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
Current Temperature (°C)
Temperature Trend
Rising
Steady
Falling
Wind Conditions
Calm (0-10 km/h)
Light Breeze (11-20 km/h)
Moderate (21-40 km/h)
Strong (41-60 km/h)
Severe (60+ km/h)
Has there been any precipitation in the last 24 hours?
Approximate Snow/Ice Accumulation Depth (cm)
Visibility Conditions
Clear
Light Fog
Heavy Fog
Blowing Snow
Darkness
Number of Residents in Household
Resident Age Groups (select all that apply)
Infants/Toddlers (0-3)
Children (4-12)
Teens (13-17)
Adults (18-64)
Seniors (65-79)
Elderly (80+)
Are any residents with mobility limitations (wheelchair, walker, cane, injury)?
Are any residents with visual impairments?
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)?
Have any slip, trip, or fall incidents occurred on your exterior walkways in the past 12 months?
Have any near-miss incidents been reported (where a fall was narrowly avoided)?
How would you rate the overall slip resistance of your walkways during typical winter conditions?
Very Poor
Poor
Fair
Good
Excellent
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 | |
|---|---|---|---|---|---|
Front Porch Steps | Black Ice | Rock Salt | |||
Main Driveway | Accumulating Snow | Cleared with Shovel | |||
Side Pathway | |||||
Garage Entry | |||||
Ice & Snow Treatment Products Available On-Site (select all that apply)
Rock Salt (Sodium Chloride)
Pet-Safe Ice Melt
Traction Sand
Calcium Chloride
Magnesium Chloride
Urea
Kitty Litter
Other
Approximate Quantity of Ice Melt Available (kg)
Snow & Ice Removal Tools Available (select all that apply)
Shovel (Standard)
Snow Shovel (Ergonomic)
Ice Scraper/Chopper
Snow Blower
Plow Attachment
Broom
None
Date & Time of Last Preventive Treatment Application
Rate the effectiveness of your current ice melt product
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
Priority Zones Requiring Immediate Action (select all that apply)
Front Porch Steps
Main Driveway
Side Pathway
Garage Entry
Secondary Walkways
All Zones
Estimated Time Required to Treat Priority Areas (minutes)
Barriers to Immediate Treatment (select all that apply)
Insufficient supplies
Lack of proper tools
Physical limitations
Time constraints
Awaiting professional service
No barriers
Other
Do you require professional snow/ice removal services?
Upload Photo: Front Porch Steps Condition
Upload Photo: Main Driveway Condition
Upload Photo: Side Pathway Condition
Upload Photo: Garage Entry Condition
Additional Observations or Special Circumstances
Recommended Re-inspection Frequency
Every 6 hours during active weather
Every 12 hours
Daily
Every 2-3 days
Weekly
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