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HOME RISK ASSESSMENT FORM HOME CARE/RESPITE Client Name: ___File No:___ Address: ___Phone(s): ___ ___ ___ Person completing checklist: ___Date: __/__/__Review date: __/__/__ Location of door to enter:
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How to fill out home risk assessment form

01
Begin by gathering all necessary information such as property details, occupancy details, and current safety measures in place.
02
Evaluate potential risks such as fire hazards, electrical hazards, and trip hazards.
03
Assess the likelihood and severity of each identified risk.
04
Implement appropriate safety measures to mitigate or eliminate identified risks.
05
Document all findings and safety measures on the home risk assessment form.
06
Review the completed form and make any necessary revisions or updates.
07
Keep a copy of the home risk assessment form for your records.

Who needs home risk assessment form?

01
Homeowners who want to ensure the safety of their property and occupants.
02
Landlords who are required to provide a safe living environment for their tenants.
03
Insurance companies who may require a home risk assessment before issuing coverage.

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The home risk assessment form is a document used to evaluate potential risks and hazards present in a residential property.
Homeowners or landlords are typically required to file the home risk assessment form.
The form must be completed by providing information about the property and any identified risks or hazards.
The purpose of the home risk assessment form is to ensure the safety and well-being of occupants by identifying and addressing potential risks.
Information about the property, any identified risks or hazards, and any mitigation measures taken must be reported on the form.
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