INSIDE/OUTSIDE OF DWELLING Risk Identification Y/N Suggested Controls Risk-Specific Tips Has the area been mapped out for Yes potential perpetrator hiding spots No (e.g. behind bushes or hedges)? Request that the area light be on, Are there any physical hazards Yes if there is one (barriers, broken steps, free-roaming Provide worker with a flashlight if dogs, weapons) and, if so, is there a No needed plan for controlling these hazards during the visit? If is a possibility of encountering Yes hazards during the visit, have arrangements been made for a No and post-visit call to the office, a nurse, the supervisor or, if possible, a “buddy”? Will people be in the residence Yes during the visit? If so, do you know how many, what their relationship to No the client is, whether there any potential for violence, and who will open the door? EMERGENCY EGRESS Risk Identification Y/N Suggested Controls Risk-Specific Tips
INSIDE/OUTSIDE OF DWELLING Risk Identification Y/N Suggested Controls Risk-Specific Tips Has the area been mapped out for potential perpetrator hiding spots (e.g. behind bushes or hedges)? Yes No Are there any physical hazards (barriers, broken steps, free-roaming dogs, weapons) and, if so, is there a plan for controlling these hazards during the visit? Yes No Request that the area light be on, if there is one Provide worker with a flashlight if needed If is a possibility of encountering hazards during the visit, have arrangements been made for a and post-visit call to the office, a nurse, the supervisor or, if possible, a “buddy”? Yes No Will people be in the residence during the visit? If so, do you know how many, what their relationship to the client is, whether there any potential for violence, and who will open the door? Yes No EMERGENCY EGRESS Risk Identification Y/N Suggested Controls Risk-Specific Tips
VDVTLCEN0417-Assessment-of-the-Geographic-Region-and-Travel-Route-V2.3-05.01.2017.docx