FAMILY PLACEMENT SERVICES
HEALTH AND SAFETY CHECKLIST AND REMEDIAL ACTION PLAN
APPLICANT / CARER’S NAME: ______
ADDRESS: ______
TELEPHONE NUMBER: ______
MOBILE TEL: NUMBER: ______
DESIRED APPROVAL: ______
SERVICE AREA: ______
REPORT DATE: ______
NAME OF PERSON COMPLETING THIS DOCUMENT: ______
______
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Premises / Yes / No- Does the premises present any hazards? If yes please list
- Is the front door fitted with a safety chain, if not, is it kept locked if caring for children under 8 years old?
3. Is a stair gate required?
4. If so is it correctly fitted? 1 x bottom of stairs?
1 x top of stairs?
5. Are banister rails no more than 4” apart?
6. Are smoke detectors fitted on every floor?
7. Have they recently been checked?
8. Do upstairs windows have locks and keys that are accessible?
9. Is the bathroom free from accessible hazards e.g. bleach, aerosols, disposable razors, medicines
10. Are medicines / drugs stored in a safe place?
Bedrooms / Yes / No
1. If sharing with a different child, has the privately fostered child social worker approved their room sharing arrangements? * Subject to a risk assessment prior to placement
2. If using bunk beds have you considered the age and understanding of the child?
3. Are all plugs and sockets in visually good condition without overloading.
Kitchen / Yes / No
1. Does the kitchen present any fire hazards?
2.Are lead from electrical appliances kept away from the edge of the work surfaces?
3. Are all sharp knives adequately stored
4. Are household chemicals safely stored?
5. Are matches and lighters safely stored?
6. Do carers understand the requirements of basic food
hygiene and practice this in food preparation?
Pets / Yes / No
1. Are there any pets in the household?
- If yes please give details of animal.
If yes, please see attached pet / animal risk assessment.
Garden / Yes / No- Does the garden present any hazards if yes list?
Equipment and Machinery / Yes / No
1. Are all DIY tools and equipment safely stored?
Living Area’s / Yes / No
1. Are fireguards used when required?
2. If in use are they correctly fitted?
3. Is the mantle shelf free from toys or other attractions for small children?
4. Are plugs / sockets in visually good condition without over loading?
General / Yes / No
1. Is the house hygienically clean and free from unpleasant odours? i.e. smoke, pets etc.
2. Are house keys and car keys adequately supervised and stored?
3. Are all gas / oil appliances serviced annually?
Transportation / Yes / No
1. Are the carer’s driving licences satisfactory?
2. Is the car/s suitable to transport privately fostered children?
3. Are car’s fitted with car seats where appropriate?
4. Do privately fostered children present a transport problem?
Fire Arms and Dangerous Weapons / Yes / No
1. Are any fire arms or dangerous weapons kept in the house or any part of the property?
If yes, detail what weapons are kept?
2. If there are fire arms, has a current fire arms certificate been seen?
Smoking / Yes / No
Do you smoke?
Can we give you advice regarding the impact of passive smoking on a child who is under the age of 5 years?
Child Protection / Yes / No
1. Are carers aware of Children’s Services Policies on corporal punishment?
2. Are carers aware of their right to complain?
3. Do carers understand the procedure if a child presents with a possible non accidental injury or makes an allegation of child abuse?
5. Are carers CRB checks current?
Expiry date ………………………….
6. Do household members know how to react in the event of a fire?
Action Plan / Yes / No
1. Do any of the previous questions highlight any hazards?
If yes, can this risk from the hazards identified be reduced or eliminated?
Check List completed by: Print______Signature______
Carers Signature: Print______Signature______
Date:
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