Ask client/family clear driveways, Have driveways, paths and stairs been Yes Proceed to the – paths and stairs cleared to allow a worker to exit home quickly if needed? No Call supervisor – Ask client repair uneven surfaces Are there any uneven surfaces that Yes Slow down and – might impede a quick exit by the call supervisor worker? No Proceed to the – home Map the area before visiting the Is there a long approach to the road? Yes Call supervisor – home in case of an emergency No Proceed to the – home Carry your keys in your hand Has the safest route for returning to Yes - Proceed to the Do not sling your purse or bag over the vehicle been determined? vehicle your shoulder or around your neck No Call supervisor – Walk around vehicle, and check in case of an back seat before unlocking car emergency Lock doors, keep windows up until underway COMMUNICATION ACCESS Risk Factor Y/N Suggested Controls Risk-specific Tips
Have driveways, paths and stairs been cleared to allow a worker to exit quickly if needed? Yes – Proceed to the home No – Call supervisor Ask client/family clear driveways, paths and stairs Are there any uneven surfaces that might impede a quick exit by the worker? Yes – Slow down and call supervisor No – Proceed to the home Ask client repair uneven surfaces Is there a long approach to the road? Yes – Call supervisor in case of an emergency No – Proceed to the home Map the area before visiting the home Has the safest route for returning to the vehicle been determined? Yes - Proceed to the vehicle No – Call supervisor in case of an emergency Carry your keys in your hand Do not sling your purse or bag over your shoulder or around your neck Walk around vehicle, and check back seat before unlocking car Lock doors, keep windows up until underway COMMUNICATION ACCESS Risk Factor Y/N Suggested Controls Risk-specific Tips
VDVTLDEN0417-Employee-Hazard-Assessment-Tool-Home-Community-Hazard-Assessment-Tool-V2.3-05.01.2017.docx