First-Visit Home Safety Assessment
Falls, fire, medicines, equipment, mobility, the carer, and the worker's own safety — assessed on the first visit, reviewed every three months
What it is
A first-visit assessment of the home as a place of care: falls hazards, fire and heating, medicines storage, oxygen and equipment, hygiene and water, the patient's mobility and transfers, the carer's capacity, and the risks to the worker — with the actions and the review date.
Where to use it
Every new home-care patient, first visit; in the record; reviewed quarterly or on any change. Evidence for: Home Care Standard 2 — assessment of the home; Standard 6 — worker safety; Universal Floor — falls. Evidence for: Home Care Standard 2 — assessment of the home; Standard 6 — worker safety; Universal Floor — falls. Evidence for: Home Care Standard 2 — assessment of the home; Standard 6 — worker safety; Universal Floor — falls. Evidence for: Home Care Standard 2 — assessment of the home; Standard 6 — worker safety; Universal Floor — falls.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Lone-Worker Safety Protocol and Check-In Log
Medicines in the Home — Reconciled List and Administration Record
Caregiver Training Record and "When to Call" Card for Families
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