Residential Life Safety Audit

Each Bedroom and Bathroom

1. Do all doors and windows needed for escape open easily from the inside? (Yes/No)

2. Is a 9-1-1 sticker placed on the telephone? (Yes/No)

3. Is there a list of important phone numbers next to the phone? (Yes/No)

4. Is there a working flashlight in each bedroom? (Yes/No)

5. Do lamp and light fixtures use bulbs at or below maximum wattage prescribed by the manufacturer? (Yes/No)

6. Are portablle space heaters at least three feet from anything that can catch fire? – including the walls and curtains? (Yes/No)

7. Are electrical extension cords used sparingly? (Yes/No)

8. Have all electrical outlets and switchplates been checked during the past year to determine if they are hot to the touch? (Yes/No)

9. Are electrical sockets covered with a child-proof fitting? (Yes/No)

10. Are matches, lighters, and prescription medicines stored ove a child's reach? (Yes/No)

11. Are all medicines and cosmetics kept out of sight of children? (Yes/No)

12. Is old or outdated medicine dumped and flushed in the toilet? (Yes/No)

13. Is an extra bathroom key handy? (Yes/No)

14. Are all cleaning products and solvents in their original containers and inaccessible to children? (Yes/No)

15. Are filled wastebaskets emptied regularly? (Yes/No)

16. Do you prohibit smoking in bed? (Yes/No)

17. If firearms and ammunition are kept in the home, are they securely stored where a child cannot reach them? (Yes/No)

18. Do all family members know how to crawl low under smoke? (Yes/No)

19. Have the smoke detectors been tested and do they function properly? (Yes/No)

20. Have the smoke detectors been cleaned or vacuumed recently? (Yes/No)

21. Do all family members know the fire escape plan? (Yes/No)

22. Does your family conduct periodic exit drills? (Yes/No)

23. Do you have a prearranged plan of exit in case of fire? (Yes/No)

Living Area

1. Are electrical extension cords used sparingly? (Yes/No)

2. After a party, has furniture been checked for smoldering cigarette ashes behind and under cushions? (Yes/No)

3. Does the fireplace have a screen or glass cover in front of it? (Yes/No)

4. Are flues and chimneys serviced periodically? (Yes/No)

5. Are objects that could catch fire placed away from the fireplace? (Yes/No)

6. Has each smoke detector been tested and does each function properly? (Yes/No)

7. Have the smoke detectors been vacuumed recently? (Yes/No)

8. If the home has small children, are safety latches installed on drawers, cupboards, and medicine c inets? (Yes/No)

9. If smokers are present, are large, sturdy ashtrays placed around the home? (Yes/No)

10. Does each area have two acceptable means of exit? (Yes/No)

Kitchen

1. Are appliance cords kept on the counter to prevent them from being pulled down by a young child? (Yes/No)

2. Are electrical sockets not overloaded with appliance cords? (Yes/No)

3. Does each appliance have a testing l oratory approved sticker? (Yes/No)

4. Does each appliance function properly? (Yes/No)

Are they kept away from water sources? (Yes/No)

Are the cords in good repair and not cracked, frayed, or worn? (Yes/No)

5. Are small appliances unplugged when not in use? (Yes/No)

6. Is the stove clean of grease and oil? (Yes/No)

7. Is there a fire extinguisher (Class ABC) mounted near the kitchen? (Yes/No)

8. Are cleaning products and other chemicals stored out of the reach (not under the sink!) of young children? (Yes/No)

Away from food storage areas? (Yes/No)

In their original containers? (Yes/No)

9. Do all family members know how to cool a burn with water? (Yes/No)

10. Is the kitchen hood vent clean and maintained? (Yes/No)

Storage Areas And Work Areas

1. Is the water heater set below 120E F? (Yes/No)

2. Has the furnace or heating unit been checked once each year to ensure proper functioning? (Yes/No)

3. Does the fuse box have the correct fuse or circuit breaker for each circuit? (Yes/No)

4. Are oily rags and mops with paints, oil, varnish, or polish kept in a covered metal can or disposed of after use? (Yes/No)

5. Are combustible liquids such as paint, varnish, paint thinner, and turpentine kept in tight containers away from heat sources? (Yes/No)

6. Is all gasoline stored in approved safety cans? (Yes/No)

7. Are work areas kept in order and clear of obstructions? (Yes/No)

8. Is trash thrown away? (Yes/No)

9. Are all chemicals and paints kept in their original containers? (Yes/No)

10. Is there a fire extinguisher (Class ABC) mounted near the storage or work area? (Yes/No)

11. Are liquid-fueled port le space heaters properly vented? (Yes/No)

12. Is the correct fuel used, as per manufacturer specifications? (Yes/No)

13. Is the dryer lint trap cleaned after each use? (Yes/No)

14. Is there adequate clearance between furnace and flue and any combustible material? (Yes/No)

Outside The Home

1. If the home has a wood shingle roof, has it been treated with a fire retardant? (Yes/No)

2. Has the chimney been cleaned at least once each year? (Yes/No)

3. Does the chimney have a spark arrester on the roof? (Yes/No)

4. Is the television, radio, or other antenna properly grounded? (Yes/No)

5. Are electrical connections snug? (Yes/No)

6. Is the gas barbeque stored away from the house? (Yes/No)

7. Are propane or butane cylinders stored outside of the home or garage area? (Yes/No)

8. Are weeds and brush cleared at least 10 feet away from the house? (Yes/No)

9. Are weeds and bushes cleared at least 10 feet from liquid gas tanks? (Yes/No)

10. Are house numbers visible from the street? If an apartment, is the building number visible on the building? (Yes/No)

11. Is the nearest fire hydrant free from obstructions, grass, or brush? (Yes/No)

12. Does the nearest fire hydrant leak? (Yes/No)

13. Are all chemicals and pesticides kept in their original containers and inaccessible to children? (Yes/No)

14. Is the yard, or any adjacent property kept clear of dry leaves and combustible litter? (Yes/No)

Swimming Pool

1. Is the gate to the pool self-closing and self-latching? (Yes/No)

2. Is the gate locked when not in use? (Yes/No)

3. Is there a telephone near the pool with a 9-1-1 sticker? (Yes/No)

4. Are t les, chairs, and ladders which toddlers can use to climb kept away from the pool fence? (Yes/No)

5. Are all toys removed from the pool area? (Yes/No)

6. Are doors and windows to the pool area secured? (Yes/No)

7. Are pool chemicals locked up? (Yes/No)

8. Is the water within 3 to 4 inches from the top of the pool to make climbing out easier? (Yes/No)

9. Are lifesaving floatation devices mounted in plain view and in good condition? (Yes/No)

10. Are pool gates locked for the winter? (Yes/No)

11. Is there a fence that separates the pool from the house? (Yes/No)

12. Do you know CPR? (Yes/No)

13. Do your family members know CPR? (Yes/No)