Falls Prevention Checklist

• Lighting
• Stairs, Steps & Ladders
• Bathroom & Toilet
• Kitchen
• Bedroom
• Other Rooms in the House
• Outside the House
• Other things you can do
• What do I do if I have a fall?
• If you can't get up

1. Lighting

• Make sure your lights are bright enough for you to see clearly (i.e. 75 watt globes in all rooms, passageways and stairwells).
• Stairs and steps should be well lit, and light switches easy to reach and near each doorway.
• Being able to switch a light on from your bed is handy too (or keep a torch next to the bed).
• Allow time for your eyes to adjust when going to and from light and dark areas.

2. Stairs, Steps & Ladders

• Stairs may need extra lighting
• Make sure there are handrails on at least one side of all stairways (both sides is better!).
• Try and reduce the need for ladders; store frequently used items where you can reach them.
• Have someone with you if it is necessary to use a ladder, or better still, get them to use it!  Ensure your stepladder is in good condition.

3. Bathroom & Toilet

• Wet areas are more likely to be slippery and therefore hazardous. Take extra care when on a wet surface.
• Use non-slip mats in the shower/bath, and non-slip flooring is recommended for bathrooms if possible.
• Handrails are recommended in all positions around the bath and toilet where you need something to hold on to (Occupational Therapists from your local Hospital can advise you on hand rails and other equipment for modifications to your bathroom to ensure your maximum safety and independence).

4. Kitchen

• Arrange your kitchen so the most frequently used items are easy to reach, and so you don't lose your balance.
• Counters and tables should be sturdy enough to support your weight if you lean on them.
• If possible install a wall oven in preference to a low oven.
• Mop up spills immediately to avoid slipping.
• Keep all extension/appliance cords safely secured out of the way of your feet.

5. Bedroom

• Have a light within reach of your bed.
• Also ensure your eyeglasses are easy to reach if you need them when you get out of bed.
• Keep floors clear in your bedroom.
• Secure loose telephone and electrical cords in the bedroom and out of walkways.
• Beds should be at a good height for easy movement on or off.
• When getting out of bed, take it slowly (sit up before you stand up).

6. Other rooms in the house

• Be careful of loose rugs or mats (you can secure them with slip-resistant backings).
• Higher chairs and chairs with solid armrests are easier to get in and out of.
• Fans and heaters should not be placed in walkways or in the middle of the room.
• Make sure you would be able to reach the telephone from the floor (if you had to crawl to it).

7. Outside the house

• Make sure the edges of steps are clearly marked, by painting the front edge of the step a contrasting colour or by putting on non-skid treads.
• Paths need to be even and unbroken.
• Keep them free of moss and leaves, or tools, etc., and take extra care in wet conditions.
• Tread carefully near pets or small animals, their movements can be unpredictable.
• Contact your local council to advise them of any problem areas near your home.

8. Other things you can do

• Wear shoes and slippers that have non-slip soles with patterned tread and rounded, broad heels.
• Clothing should be short enough to avoid tripping (particularly nighties and dressing gowns).
• It might be better to sit down, rather than stand on one leg, when dressing.
• You may also find it reassuring to carry a personal alarm that you can activate in case you fall.

9. What to do if you fall

• Don't panic
• Stay quiet for a moment, assess the situation.
• Make a decision whether or not to try to get up.
• If you do try to get up, take your time and use stable furniture to help.
• Tell someone you have had a fall and seek medical advice if necessary.

10. If you can't get up

• Try sliding or crawling to seek help.
• See if you can reach the telephone.
• Make loud noise to alert someone close by.
• Activate your personal alarm if you carry one.
• Make yourself as comfortable and warm as possible.
• Lie quietly until help arrives.