Table 2.

Example from home hazard assessment tool: kitchen area.

Kitchen	Yes	No
(1) Is the stove within reach of the child?	□	□
(2) Are matches/lighter/cookingfluids (i.e., paraffin or kerosene) within reach of the child?	□	□
(3) Are cleaning supplies/chemicals within reach of the child?	□	□
(4) Are there any knives or sharp objects within reach of the child?	□	□
(5) Is there any open fire/fireplace within reach of the child?	□	□
(6) Is there a fire extinguisher or bag of sand kept in the kitchen?	□	□
(7) Are cupboards with cooking fluids, cleaning supplies, knives, and matches secured or locked?	□	□
(8) Are lighter/cooking fluids kept in nonoriginal or non labeled containers?	□	□
(9) Type of drinking water glasses at home (circle)  (a) Steel  (b) Plastic  (c) Glass  (d) Other