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HOME RISK ASSESSMENT FORM Client Name File No Address Phone s Person completing checklist Date // Location of door to enter front Parking Visually safe OUTSIDE RESIDENCE Access to neighbours/ passing traffic Parking Gates easy to open Pathway/garden Steps/stairs and railings Verandah/porch surface Pets Lighting at night Door clear of obstructions/ easy to open INSIDE RESIDENCE Floor surfaces Stair surface/railings Lighting Freedom of movement side back unsafe Other Comments Review date //...
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How to fill out home risk assessment form

01
Read the instructions carefully before filling out the home risk assessment form.
02
Provide accurate and honest information about your home and its surroundings.
03
Start with personal details such as your name, address, and contact information.
04
Provide details about each room in your home, noting any potential hazards or risks.
05
Include information about electrical systems, plumbing, gas lines, and other utilities.
06
Assess the safety of stairways, walkways, and outdoor areas.
07
Indicate any potential fire hazards such as flammable materials or faulty wiring.
08
Evaluate the security measures in place, including locks, alarms, and surveillance systems.
09
Consider the accessibility and safety features for individuals with disabilities or older adults.
10
Provide additional comments or recommendations if necessary.
11
Review the completed form for accuracy and completeness before submitting it.

Who needs home risk assessment form?

01
Homeowners should fill out a home risk assessment form to identify potential hazards and risks in their living environment.
02
Renters who have permission from their landlord can also benefit from completing a home risk assessment form.
03
Families with young children or elderly individuals should prioritize filling out this form to ensure a safe living environment.
04
Individuals with disabilities can use the home risk assessment form to identify any modifications or accommodations needed for their specific needs.
05
Home insurance companies may require policyholders to complete a home risk assessment form as part of the insurance application or renewal process.
06
Real estate agents or property managers may also need to fill out a home risk assessment form when evaluating the safety of a property for potential buyers or tenants.
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The home risk assessment form is a document used to evaluate potential risks and hazards in a residential property.
Homeowners or landlords are typically required to file the home risk assessment form.
To fill out the home risk assessment form, you need to provide information about potential risks in the home and steps taken to mitigate them.
The purpose of the home risk assessment form is to identify, assess, and address potential risks and hazards in a residential property to ensure the safety of occupants.
Information on potential risks, hazards, and mitigation measures must be reported on the home risk assessment form.
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