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It’s a simple form that asks you a series of questions. The questions help identify if the person you care for might be at risk from a fire that could result in serious injury or even death. It's a good way to understand what a fire risk is, and what steps can be taken to reduce the risks.
This form has been designed for carers, support workers, housing officers and social workers, but if you care for a family member or friend you can also use it.
Answer the questions in the checklist. These answers will help you to identify whether the person you are caring for is at risk from fire, or would have difficulties reacting or escaping if a fire occurs.
Complete a checklist now
If by completing the form you’ve become aware of any risks, or have any concerns, please contact us for a free Home Fire Safety Visit, so that we can provide specialist advice tailored to the person’s needs. There may also be things that you can do to reduce the risk immediately, such as not using candles or ensuring heaters are well placed.
Did you know we can also visit the person you care for and provide personalised advice?