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Bathroom Checklist Bedroom Checklist Living Areas Checklist Hallways and Stairs Checklist Porch and Yard Checklist Personal Risk Factors Checklist

Answer all 3 questions and press GO!

1. Are there floor mats or rugs in the kitchen?
Yes     No
2. Is it necessary to reach far, bend over, or climb on a stool to get commonly-used kitchen items and foods?
Yes     No
3. Is there liquid, food, grease, or other clutter on the floor?
Yes     No
 


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Bathroom  ||  Bedroom  ||  Living Areas  ||  Kitchen
Hallways & Stairs  ||  Porch, Yard, Outside  ||  Personal Risk Factors
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at msc@minnesotasafetycouncil.org,
or phone 651-291-9150
or 1-800-444-9150
www.minnesotasafetycouncil.org
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