Comprehensive Winter Safety Audit: Prevent Slips and Falls on Your Property

1. Property & Inspection Overview

This audit form helps identify and mitigate slip and fall hazards on your property's exterior walkways. Complete all sections thoroughly to ensure comprehensive safety coverage for residents, visitors, and service providers.

Property Address

Inspection Date & Time

Inspector Name

Inspector Contact Information

2. Environmental Conditions at Time of Inspection

Current Temperature (°C)

Temperature Trend

Rising

Steady

Falling

Has there been any precipitation in the last 24 hours?

Yes

No

Approximate Snow/Ice Accumulation Depth (cm)

3. Resident & Accessibility Profile

Number of Residents in Household

Are any residents with mobility limitations (wheelchair, walker, cane, injury)?

Yes

No

Please describe mobility needs and most frequently used pathways:

Are any residents with visual impairments?

Yes

No

Average Daily Walkway Usage Frequency

Low (1-3 times daily)

Moderate (4-8 times daily)

High (9-15 times daily)

Very High (16+ times daily)

Do you regularly receive deliveries or services (mail, packages, groceries, care services)?

Yes

No

Please specify delivery times and access points used:

4. Incident History & Risk Context

Have any slip, trip, or fall incidents occurred on your exterior walkways in the past 12 months?

Yes

No

Please provide details: date, location, individual involved, severity, and cause:

Have any near-miss incidents been reported (where a fall was narrowly avoided)?

Yes

No

Describe the near-miss circumstances:

5. Exterior Zone Hazard Audit - Detailed Assessment

For each exterior zone, identify all present hazards and treatments. Rate the Safety Clearance Status where: 3 = Safe/Treated (clear and low risk), 2 = Caution Needed (moderate risk, proceed carefully), 1 = Danger Zone (high risk, avoid if possible).

Walkway Hazard & Treatment Log

	Zone Inspected	Exterior Zone	Surface Hazard	Treatment Applied	Safety Clearance Status
	A	B	C	D	E
1		Front Porch Steps	Black Ice	Rock Salt
2		Main Driveway	Accumulating Snow	Cleared with Shovel
3		Side Pathway
4		Garage Entry
5
6
7
8
9
10

6. Treatment Resources & Inventory

Approximate Quantity of Ice Melt Available (kg)

Date & Time of Last Preventive Treatment Application

Rate the effectiveness of your current ice melt product

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7. Comprehensive Risk Assessment & Priority Actions

Overall Property Risk Level

Low Risk - Minimal hazards, safe conditions

Moderate Risk - Some hazards identified, manageable

High Risk - Multiple hazards, immediate attention needed

Critical Risk - Severe hazards, urgent intervention required

Specific actions needed for Front Porch Steps:

Specific actions needed for Main Driveway:

Specific actions needed for Side Pathway:

Specific actions needed for Garage Entry:

Estimated Time Required to Treat Priority Areas (minutes)

Do you require professional snow/ice removal services?

Yes

No

Please specify service provider and expected response time:

8. Photographic Documentation & Additional Notes

Upload Photo: Front Porch Steps Condition

Choose a file or drop it here

Upload Photo: Main Driveway Condition

Choose a file or drop it here

Upload Photo: Side Pathway Condition

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Upload Photo: Garage Entry Condition

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Additional Observations or Special Circumstances

9. Inspector Declaration & Next Steps

I confirm that this inspection has been conducted thoroughly and to the best of my ability, and that the information provided accurately reflects the conditions observed at the time of inspection.

Inspector Signature

Next Scheduled Inspection Date

Summary of Key Recommendations & Action Items