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HOME SAFETY CHECKLIST

GENERAL INFORMATION

Supports provided by AABDS

OUTSIDE THE RESIDENCE

INSIDE THE RESIDENCE

THE PARTICIPANT

MANUAL TASKS

DECLARATION by the participant, or person completing this form on behalf of the participant

I declare that the information I have given is true and correct.

Thanks for submitting!

TO BE COMPLETED BY AABDS MANAGEMENT 

Are there any safety hazards/risks identified?
Has an Incident, Hazard or Risk assessement been completed for any identified hazard/risk?
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