Home Visit Safety Checklist


Use this checklist to evaluate whether it is safe to proceed with a home visit. This form should be completed before the visit via a conversation with the participant over the phone or via video conferencing.

Do not enter the property if you believe that this would put yourself or anyone else at risk. Contact your manager if you are attending an appointment but think entering a participant’s home would be unsafe.

If there is an immediate risk to your safety or the safety of others, please call Police, Fire or Ambulance on 000


Eg. No working smoke detectors.

We ask that during our visit people refrain from smoking