Table 2: Example from home hazard assessment tool: kitchen area.

KitchenYesNo

(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