Are all throw rugs and scatter mats secured in place to keep them from slipping? Yes_ No_
Do you have a first aid kit and know where it is? Yes_ No_
Do the steps of your stairs have a non-skid surface? Yes_ No_
Are there solid handrails on both sides of the stairway? Yes_ No_
Do you remove your reading glasses when using the stairs? Yes_ No_
Are heavy items on lower shelves or in bottom cupboards? Yes_ No_
Do you use a ladder or a stable step stool (with a safety rail) for reaching high places? Yes_ No_
Are all chemicals, such as bleach, cleaners and paint thinners, clearly identified? Yes_ No_
Are flammable materials stored as indicated by the directions on the label and away from sources of heat and flame? Yes_ No_
Do you keep night lights or other sources of light on in case you get up in the middle of the night? Yes_ No_
Life Assure
