Template

Fall Risk Assessment Audit Checklist

by Ega Vinolia Santha Kumari.B, from the Community

Use this hospital-focused audit to check the accuracy and compliance of fall risk assessments at admission and every shift. Verify patient and clinical factors, mental status, gait, ambulatory aids, and defined risk levels. Review environment hazards, patient participation, and staff education on prevention. Capture findings, spot teaching, staff involved, and signatures to ensure documentation is complete and standards are met.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
General Patient Fall Risk Assessment Template
This fall risk assessment template is used to evaluate a patient's probability of falling. It includes fields to record a patient's fall history, current medication, and medical test results (vision, peripheral sensation, and mobility). Record the patient's fall risk rating depending on the number of accumulated risk factors. If a patient gets 1-2 risk factors patient has a Low risk probability of falling, a Medium risk for 3-5 risk factors and High risk for 6 risk factors and above.
by SafetyCulture
Downloads: 100+
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Template
Morse Fall Risk Assessment
Use the Morse Fall Risk Assessment, adapted from the Morse Fall Scale, to quickly evaluate a patient’s likelihood of falling. The checklist guides clinicians through six factors: recent fall history, secondary diagnosis, ambulatory aid, IV or heparin lock, gait or transfer status, and mental status. Scores roll up to an overall Low, Medium, or High risk rating, helping nurses prioritize interventions and document patient safety. Includes fields for patient and nurse details, date and location, and signature capture, with a reference table for interpreting scores.
by jassin isabelle, from the Community
Downloads: 0
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Template
Risk Management Plan - Mental Health
Healthcare practitioners can use this template to prepare a risk management plan for a patient. Identify mental health related risk factors and document actions to minimize risks and desired outcomes. Agree the risk management plan with the patient and get sign-off from both patient and practitioner.
by SafetyCulture
Downloads: 200+
Get
Template
SHE and Risk Audit Checklist for Education
This LTE SHE and Risk Audit template supports education providers in assessing Safety, Health and Environment performance and risk controls across campuses and teaching areas. It covers access and egress, information and statutory notices, welfare and work environment, risk assessments and safe systems of work, waste and environmental controls, and emergency preparedness for incidents, first aid and fire. Sections also address COSHH and hazardous substances, machinery and equipment, electrical and gas safety, PPE provision, working at height, and safety walks. Use it to verify training, documentation, maintenance, and corrective actions.
by Gavin Moses, from the Community
Downloads: 0
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General Patient Fall Risk Assessment Template

This fall risk assessment template is used to evaluate a patient's probability of falling. It includes fields to record a patient's fall history, current medication, and medical test results (vision, peripheral sensation, and mobility). Record the patient's fall risk rating depending on the number of accumulated risk factors. If a patient gets 1-2 risk factors patient has a Low risk probability of falling, a Medium risk for 3-5 risk factors and High risk for 6 risk factors and above.

by SafetyCulture

100+

Get

Template

Morse Fall Risk Assessment

Use the Morse Fall Risk Assessment, adapted from the Morse Fall Scale, to quickly evaluate a patient’s likelihood of falling. The checklist guides clinicians through six factors: recent fall history, secondary diagnosis, ambulatory aid, IV or heparin lock, gait or transfer status, and mental status. Scores roll up to an overall Low, Medium, or High risk rating, helping nurses prioritize interventions and document patient safety. Includes fields for patient and nurse details, date and location, and signature capture, with a reference table for interpreting scores.

by jassin isabelle, from the Community

Get

Template

Risk Management Plan - Mental Health

Healthcare practitioners can use this template to prepare a risk management plan for a patient. Identify mental health related risk factors and document actions to minimize risks and desired outcomes. Agree the risk management plan with the patient and get sign-off from both patient and practitioner.

by SafetyCulture

200+

Get

Template

SHE and Risk Audit Checklist for Education

This LTE SHE and Risk Audit template supports education providers in assessing Safety, Health and Environment performance and risk controls across campuses and teaching areas. It covers access and egress, information and statutory notices, welfare and work environment, risk assessments and safe systems of work, waste and environmental controls, and emergency preparedness for incidents, first aid and fire. Sections also address COSHH and hazardous substances, machinery and equipment, electrical and gas safety, PPE provision, working at height, and safety walks. Use it to verify training, documentation, maintenance, and corrective actions.

by Gavin Moses, from the Community

Get

Fall Risk Assessment Audit Checklist

About author

You might also like

General Patient Fall Risk Assessment Template

Morse Fall Risk Assessment

Risk Management Plan - Mental Health

SHE and Risk Audit Checklist for Education

You might also like

General Patient Fall Risk Assessment Template

Morse Fall Risk Assessment

Risk Management Plan - Mental Health

SHE and Risk Audit Checklist for Education