they came in and are they clearly marked?
YES NO
RECOMMENDATION: Medications that are not clearly and accurately labeled can be easily mixed up. Taking he wrong medicine or missing a dosage of medicine you need can be dangerous.
NOTE: Many poisonings occur when children visiting grandparents go through the medicine cabinet or grandmother's purse. In homes where grandchildren or other youngsters are frequent visitors, medicines should be purchased in containers with child-resistant caps, and the caps properly closed after each use. Store medicines beyond the reach of children.
Remember: Check all of the product areas mentioned at the beginning of the checklist.
In the bedroom, check all rugs and runners, electrical and telephone cords, and areas around beds.
QUESTION: Are lamps or light switches within reach of each bed?
YES NO
RECOMMENDATION: Lamps or switches located close to each bed will enable people getting up at night to see where they are going.
QUESTION: Are ash trays, smoking materials, or other fire sources (heaters, hot plates, teapots, etc.) located away from beds or bedding?
YES NO
RECOMMENDATION: Burns are a leading cause of accidental death among seniors. Smoking in bed is a major contributor to this problem. Among mattress and bedding fire related deaths in a recent year, 42% were to persons 65 or older.
QUESTION: Is anything covering your electric blanket when in use?
YES NO
RECOMMENDATION: "Tucking in" electric blankets, or placing additional coverings on top of them can cause excessive heat buildup which can start a fire.
QUESTION: Do you avoid "tucking in" the sides or ends of your electric blanket?
RECOMMENDATION:
QUESTION: Do you ever go to sleep with a heating pad which is turned on?
YES NO
RECOMMENDATION: Never go to sleep with a heating pad if it is turned on because it can cause serious burns even at relatively low settings.
QUESTION: Is there a telephone close to your bed?
YES NO
RECOMMENDATION: In case of an emergency, it is important to be able to reach the telephone without getting out of bed.
Remember: Check all of the product areas mentioned at the beginning of the checklist.
In the basement, garage, workshop, and storage areas, check lighting, fuse boxes or circuit breakers, appliances and power tools, electrical cords, and flammable liquids.
QUESTION: Are work areas, especially areas where power tools are used, well lit?
YES NO
RECOMMENDATION: Power tools were involved in over 5,200 injuries treated in hospital emergency rooms to people 65 and over in 1982. Three fourths of these were finger injuries. Good lighting can reduce the chance that you will accidentally cut your finger.
QUESTION: Can you turn on the lights without first having to walk through a dark area?
YES NO
RECOMMENDATION: Basement, garages, and storage areas can contain many tripping hazards and sharp or pointed tools that can make a fall even more hazardous.
QUESTION: If fuses are used, are they the correct size for the circuit?
YES NO
RECOMMENDATION: Replacing a correct size fuse with a larger size fuse can present a serious fire hazard. If the fuse in the box is rater higher than that intended for the circuit, excessive current will be allowed to flow and possibly overload the outlet and house wiring to the point that a fire can begin.
NOTE: If all, or nearly all, fuses used are 30-amp fuses, there is a chance that some of the fuses are rated too high for the circuit.
QUESTION: Are power tools equipped with a 3-prong plug or marked to show that they are double insulated?
YES NO
RECOMMENDATION: These safety features reduce the risk of an electric shock.
QUESTION: Are power tools guards in place?
YES NO
RECOMMENDATION: Power tools used with guards removed pose a serious risk of injury from sharp edges or moving parts.
QUESTION: Has the grounding feature on any 3-prong plug been defeated by removal of the grounding pin or by improperly using an adapter?
YES NO
RECOMMENDATION: Improperly grounded appliances can lead to electric shock.
QUESTION: Are containers of volatile liquids tightly capped?
YES NO
RECOMMENDATION: If not tightly closed, vapors may escape that may be toxic when inhaled.
NOTE: CPSC has reports of several cases in which gasoline, stored as much as 10 feet from a gas water heater, exploded. Many people are unaware that gas fumes can travel that far.
QUESTION: Are gasoline, paints, solvents, or other products that give off vapors or fumes stored away from ignition sources?
YES NO
RECOMMENDATION: Gasoline, kerosene, and other flammable liquids should be stored out of living areas in properly labeled, non- glass safety containers.
For all stairways, check lighting, handrails, and the condition of the steps and coverings.
QUESTION: Are stairs well lighted?
YES NO
RECOMMENDATION: Stairs should be lighted so that each step, particularly the step edges, can be clearly seen while going up and down stairs. The lighting should not produce glare or shadows along the stairway.
QUESTION: Are light switches located at both the top and bottom of the stairs.
RECOMMENDATION: Even if you are very familiar with the stairs, lighting is an important factor in preventing falls. You should be able to turn on the lights before you use the stairway from either end.
QUESTION: Do the steps allow secure footing?
YES NO
RECOMMENDATION: Worn treads or worn or loose carpeting can lead to insecure footing, resulting in slips or falls.
QUESTION: Are steps even and of the same size and height?
YES NO
RECOMMENDATION: Even a small difference in step surfaces or riser heights can lead to falls.
QUESTION: Are the coverings on the steps in good condition?
YES NO
RECOMMENDATION: Worn or torn coverings or nails sticking out from coverings could snag your foot or cause you to trip.
QUESTION: Can you clearly see the edges of the steps?
YES NO
RECOMMENDATION: Falls may occur if the edges of the steps are blurred or hard to see.
QUESTION: Is anything stored on the stairway, even temporarily?
YES NO
RECOMMENDATION: People can trip over objects left on stairs, particularly in the event of an emergency or fire.