Home Safety Survey

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Home Safety Survey

This is a short home safety survey that will help you determine possible hazards in and around your home. Any hazards should be fixed before they lead to problems or injuries. There are about 40 quick questions to consider.

How safe is your home?

Do you rent or own your home? If you rent, do you have the ability to service your smoke or carbon monoxide alarms or are they checked regularly for you? Please check your rental agreement. *

rent

own

Can your house number be seen clearly from the street? *

Yes

Not sure

Do you have smoke alarms in your home? *

Yes

How many smoke alarms do you have? *Smoke alarms should be in each bedroom, outside every sleeping area, and on every floor in the home. *

only one

two or more in all the places listed above

two or more, but in different places around the home than were listed

none

Do you know if your smoke alarms are working? *

Yes

Not sure

We do not have any smoke alarms.

Do you test the smoke alarm batteries every month? *

Yes

We do not have any smoke alarms.

Do you dust or vacuum your smoke alarm at least once a month? It is important to keep them clean according to manufacturer's instructions. *

Yes

I was not aware this was important.

Do you have any fuel burning appliances in your home? If so, you should have carbon monoxide alarms on each level of your home and near any sleeping areas. *

Yes

Do you have working carbon monoxide alarms in your home? *

Yes

Does your family have a Home Fire Escape Plan? *

Yes

Does your family practice your Home Fire Escape plan a few times every year to make sure everyone knows what to do if it is necessary to exit the home? *

Yes

Do you have an exit plan for young children or for anyone who could not get out of the home by themselves? *

Yes

Is there anyone who is disabled or over the age of 65 in your home? *

Yes

If anyone in the home is disabled or over the age of 65, have you filled out a Heads Up form with our Emergency Communications Center? If not, please call 890-3600 for assistance. *

Yes

Not applicable

Are all hallways, doorways, and means of exit unobstructed and clear of clutter? *

Yes

Is your home cluttered with clothes, magazines, newspapers, or other items than can burn? *

Yes

Do you have a charged fire extinguisher in the home? *

Yes

Have you been trained to use a fire extinguisher? If not, do not attempt to use one in a fire emergency. Get out and call 911. *

Yes

Do you routinely clean your clothes dryer lint filer and vent pipe to make sure they are clear? *

Yes

Do you remain in the kitchen the whole time you are cooking food on the stove? *

Yes

Are all cooking surfaces clear of things that can burn? *

Yes

Do you keep your small appliances unplugged when they are not in use? *

Yes

Is there a minimum of 3 feet between flammable items and any sources of heat or flame? *

Yes

Do you have all heating equipment and chimneys cleaned and inspected every year by a qualified professional? *

Yes

Is the thermostat on your water heater adjusted to a maximum temperature of 120 degrees Fahrenheit to avoid scald injuries? *

Yes

Do you use extension cords as permanent sources of power? This is never a safe option. *

Yes

Are any appliance cords or cables running under rugs or furniture? This is a potential fire and fall hazard. *

Yes

Are your rugs slip proof? Throw rugs can be a trip/fall hazard. *

Yes

There are none in the home.

Are your receptacles in good working order? Plugs should fit securely in the receptacle. *

Yes

Are your outlets overloaded? *

Yes

Are matches and lighters kept out of the reach of any children in a secure location? *

Yes

Do you use open flame or flameless candles in your home? Please consider using flameless options if you aren't already. *

Open flame

Flameless

Do you routinely leave lit candles unsupervised? *

Yes

Are there any smokers in the home? *

Yes

If there are smokers in your home, do they always smoke outside? *

Yes

No smokers are in the home.

Do you store flammable liquids inside your home? *

Yes

Do you keep medicines and dangerous chemicals in locked cabinets? *

Yes

How do you dispose of expired medicines? *

In the trash

Down the drain

At a local disposal event

Other:

Do you store gas powered equipment in an outside shed or garage that is detached and away from the home? *

Yes

Would you be interested in a home safety visit from your local fire department? We would be happy to help you check for and fix hazards and around your home. *

Yes

Please call the York County Department of Fire and Life Safety at 757-890-3600 for more information or for assistance with a home safety survey. How can we help you? Be sure to leave your contact information.

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